Claims
Managed Care
Profession
HIPAA
MISC
200
What in BOX 1 on the claim form
What is Type of Insurance
200
The terms "subscriber" and "guarantor" have the same meaning as
What is insured
200
Health care practitioner is also called health care
What is provider
200
What Title in HIPAA law deals with Fraud and Abuse
What is Title 2
200
Medicare Part A - covers what
What is Hospital
400
What's in BOX 1a on the claim
What is ID Number
400
Another term for the insured is
What is subscriber
400
CMS stands for
What is Center for Medicare and Medicaid
400
Billing or claim processing in error - is an example of Fraud or Abuse
What is Abuse
400
Medicare Part B covers
What is Physician
600
What does NPI stands for
What is National Provider ID
600
Collecting patient information begins before patient appointments during the
What is preregistration process
600
Remittance advice contains
What is payment information about a claim
600
Accepting of soliciting bribes, kickbacks and/or rebates - is this Fraud or Abuse
What is Fraud
600
What does BCBS stands for
What is Blue Cross Blue Shield
800
What type of codes go into Box 21
What is ICD-10
800
The gender rule, rather than the birthday rule, is sometimes used to determine primary insurance for a dependent child
What is TRUE
800
In the Health Insurance Career, the person that review health-related claims to determine the medical necessity for procedures or services performed before payment is made to the provider.
What is Health insurance specialist or reimbursement specialist.
800
What does OIG stands for
What is Office of Inspector General
800
The amount due at the time of service in most medical offices
What is Copay
1000
What box does the Referring Provider goes in....
What is Box 17 and 17a
1000
What does MCO stands for....
What is Managed Care Organization
1000
If the insurance plan has a hold harmless clause, it means that the patient is
What is required to pay any amounts that the insurance plan denies.
1000
What does HIPAA stands for
What is Health Insurance Portability and Accountability
1000
PAR stands for
What is participating provider
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