Exam 3: Patient Encounters and Billing Information

nonPAR is the abbreviation for ___.

A provider who agrees to provide medical services to a payer's policyholders according to a contract is called _____.

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

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

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

The practice management program (PMP) contains _____.

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

A retired patient who has Medicare is covered by a spouse's employer's plan and the spouse is still employed. Which plan is primary?

PAR is the abbreviation for ____.

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

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

When patients see a nonPAR, providers, they ____.

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

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

When determining a patients' primary insurance and the patient is also covered as a dependent under another insurance policy, which is the primary insurance plan?

Under the HIPAA Privacy Rule, under what conditions can a provider release patients' PHI without prior authorization?

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

Which of the following is not a type of information that is important to gather when a patient is new to the practice?

What is an authorization number given to the referred physician called?

____ is an identifying code assigned when preauthorization is required.