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Medical Insurance For Medical Assistant
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Medical Insurance For Medical Assistant
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25 Questions

1. Why do some physicians refuse to accept Medicaid patients?

2. What are the Medicare Part B payments based on, and how is the allowable charge calculated?

3. What is the function of the primary care provider in a managed care plan?

4. If the patient is covered by Medicaid insurance, what portion of the bill is the patient responsible for?

5. Describe who receives benefits under the government TRICARE plan, and describe the three levels of service briefly.

6. What is meant by managed care?

7. Describe purchases workers' compensation insurance ad when claims must be filed to this program.

8. Independent practice association (IPA)

9. What group of people is covered by champva?

10. Identify three ways for individuals and families to obtain health insurance coverage.

11. Identify the boxes on the CMS-1500 form that require signatures, who must sign, and what does each signature authorize.

12. Identify three differences between Medicare Part A and Medicare part B

13. A nonparticipating provider (NONPAR)?

14. What additional services are covered by Medicaid that other health insurance is usually not responsible for?

15. What part of the bill for services is the patient covered by Medicare Part B responsible for if the physician participates in the Medicare program? If the physician does not participate.

16. Briefly describe the history of health insurance in the United States

17. Preferred provider organization (PPO)

18. What is the tax advantage to obtaining health insurance though the employer?

19. What is the process of pre certification

20. What information is contained on a remittance advice (RA).. or explanations of benefits (EOB) form?

21. What type of payments must be the insured person make for healthcare?

22. What are the recommendations for completing insurance forms to facilitate optical scanning?

23. What is a referral and how are referrals used to manage care?

24. Identify three advantages of sumbmiting insurance claims electronically

25. How is the term 'formulary' used by managed care organizations?

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