Billing and Revenue
A provider charges $150 for an office visit, the patient must pay 35% of the total amount before the insurance can cover the remaining balance. How much must the patient pay?
What is $52.5
Used to report services preformed to then Medicare Program
What is HCPCS
Enforces safety, a healthy workplace and training
What is OSHA
A medical spassisatnt is preparing 1g/kg of activated charcoal for patient who weighs 176 lb. How many grabs of charcoal should the assistant prepare
79 g
no trick questions , out of ur scope
What is the first thing a CMAA should do walking in the clinic
what is deactivating the alarm system
Determines which insurance lays first when a patient has multiple polices
What is a COB
Charting method that helps to ensure all pertinent information has been entered into the patient‘s electronic health record?
What is SOAP
Seeks to improve health care for the public , in collaboration with state
What is TJSC
Medical term Denti/
what is teeth
Having the patient physically participate in the performance of the desired action
What is kinesthetic communication
Uniquely identifies healthcare provides for billing purposes
What is an NPI
Fee schedule for Medicare for services based on level of resources needed to provide the service
What is RBRVS
A patient believes that her health care orivact has been violated. The patients complaint must be filled within how many days
180
A patient comes into a clinic and is administered a lobotomy
What is implied consent
Services have been given and payment not received
What is accounts receivable
Lists outstanding balances that have not been paid by either the patient or the insurance payer
What are aging reports
Refers to factors that influence health status (annual physicals)
What are V-codes
Billing for medical services that were not provided
What is False Claim Act
Willful neglect
in cases where an attempt has been made to correct the violation
Minimum fine of $10,000 per violation to $50,000
What is HIPAA violation tier 3
A patient comes in at 3:30-4:50
What is stream scheduling
Finding out if the service is covered by the patient’s insurance plan
What is pre-certification
External cause or injuries (poisoning..,suicide)
What are E-codes
Maintains a hotline for reporting abuse, fraud, and waste, also offers a self-disclosure protocol to report potential unintended fraud.
What is office of the inspector OIG
Program that focuses on transforming health care by recognizing patient safety issues and gathering data to support the progresss in correcting these issues
What is NPSG
What is modified wave booking
Just answer