Medical Insurance Chapter One
What are the two main billing types
Facility and Professional
What is Medical ethics?
Standards of conduct generally accepted as moral guides for behavior
What is a Premium?
Monthly, quarterly, or annual fee to keep insurance active
What is the term that means inflammation of a bone and joint?
osteoarthritis
What is the prefix that means between?
inter-
Give two examples of an NPP
Nurse Practioner
Physician's Assistant
What is AHIMA?
American Health Information Management Association
What is a Deductible?
Specific amount of money paid each year before policy benefits begin
The higher the deductible, the lower the cost of the policy
What is the term that means study of the heart?
cardiology
What is the prefix that means before?
pre-
What is an example of a Medicare RVU?
Geographic location
Cost of Malpractice Insurance
The Physician's work
What is respondeat superior?
The employer is responsible for their employees
What is a Copayment?
The Patient pays a specific amount for covered services; at the time of service
What is the term that means inflammation of the lung
pneumonitis
What is the prefix that means under?
sub-
Name some Qualifications and Attributes of a Medical Biller
Strong critical thinking skills
Reading skills with good comprehension
Basic mathematics
Being a logical and practical thinker
Detail oriented
What is CMS?
Centers for Medicare Medicaid Services
What is Coordination of Benefits?
When the patient has more than one insurance policy, it is required that insurance companies coordinate the reimbursement of benefits to determine the primary and secondary carriers.
What is the plural form of the term nucleus?
nuclei
What prefix means inside or within?
endo-
What is Medical Etiquette?
How medical professionals conduct themselves
What is the Outpatient Insurance Claim form called?
CMS-1500
What is the Birthday Law?
For dependent children, the primary carrier is the parent whose birthday comes first during the calendar year
What is the plural form of the term thorax?
thoraces
What is the prefix that means above or upon?
epi-