Question 1

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

Accepted Answer

A)  coordination of benefits 
B)  reimbursement of benefits 
C)  compensation of benefits 
D)  settlement of benefits 
A)  coordination of benefits 
B)  reimbursement of benefits 
C)  compensation of benefits 
D)  settlement of benefits

Question 2

PIF is the abbreviation for _____.

Accepted Answer

A)  prescription information form 
B)  patient information form 
C)  physician information form 
D)  pharmacy information form 
A)  prescription information form 
B)  patient information form 
C)  physician information form 
D)  pharmacy information form

Question 3

List of the diagnoses, procedures, and charges for a patient's visit is called a (n) ___.

Accepted Answer

A)  patient form 
B)  patient statement 
C)  encounter form 
D)  patient report 
A)  patient form 
B)  patient statement 
C)  encounter form 
D)  patient report

Question 4

Only ______ is required to give patients an acknowledgment of receipt of a privacy notice to read and sign.

Accepted Answer

A)  an indirect provider 
B)  a direct provider 
C)  the insurance company 
D)  the medical assistant 
A)  an indirect provider 
B)  a direct provider 
C)  the insurance company 
D)  the medical assistant

Question 5

When prior authorization is approved, where does the medical assistant enter the prior authorization number for use later on a health care claim?

Accepted Answer

A)  PMP 
B)  HSS 
C)  CPT form 
D)  ICD form 
A)  PMP 
B)  HSS 
C)  CPT form 
D)  ICD form

Question 6

nonPAR is the abbreviation for ___.

Accepted Answer

A)  non partaking provider 
B)  nonparticipating provider 
C)  noncontributing provider 
D)  underwriting provider 
A)  non partaking provider 
B)  nonparticipating provider 
C)  noncontributing provider 
D)  underwriting provider

Question 7

After a medical assistant abstracts information about a patient's payer/plan, they contact the payer to verify three points. Which of the following is not one of these points?

Accepted Answer

A)  Patients' general eligibility for benefits 
B)  The amount of the copayment or coinsurance required at the time of service. 
C)  if the planned encounter is for a covered service that is medically necessary under the payer's rules 
D)  the amount of the patient's premium 
A)  Patients' general eligibility for benefits 
B)  The amount of the copayment or coinsurance required at the time of service. 
C)  if the planned encounter is for a covered service that is medically necessary under the payer's rules 
D)  the amount of the patient's premium

Question 8

Which of the following is not a step to establishing financial responsibility for an established patient?

Accepted Answer

A)  Verify patients' eligibility for insurance benefits. 
B)  Determine preauthorization and referral requirements. 
C)  Determine the primary payer if more than one insurance plan is in effect 
D)  Determine if the patient has been out of the country in the past 90 days 
A)  Verify patients' eligibility for insurance benefits. 
B)  Determine preauthorization and referral requirements. 
C)  Determine the primary payer if more than one insurance plan is in effect 
D)  Determine if the patient has been out of the country in the past 90 days

Question 9

When an eligibility benefits transaction (HIPAA 270) is sent the computer program assigns a unique number to the inquiry called ____.

Accepted Answer

A)  chart number 
B)  tracking number 
C)  fax number 
D)  trace number 
A)  chart number 
B)  tracking number 
C)  fax number 
D)  trace number

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

PIF is the abbreviation for _____.

List of the diagnoses, procedures, and charges for a patient's visit is called a (n) ___.

Only ______ is required to give patients an acknowledgment of receipt of a privacy notice to read and sign.

When prior authorization is approved, where does the medical assistant enter the prior authorization number for use later on a health care claim?

nonPAR is the abbreviation for ___.

After a medical assistant abstracts information about a patient's payer/plan, they contact the payer to verify three points. Which of the following is not one of these points?

Which of the following is not a step to establishing financial responsibility for an established patient?

When an eligibility benefits transaction (HIPAA 270) is sent the computer program assigns a unique number to the inquiry called ____.

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

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

PIF is the abbreviation for _____.

List of the diagnoses, procedures, and charges for a patient's visit is called a (n) ___.

Only ______ is required to give patients an acknowledgment of receipt of a privacy notice to read and sign.

When prior authorization is approved, where does the medical assistant enter the prior authorization number for use later on a health care claim?

nonPAR is the abbreviation for ___.

After a medical assistant abstracts information about a patient's payer/plan, they contact the payer to verify three points. Which of the following is not one of these points?

Which of the following is not a step to establishing financial responsibility for an established patient?

When an eligibility benefits transaction (HIPAA 270) is sent the computer program assigns a unique number to the inquiry called ____.

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