Health program that provides health services to subscribers in a given geographical area for a fixed fee
What is Health Maintenance Organization (HMO)
100
An encounter form is also known as
What is superbill
100
A two-digit code attached to a main code
What is a modifier
200
Abbreviation for current procedural terminology
What is CPT
200
Health care plan for patients 65 and over
What is Medicare
200
A form used to obtain information to create both the patient's medical record and financial record
What is registration (form)
200
Number of digits in an ICD-9-CM subclassification
What is five
300
Document used to collect reimbursement
What is CMS-1500
300
Regulates insurance
What is State governments
300
Percentage of health care costs paid by patient
What is copayment
300
The document used by health care providers to record treated diagnoses and services rendered is known as
What is encounter form
300
Codes that represent circumstances related to injury
What are E codes
400
A claim correctly completed on a standard claim form is known as
What is clean
400
Individuals who are at or below twice the standard allowed under the SSI program and an income at or below 100% of the federal poverty level qualify for this health care program
What is Medicare
400
Amount patient/insured must pay before benefits will be reimbursed
What is deductible
400
Keeping access to a patient's information to only those authorized to have it is called
What is confidentiality
400
Modifiers that help clarify a diagnosis and/or provide alternate terminology for an ICD listing
What is nonessential
500
Originator of the ICD coding system
What is World Health Organization (WHO)
500
Patient pays annual deductible of $110 for the health care plan
What is Medicare Part B
500
Clause that prohibits a provider from discussing all treatment options with a patient