MED 1840 Final

Benefits of professional memberships include all EXCEPT

Diagnostic coding changes for Volumes 1 & 2 of ICD 9 CM take effect

Under a contract based on a percase pervisit rate the Dr is paid a predetermined rate for: 

Before the 1970s, a solo practice included all staff members EXCEPT: 

Approx. how many different formats are currently being used for electronic health claims

The add on code used to identify that a pt is younger than 1 year old & is receiving anesthesia

A medical office assistant may handle all of the following EXCEPT: 

Group insurance is issued to an employer to provide coverage for; 

An increase in patient volume often results from: 

Anesthesia is reimbursed according to the: 

Organization that awards accreditation to MCO's is the: 

In the CPT index, all topics referring to CPT code sections or chapter headings are shown in: 

HIPAA security rule complements the privacy rule but applies exclusively to: 

Type I Diabetes Mellitus indicates that: 

Condition that remains after a patient's acute illness or injury is called: 

under a discounted fee for service, covered services are compensated at a 

Provision in Patients Bill of Rights that allows pt's the right to review & copy their records

contract issued by a payer, the plan document...under which a covered person may be entitled...

safeguard involves limiting access to computer hardware & software only to authorized persons

A MCO contract is considered a legal document between the

The unique identifier for employers (business entities) is: 

to avoid the higher costs of healthcare, employers: 

Dr.s who contract with MCOs must provide care according to the MCOs policies in order to:

When a person has health insurance through 2 or more plans, the determination of which pays is:

Important skills required of a payment poster include all EXCEPT

Most hospitals today are owned by a :

Duties & responsibilities of a privacy compliance officer may include, EXCEPT: 

A physician who coordinates a patients care and refers them to specialists is: 

Criminal penalties for HIPAA violations can include fines & sentences...

Provision of HIPAA deals w/ procedures for investigations & hearings r/t compliance & penalties

After 1 yr experience, a medical office assistant can take an exam to be certified as a: 

The type of insurance that provides coverage for a designated period of time is: 

The provision of HIPAA that applies to the use & disclosure of PHI is the: 

ICD 10 PCS replaced the: 

In order to receive the Certified Professional Coder (CPC) certification you must: 

Unique Identifier form Dr's, nurses and other healthcare professionals...... is:

A special report detailing increased time & difficulty should be submitted with modifier: 

With MCOs, the business aspects of healthcare are not being controlled by: 

Using 3 digit codes when no 4 digit codes are avail, & 4 digit codes when no 5 digit are avail:

The ICD 10 CM contains a total of more than,

The electronic record includes documentation of patient care across multiple healthcare org's..

A MCO contract will include a: 

To achieve certification as a NCMOA, you must have all EXCEPT: 

To determine the amount due from a patient, it is necessary to know the: 

The healthcare professional who researches data to accurately document diagnoses & procedures

The anesthesia section of the code book can be found directly before: 

According to some contract terms, if an MCO does not pay a claim within time, the Dr may 

A physical status modifier is used with which of the CPT codes

Sub-terms in an ICD 9 CM entry may show:

insurance coverage that provides protection against a specific type of accident/illness

Before the 1970s, a physicians practice would grow based on: 

Services to reat a medical condition that is sudden onset..threaten a person's life or health.

The intial steps to locate an ICD 10 code are: 

In Patients Bill of Rights, the provision re: choice of provider allows patients the right to:

In 1948 the International Classification of Causes of Death came under the direction of: 

HMO plans add a point of service (POS) option to: 

Business values that are being incorporated in medical practices as a result of managed care: 

responsible for answering questions & explaining HIPAA, living wills,DNRs to patients & family 

Certified Professional Coder certification evaluates a medical coders knowledge of all EXCEPT 

A registered health info tech may also be referred to as: 

Dr's accept lower pmnts from MCO's, which force them to see more patients in order to: 

An exclusive provider organization is similar to a PPO because they both have: 

The HITECH Act introduced which concept in regard to EHI: 

Under the HIPAA Privacy Rule, a pt's medical record & claims history are considered: 

Contract with which of the following payment terms can result in an increased financial risk: 

The HITECH requirements for implementation of standardized electronic health records is known: 

The proper use of CPT modifiers can result in

The subscriber in a HMO can also be called;

Utilization guidelines are used to 

The process of scrambling and encoding electronic data: 

HIPAA privacy protections apply to which type of healthcare data

In 2011, new health care reform law rqr'd insurers to offer dependent covg' for adult kids to: 

a characteristic of a staff model HMO is that it: 

the certification offered by the American Medical Billing Association to who pass their exam

The National Center for Competency Testing awards the: 

The puropse of a withhold program is to: 

The duties & responsibilities of a payment poster generally include: 

in cases of fraudulent billing: 

Contracts between the physician & MCO are generally negotiated by the: 

The Certified Medical Billing Specialist certification is awarded through the: 

Criminal penalties for HIPAA violations can include prison time & financial maximum penalties: 

CBO typically contracts with a dr's office to perform what functions: 

How long ago was ICD 9 CM published?

what does the work plan released by the Office of Inspector General each year focus on

providers are likely to agree to discounted fee for service contracts because they result in

Indicator appears with certain codes to indicate that they are either new or different

The HMO act of 1973 used federal funds for the purpose of:

Type of HMO plan that involves contracting w/ dr's to create a healthcare delivery system is:

advantages of managed care include all EXCEPT

How many characters are used in ICD 10 codes

To bill for services provided by an audiologist, the CPT codes would be found in the: 

contacts patients or insurance carriers to collect money owed to the facility is the: 

Type of HMO that contracts with more than one community based multispecialty group is

Disadvantages of medical care include all EXCEPT

Principles adopted in the Pt Bill of Rights include all EXCEPT the right to: 

electronic record that documents a patients encounters w/ dr's is stored is the electronic

An individual who is an insured, enrolled subscriber under a health benefit plan is:

One aspect of healthcare reform that most people agree on is that..

As of 1948 the International Classification of Causes of Death name was changed to: 

Type of policy that would provide coverage for custodial care in a nursing home: