Coding of procedures and diagnoses must be supported by THIS in the patient record.
What is documentation?
100
A document generated by the medical office and used as a charge slip, statement, and insurance reporting form.
What is a superbill?
100
Amount of eligible charges each patient must pay each calendar year before the insurance plan begins to pay benefits.
What is a deductible?
100
Along with knowledge of the clinical skills needed to run an efficient medical office, an office manager needs effective administrative and THIS skills.
What is communication?
100
Medicare is designed for person THIS many years or older and for the severely disabled
What is 65?
200
THIS code reflects detailed information about the illness or injury converted to numeric form.
What is diagnosis?
200
This will happen to a claim form that uses outdated codes.
What is rejected?
200
The amount paid for insurance.
What is a premium?
200
One of the greatest attributes of an effective office manager is the ability to successfully manage THIS.
What is time?
200
Medicare THIS are policies that pay benefits on the co-payments and deductibles required and not paid by Medicare.
What are supplements?
300
Billing for a service at a higher level than was actually provided.
What is upcoding?
300
Procedure and diagnosis coding is THIS for billing purposes and physician orders of extended services.
What is required?
300
The term nonpar refers to this kind of provider.
What is nonparticipating?
300
An effective manager will have an roganized, efficient method of orientation and THIS for all new hires.
What is training?
300
In some cases in which a person is eligible for both Medicare and Medicaid, this kind of claim will be filed.
What is a crossover claim?
400
Two digit code preceeded by a hyphen that clarifies the procedure.
What is a modifier?
400
An intentional representation that an individual knows to be false or does not believe to be true and makes, knowing that the representaion could result in some unauthorized benefit to him or herself or some other person.
What is fraud?
400
A primary care provider who refers patients to other providers for services he or she cannot perform.
What is a gatekeeper?
400
Lack of THIS between the staff and management is a common complaint in a medical office.
What is communication?
400
Since Medicaid is administered by individual THIS, the ruled for eligibility and for payment vary from state to state.
What is states?
500
A specialized agency of the United Nations that tracks statistical health information throughout the world.
What is WHO?
500
When the MA is completing the health insurance claim form, it is critical for the diagnosis to be related to THIS.
What is procedure?
500
Written and documented request for reimbursement of an eligible expense under an insurance plan.
What is a claim?
500
The office manager may wish to develop a system in which the entire month is laid out on one of these.
What is a calendar?
500
An individual enrolled in a managed care program generally pay THIS out of pocket expenses.