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Insurance
Medical Terminology
Medical Records
Claim Form
Enter If You Dare
100
What is the abbreviation for health maintenance organization?
HMO
100
What is a prefix?
Beginning part of a medical term
100
Form needed in order to release patient records
Release of Info Form
100
What is a claim form?
What is used to send to insurance companies.
100
CMS stands for
Center for Medicare and Medicaid Services
200
Audit done before billing is sent out
Prospective billing
200
What is a suffix?
The ending of a medical term.
200
What are the three types of consents
AOB, Financial Agreement, Consent for Treatment
200
A claim form can be sent to an insurance company two ways. What are they?
What is manually (in the mail) and electronically (by computer).
200
What does PPO stand for
preferred provider organization
300
What is the age in which one becomes eligible for Medicare unless disabled?
65
300
What does the prefix pre- mean?
To come before.
300
Medical records should be kept behind how many locks
2
300
A paper claim form is in this color OCR scannable ink?
What is red.
300
Name the three phases of surgery
pre-op, intra-op, post-op
400
What is the term used for an individual that pays the premiums for an insurance policy?
Policyholder
400
This suffix means disease.
What is -pathy.
400
Three safeguards under HIPPA
physical, administrative and technical
400
This is the name of the universal claim form used to submit outpatient charges.
What is CMS-1500 (02/12)
400
When completing a CMS 1500 it is important to do the following 5 things
physicians signature, insurance biller's initals, proofread, supporting documentation, office pending file
500
A new patient is one that hasn't been seen in how many years
3
500
intra-op
During surgery
500
Name three exceptions to the privacy rule
HIV, infectious disease, court order
500
CMS 1500 (08/05) will no longer be effective after this date
October 1, 2013
500
Name 4 private insurance policies and 4 government insurance policies
Private: Cigna, Aetna, BCBS, Consumers Choice Gov.: Tricare, Medicare, Medicaid, CHAMPUS VA