Question 1

_____ explains how an insurance policy will pay if more than one policy applies.

Accepted Answer

A)  Coordination of benefits 
B)  Patient data form 
C)  Insurance rider form 
D)  Assignment form 
A)  Coordination of benefits 
B)  Patient data form 
C)  Insurance rider form 
D)  Assignment form

Question 2

A health plan that covers services not normally covered by a primary plan is called ___.

Accepted Answer

A)  adjuvant insurance 
B)  tertiary insurance 
C)  supplementary insurance 
D)  subsidiary insurance 
A)  adjuvant insurance 
B)  tertiary insurance 
C)  supplementary insurance 
D)  subsidiary insurance

Question 3

_______ states that the patient has read the privacy practices and understands how the provider intends to protect the patient's rights to privacy under HIPAA.

Accepted Answer

A)  Acknowledgment of Receipt of Notice of Privacy Practices 
B)  Statement of Reading Form of Privacy Practices 
C)  Response of Reading Form of Privacy Practices 
D)  Declaration of Receipt of Privacy Practices 
A)  Acknowledgment of Receipt of Notice of Privacy Practices 
B)  Statement of Reading Form of Privacy Practices 
C)  Response of Reading Form of Privacy Practices 
D)  Declaration of Receipt of Privacy Practices

Question 4

Who completes the encounter form?

Accepted Answer

A)  the patient 
B)  the insurance company 
C)  the provider 
D)  the front office staff 
A)  the patient 
B)  the insurance company 
C)  the provider 
D)  the front office staff

Question 5

In a managed care organization, a group of providers is called ______.

Accepted Answer

A)  system 
B)  arrangement 
C)  organization 
D)  network 
A)  system 
B)  arrangement 
C)  organization 
D)  network

Question 6

When determining a patient's primary insurance and the patient has coverage under both a group and an individual plan, which one is the primary insurance?

Accepted Answer

A)  individual plan 
B)  group plan 
C)  the plan that has the lower co pay 
D)  the plan the patient chooses 
A)  individual plan 
B)  group plan 
C)  the plan that has the lower co pay 
D)  the plan the patient chooses

Question 7

The COB guidelines ensure that when a patient that has more than one policy, maximum appropriate benefits are paid, but without ____________.

Accepted Answer

A)  duplication 
B)  encounter form 
C)  cash benefits 
D)  synchronization form 
A)  duplication 
B)  encounter form 
C)  cash benefits 
D)  synchronization form

Question 8

On a patient insurance card, group identification number is ______.

Accepted Answer

A)  used to identify the member's employer 
B)  used to identify the members group of providers 
C)  used to identify the dependents of the policy holder 
D)  used to identify the patient social security number 
A)  used to identify the member's employer 
B)  used to identify the members group of providers 
C)  used to identify the dependents of the policy holder 
D)  used to identify the patient social security number

Question 9

The Medicare program form that physicians must use to tell patients about uncovered services is called a (n) ____.

Accepted Answer

A)  advance beneficiary notice 
B)  promissory note 
C)  benefactor notice 
D)  affiance note 
A)  advance beneficiary notice 
B)  promissory note 
C)  benefactor notice 
D)  affiance note

Question 10

If a patient who is required to have a referral document does not bring one, the medical assistant then asks the patient to sign ______.

Accepted Answer

A)  referral waiver 
B)  disclaimer waiver 
C)  relinquishment waiver 
D)  agreement waiver 
A)  referral waiver 
B)  disclaimer waiver 
C)  relinquishment waiver 
D)  agreement waiver

Question 11

A (n) ______ is a person who is the insurance policyholder for a patient.

Accepted Answer

A)  guarantor 
B)  insurance company 
C)  dependent 
D)  contingent 
A)  guarantor 
B)  insurance company 
C)  dependent 
D)  contingent

Question 12

In the electronic transaction, HIPAA X12N 270/271 what does the 271 refer to?

Accepted Answer

A)  the answer returned by the payer 
B)  the reaction returned by the payer 
C)  the resolution sent by the payer 
D)  the interpretation sent by the payer 
A)  the answer returned by the payer 
B)  the reaction returned by the payer 
C)  the resolution sent by the payer 
D)  the interpretation sent by the payer

Question 13

A form that includes a patient's personal, employment, and insurance company data is called ____.

Accepted Answer

A)  patient information form 
B)  patient insurance card 
C)  medical practice id card 
D)  health services id card 
A)  patient information form 
B)  patient insurance card 
C)  medical practice id card 
D)  health services id card

Question 14

If a dependent child's primary insurance does not provide for the complete reimbursement of a bill, who is responsible to pay the balance?

Accepted Answer

A)  the balance is submitted to Medicare 
B)  the balance is submitted to Medicaid 
C)  the balance is submitted to a financial company by the parents 
D)  the balance is submitted to the other parent's plan 
A)  the balance is submitted to Medicare 
B)  the balance is submitted to Medicaid 
C)  the balance is submitted to a financial company by the parents 
D)  the balance is submitted to the other parent's plan

Question 15

_____ is a statement signed by the patient allowing benefits to be paid directly to the provider.

Accepted Answer

A)  agreement of benefits 
B)  endorsement of benefits 
C)  assignment of benefits 
D)  consent of benefits 
A)  agreement of benefits 
B)  endorsement of benefits 
C)  assignment of benefits 
D)  consent of benefits

Question 16

On a patient's insurance card, the number used to identify each plan member is the ___.

Accepted Answer

A)  Organization Number 
B)  Association Number 
C)  Identification Number 
D)  Institute Number 
A)  Organization Number 
B)  Association Number 
C)  Identification Number 
D)  Institute Number

Question 17

In the electronic transaction, HIPAA X12N 270/271 what does the 270 refer to?

Accepted Answer

A)  the examination that is sent 
B)  the inquest that is sent 
C)  the analysis that is sent 
D)  the inquiry that is sent 
A)  the examination that is sent 
B)  the inquest that is sent 
C)  the analysis that is sent 
D)  the inquiry that is sent

Question 18

In the practice management program (PMP) a unique number that identifies a patient is called ___.

Accepted Answer

A)  identification number 
B)  social security number 
C)  chart number 
D)  patient number 
A)  identification number 
B)  social security number 
C)  chart number 
D)  patient number

Question 19

A (n) _____ is patient who has been seen a provider within the past three years.

Accepted Answer

A)  dependent 
B)  established patient 
C)  new patient 
D)  independent 
A)  dependent 
B)  established patient 
C)  new patient 
D)  independent

Question 20

A (n) ______ is a patient that has not been seen by the provider within the past three years.

Accepted Answer

A)  new patient 
B)  dependent 
C)  established patient 
D)  uninsured patient 
A)  new patient 
B)  dependent 
C)  established patient 
D)  uninsured patient

_____ explains how an insurance policy will pay if more than one policy applies.

A health plan that covers services not normally covered by a primary plan is called ___.

_______ states that the patient has read the privacy practices and understands how the provider intends to protect the patient's rights to privacy under HIPAA.

Who completes the encounter form?

In a managed care organization, a group of providers is called ______.

When determining a patient's primary insurance and the patient has coverage under both a group and an individual plan, which one is the primary insurance?

The COB guidelines ensure that when a patient that has more than one policy, maximum appropriate benefits are paid, but without ____________.

On a patient insurance card, group identification number is ______.

The Medicare program form that physicians must use to tell patients about uncovered services is called a (n) ____.

If a patient who is required to have a referral document does not bring one, the medical assistant then asks the patient to sign ______.

A (n) ______ is a person who is the insurance policyholder for a patient.

In the electronic transaction, HIPAA X12N 270/271 what does the 271 refer to?

A form that includes a patient's personal, employment, and insurance company data is called ____.

If a dependent child's primary insurance does not provide for the complete reimbursement of a bill, who is responsible to pay the balance?

_____ is a statement signed by the patient allowing benefits to be paid directly to the provider.

On a patient's insurance card, the number used to identify each plan member is the ___.

In the electronic transaction, HIPAA X12N 270/271 what does the 270 refer to?

In the practice management program (PMP) a unique number that identifies a patient is called ___.

A (n) _____ is patient who has been seen a provider within the past three years.

A (n) ______ is a patient that has not been seen by the provider within the past three years.

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payers/Blue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobile/Disability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters

Exam 3: Patient Encounters and Billing Information

_____ explains how an insurance policy will pay if more than one policy applies.

A health plan that covers services not normally covered by a primary plan is called ___.

_______ states that the patient has read the privacy practices and understands how the provider intends to protect the patient's rights to privacy under HIPAA.

Who completes the encounter form?

In a managed care organization, a group of providers is called ______.

When determining a patient's primary insurance and the patient has coverage under both a group and an individual plan, which one is the primary insurance?

The COB guidelines ensure that when a patient that has more than one policy, maximum appropriate benefits are paid, but without ____________.

On a patient insurance card, group identification number is ______.

The Medicare program form that physicians must use to tell patients about uncovered services is called a (n) ____.

If a patient who is required to have a referral document does not bring one, the medical assistant then asks the patient to sign ______.

A (n) ______ is a person who is the insurance policyholder for a patient.

In the electronic transaction, HIPAA X12N 270/271 what does the 271 refer to?

A form that includes a patient's personal, employment, and insurance company data is called ____.

If a dependent child's primary insurance does not provide for the complete reimbursement of a bill, who is responsible to pay the balance?

_____ is a statement signed by the patient allowing benefits to be paid directly to the provider.

On a patient's insurance card, the number used to identify each plan member is the ___.

In the electronic transaction, HIPAA X12N 270/271 what does the 270 refer to?

In the practice management program (PMP) a unique number that identifies a patient is called ___.

A (n) _____ is patient who has been seen a provider within the past three years.

A (n) ______ is a patient that has not been seen by the provider within the past three years.

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payers/Blue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobile/Disability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters