____________________ provides medical coverage with funding from both state and federal monies for low income individuals and families.
Medicaid
100
The HIPAA ______________ Rule protects the patient's PHI and requires the patient's signed approval for release of his/her medical information.
Privacy Rule
100
The HIPAA required diagnostic code set is referred to as ICD-9-CM. ICD-9-CM stands for __________________________________.
International Classification of Diseases, 9th ed, clinical modification
100
_________________________ refers to monies owed or being paid to the physician's practice.
Accounts Receivable
100
Cancer cells that have spread away from the original tumor to other areas of the body where new tumors are formed is said to have ____________________.
metastasized
200
________________ is the US Department of Defense's worldwide healthcare program for active duty and retired uniformed service members and their families.
TRICARE
200
The HIPAA ________________ Rule requires the medical office implement physical safeguards to protect the medical records and patients' PHI.
Security Rule
200
CPT-4 stands for __________________________.
Current Procedural Terminology 4th edition
200
The patient signs a form giving the insurance carrier permission to send payment directly to the physician. This form is referred to as an __________________ form.
Assignment of Benefit
200
Any acute or chronic skin inflammation is called ____________________.
dermatitis
300
When the insurance carrier reimburses the physician for services performed, a ________________ is sent to the physician to detail which patients / services are being paid.
Remittance Advice (Remittance Advisory for Medicare)
300
True or False: HIPAA mandates the use of standardized diagnostic codes but not procedural codes.
False
300
Every patient encounter for medical services will involve a CPT code from the ______________________ section of the CPT coding manual.
Evaluation and Management (E&M)
300
The participating physician charges $500 for a procedure but the insurance carrier's maximum is $350. The $150 difference must be written off the patient's account. This write-off is an example of a(n) ____________________.
adjustment
300
Inflammation of one or more joints is called ___________________.
Arthritis
400
When the insurance carrier reimburses the physician, a(n) _______________________ is mailed to the patient to identify payments being made and the services the payment covers.
Explanation of Benefits
400
ICD-9-CM is transitioning to ICD-10-CM. The mandated implementation date is __________________.
October 1, 2014
400
Appropriate selection of procedural codes with linkage to diagnostic codes serves to prove ______________________ for the procedure.
medical necessity
400
____________________ is primarily concerned with keeping things clean but not necessarily sterile.
Medical asepsis
400
Abnormally low numbers of healthy red blood cells, resulting in low levels of hemoglobin, results in _________________.
anemia
500
Patients covered by both Medicare and Medicaid are said to have ______________________ coverage.
Medi-Medi
500
The term __________________ indicates that the medical facility meets HIPAA requirements.
Compliance
500
The ICD-9-CM manual consists of three (3) volumes. Volume 2 is also called the ___________________.
Alphabetic index
500
Which regulation provides a guide for determining appropriate collection practices for creditors?
Fair Debt Collection Practices Act (1978)
500
Measurement of the volume of air inhaled and exhaled, as well as the length of each breath, is called _______________.