Claims be rejected or underpaid if the CPT code - correct answer is not backed up with documentation
The fixed amount of money that an insured patient
... [Show More] is required to pay each time he or she receives treatment is called the - correct answer co-payment
Julie Ann's is serving in the Marine Corps. Julie's medical care is covered by - correct answer TRICARE
When the office accepts payments directly from the insurance company, it is called - correct answer assignment of benefits.
The insurance plan for the indigent is - correct answer Medicaid
Margo and Rob both work and participate in the health insurance plans offered by their separate employers. When Margo and Rob use their insurance, they are regulated by a term known as - correct answer coordination of benefits
Under the HMO concept, there is only a - correct answer a co-payment
Patients who are injured at work and covered under worker's compensation should - correct answer have separate medical financial records
The federal insurance plan that provides for services for the elderly and disabled is - correct answer Medicare
A good way to make sure that a patient's insurance information is correct is to - correct answer make a photocopy of the patient's insurance card and keep it in the file.
There is a federally mandated and state-run children's health improvement program for the so-called working poor. The program is known as - correct answer CHIP
In order to be used for a coding system, classification systems must be composed of - correct answer numbers and letters
Medicare claims are administered by - correct answer CMS
The type of insurance plan that reimburses all or part of the costs of services, provided that the charge is usual, customary and reasonable for that particular service in that part of the country, is knowns as - correct answer fee-for-service
Tom Bloom is a disabled serviceman whose disability is caused by service-related injuries. What insurance plan covers his wife and children? - correct answer CHAMPVA
All insurance must be paid for. This payment is called the - correct answer premium
Payments for claims under Medicare Part A are based on - correct answer Diagnostic-Related Groups (DRGs)
The form is by hospitals which is basically a summary document that is supported by a detailed bill is the - correct answer CMS-1450
The insurance plan that cares for families in which the member of the armed forces is not on active duty and which charges an annual enrollment fee is - correct answer TRICARE Prime
If a claim is rejected by the insurance company - correct answer the reason for the rejection will be on a remittance advice form, the claim should be resubmitted immediately, correcting what was on the remittance advice form, the patient should not be notified
Insurance companies use diagnosis codes to determine - correct answer if the procedure that was billed was medically justified [Show Less]