When a healthcare provider engages in intentional misrepresentation that could result in an unauthorized benefit to an individual, this is callled
What is fraud
300
If you add the numbers of bones in your body with the numbers of muscles in your body.. What is the total sum
What is 206 for bones, 640 for muscles is equal to 846
What is 846
300
What does MCO stand for
What is managed care organization
400
Basic medical insurance plus Major medical insurance equals
What is Comprehensive Insurance
400
EOB
What is explanation of benefits
400
If patients service total 375.00, he coinsurance is 90/10, what is the portion the patient is responsible for
What is 37.50
400
How many cervical verterbrate does an adult have
What is 7
400
Name one organization that accredits the HMO
What is NCQA, Joint Commission, URAC
500
A healthcare provider trained in a particular medicine such as
ophthalmologist , podiatrist
What is specialist
500
CCU
What is coronary care unit
500
In order to receive an SSI, a person must be
A resident of the United States
Not be absent from the country for more than 30 days
Be either a U.S. citizen or national, or in one of certain categories of eligible noncitizens
500
A blueish discoloration resulting from lack of oxygen is called
What is cyanosis
500
The insurance company estimates the benefit amount that is normally paid for this, or similar treatment. What is this called