Exam 3: Patient Encounters and Billing Information

NP is the abbreviation for ____.

Another term for the insured is ____.

EP 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?

What should take place if an insured patient's policy does not cover a planned service?

An additional policy that provides benefits is called ___.

All communications with payer representatives should be ___.

_______ 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.

An encounter form is also called a(n) ____.

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

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

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

When health plan responds to an eligibility inquiry, it includes information. Which of the following is not a piece of information that would be included?

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

If the plan is an HMO that requires a primary care provider (PCP), the general or family practice must verify which of the following?

The policyholder or subscriber to a health plan or policy is called ____.

A ____ is set up in the provider's practice management program when a patient's chief complaint for an encounter is different from the previous chief complaint.

A(n) _____ is a document a patient signs to guarantee payment when a referral authorization is pending.

A provider that does not have a participation agreement with a plan is _____.

When a medical assistant at the specialist practice handles a referred patient, which of the following must the medical assistant do?