Health Insurance
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Avg score: 44% • Most missed: “Determines coverage by primary and secondary policies when each parent subscribe…”
Health Insurance
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1. Specifies what a collection source may or may not do when pursuing payment on past due accounts.

2. The insurance claim form used to report professional services

3. Determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.

4. Remittance advice submitted by Medicare to providers that includes payment information about a claim.

5. Assigning lower-level codes then documented in the record.

6. A computerized permanent record of all financial transactions between the patient and the practice;also called patient account record.

7. The landmark legislation because it launched truth in lending disclosures that reguired creditors to communicate the cost of borrrowing money in a common language so that consumers could figure out the charges - compare cost - and shop for the best c

8. Any procedure or service reported on a claim that is not included on the payers master benefit list - resulting in denial of the claim; also called noncovered procedure or uncoverd benefit.

9. A check made out to the patient and the provider.

10. System by which payers deposit funds to the providers account electronically.

11. Submitted to the payer - but processing is not complete

12. Shows the status (by date) of outstanding claims from each payer - as well as payments due from patients

13. Also called manual daily accounts receivable journal; cronological summary of all transactions posted to individual patient legers/accounts on a specific day.

14. Medical report substantiating a medical condition

15. Abstract of all recent claims filed on each patient.

16. Federal law passed in 1975 that helps consumers resolve billing issues with card issuers; protects important credit rights - including rights to dispute billing errors - unauthorized use of account - and charges for unsatisfactory goods and services;

17. Claims for which all processing - including appeals - has been completed.

18. A correctly completed standardized claim

19. The term hospitals use to describe the encounter form.

20. Is a past due account; one that has not been paid within a certain time frame.

21. The percentage the patient pays for covered services after the deductible has been met and the copayment has been paid.

22. Submitting multiple CPT codes when one code could of been submitted.

23. Form used to report institutional - facility services.

24. Remittance advice that is submitted to the provider electronically and contains the same information as a paper-based remittance advice; providers receive ERA more quickly.

25. Contracts with a helath insurance plan and accepts whatever the plan pays for procedures or services performed.

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