Exam 16: The Role of Computers in Health Insurance
Exam 1: The Origins of Health Insurance45 Questions
Exam 2: Tools of the Trade: A Career as a Health (Medical)Insurance Professional40 Questions
Exam 3: The Legal and Ethical Side of Medical Insurance67 Questions
Exam 4: Types and Sources of Health Insurance48 Questions
Exam 5: Claim Submission Methods70 Questions
Exam 6: Traditional Fee For Service/Private Plans74 Questions
Exam 7: Unraveling the Mysteries of Managed Care50 Questions
Exam 8: Understanding Medicaid87 Questions
Exam 9: Conquering Medicare’s Challenges105 Questions
Exam 10: Military Carriers80 Questions
Exam 11: Miscellaneous Carriers: Workers’ Compensation and Disability Insurance55 Questions
Exam 12: Diagnostic Coding132 Questions
Exam 13: Procedural, Evaluation and Management, and HCPCS Coding122 Questions
Exam 14: The Patient74 Questions
Exam 15: Keys to Successful Claims Management60 Questions
Exam 16: The Role of Computers in Health Insurance65 Questions
Exam 17: Reimbursement Procedures: Getting Paid72 Questions
Exam 18: Hospital Billing and the UB-0489 Questions
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Although EMRs may be the wave of the future,hackers ultimately may be able to penetrate EMRs despite security precautions.
(True/False)
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Specific areas of administrative simplification addressed by HIPAA include all but which of the following?
(Multiple Choice)
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____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of identifiers in your own words.
(Short Answer)
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The numbers used in the administration of healthcare to distinguish individual healthcare providers,health plans,employers,and patients are:
(Multiple Choice)
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List at least four of the six ways computers are commonly used today from a health insurance perspective.
(Essay)
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The most cost-effective way of submitting claims when submitting primarily to one carrier is by using:
(Multiple Choice)
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Identify which of the following is not one of the three main components of meaningful use.
(Multiple Choice)
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A physician,practitioner,facility,or supplier with fewer than 10 full-time equivalent employees can be considered a/an:
(Multiple Choice)
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The Secretary of HHS grants a "waiver" for the electronic claims submission mandate for "unusual circumstances." Identify two of these "unusual circumstances."
(Essay)
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Standards for electronic healthcare transactions changed from Version 4010/4010A1 to Version 5010 in January of 2012,which accommodates the ______________ codes.
(Short Answer)
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An electronic file wherein patients' health information is stored in a computer system is called a/an _______________.
(Short Answer)
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____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of security standards in your own words.
(Short Answer)
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Disadvantages to EMRs include all except which of the following?
(Multiple Choice)
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Claims submitted via direct data entry (DDE)fall under the category of "other type of electronic claims" and are not subject to the "rule."
(True/False)
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A medical facility,physician,practitioner,or supplier with fewer than 10 FTEs is called a "small supplier."
(True/False)
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The Secretary of HHS finds that a waiver of the electronic submission requirement is appropriate in the case of _____________.
(Short Answer)
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A hospital,skilled nursing facility,home health agency,or hospice with fewer than 25 FTEs is called a/an ______________.
(Short Answer)
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A(n)_____ acts as an intermediary between the medical facility and the insurance carrier.
(Multiple Choice)
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