Are you SURE you know Insurance?
Accounting and Banking
Wild Card
Collections
Coding and Stuff
100
Medicare part that covers inpatient hospital services. It is provided to Medicare recipients at no additional cost to them.
What is Medicare Part A?
100
A(n) __________ is a review of accounts. It can be a review of anything.
What is an audit?
100
Suffix meaning suture
What is -rrhaphy?
100
The individual responsible for handling the patient’s affairs after death.
What is an executor?
100
The standardized medical coding system for procedures in an outpatient setting.
What is CPT-4? Current Procedural Terminology
200
The rule commonly used by benefit plans and claims administrators to coordinate the benefits of dependent children who are covered by two insurance plans is called the _______.
What is the birthday rule?
200
Medical suffix meaning surgical fixation
What is -pexy?
200
Doctors who agree to participate with managed care contracts and other third-party payers in exchange for building a solid patient base.
What are participating providers?
200
The standardized medical coding system for diagnoses in an outpatient setting
What is ICD-10-CM? International Classification of Diseases, Clinical Modifications
300
Melanie's mom and dad both have group insurance coverage through their employer, and each plan covers Melanie. Mom's birthday is March, 1988. Dad's birthday is February, 1989. Which plan is Melanie's primary coverage?
What is Dad's?
300
A 2-digit number added to a procedure code to provide additional information about that procedure.
What is a modifier?
300
First-person singular personal pronoun. It is the only acceptable choice when you are referring to yourself.
What is uppercase I?
300
Cancellation of an unpaid debt.
What is a write-off?
300
System used to categorize inpatients according to their diagnosis, treatments and length of stay in the hospital.
What are DRGs? Diagnosis-related group
400
Changes in a posted account
What are adjustments?
400
Amount of money on the books that the practice is owed and expects to receive
What is accounts receivable?
400
Medical suffix meaning surgical removal
What is -ectomy?
400
Overdue notices, telephoning the patient, and in-office reminders are examples of __________
What are collections activities?
400
The elements that are used to determine the level of E/M code.
What are History, physical examination, and medical decision making? AKA key components
500
Enacted in 1965, this federal act established Medicare to provide health insurance for the elderly.
What is the Social Security Act?
500
A receipt that comes with supplies that are ordered for the office. The medical assistant should check the supplies against the receipt to make sure that all supplies were received.
What is a packing slip?
500
The plural possessive of the word physician. Use this when you mean that something belongs to all of the physicians.
What is physicians'?
500
Agency that specializes in collecting debts that would charge the practice a fee or a percentage of the amount collected. This is used as a last resort for accounts that the office has not been able to collect.
What is a collection agency?
500
Billing for services not performed, using another patient’s insurance coverage to receive reimbursement, and falsifying records are examples of
What is fraud?