Show:
History
Types of Insurance
This 'N That
Terms
Hodge Podge
100
Insurance is considered a federally regulated industry.
What is "True."
100
What does Medicare Part D cover?
What are "prescription drugs."
100
A verbal or written agreement that gives approval to some action, situation or statement is called ________.
What is "consent."
100
Standards of conduct by which an insurance billing specialist determines the propriety of his/her behavior in a relationship are known as __________.
What are "Medical ethics."
100
The individual responsible for documenting the patient’s clinical notes and assigning a diagnosis code and procedure code for medical services rendered is a/an __________.
What is "physician."
200
An insurance billing specialist cannot be held personally responsible under the law for billing errors.
What is "False."
200
When a patient carries private insurance, the contract for treatment exists between the
Who is "the physician and the patient."
200
Confidential information includes everything that is __________ a patient. A. heard about B. read about C. seen regarding D. all of the above
What is "all of the above."
200
In health insurance, the insured is also known as the
What are "the subscriber, member and policyholder."
200
A billing specialist is entrusted with A. holding patients' medical information in confidence B. collecting monies C. being a reliable resource for co-workers D. all of the above
What is "all of the above."
300
The insured is always the _________.
Who is the "individual enrollee or organization protected."
300
To bill Medicare beneficiaries at a higher rate than other patients is considered _________.
What is "abuse."
300
Nonprivileged information about a patient consists of the patient's A. city of residence B. diagnosis C. illness D. treatment
What is "city of residence."
300
HIPAA transaction standards apply to the following, which are called covered entities. They are __________. A. health care third-party payers B. health care providers C. health care clearinghouses D. all of the above
What is "all of the above."
300
Medical etiquette refers to __________.
What is "consideration for others."
400
Exceptions to the right of privacy rule include A. patients carrying human immunodeficiency virus (HIV) or who have acquired immunodeficiency syndrome (AIDS) B. gunshot wound cases C. all sexually transmitted disease cases D. all infectious disease cases
What is "gunshot wound cases."
400
When an insurance billing specialist bills for a physician and completes a Medicare claim form with information that does not reflect the true situation, he/she may be subject to fines and imprisonment.
What is "True."
400
Electronic media refers to A. leased telephone or dial-up telephone lines B. the Internet C. transmissions that are physically moved from one location to another D. all of the above
What is "all of the above."
400
If a child has health insurance coverage from two parents, according to the birthday law: A. the father's insurance is always primary B. the mother's insurance is always primary C. the health plan of the person whose birthday (month and day) falls earlier in the calendar year will pay first D. it is only in effect if the parents are divorced
What is " the health plan of the person whose birthday (month and day) falls earlier in the calendar year will pay first."
400
What should you do if you discover that a patient of your physician employer is under the care of another physician for the same ailment?
What is "notify your physician."
500
Reporting incorrect information to government-funded programs is unethical or illegal?
What is "illegal."
500
Reporting incorrect information to private insurance carriers is considered unethical or illegal.
What is "unethical."
500
An individual's formal written permission to use or disclose his/her personally identifiable health information for purposes other than treatment, payment or health care operations is called __________.
What is "authorization."
500
What is the correct term used to determine if a procedure is covered and medically necessary?
What is ""preauthorization.
500
Who enforces privacy and security rules?
What is the "Office of Civil Rights."