SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Medical Coding And Billing Clinical Vocab
Start Test
Study First
Subject
:
medical-transcription
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Medical equipment which: can withstand repeated use - is used to serve a medical purpose - and appropriate for use in the home. Examples include hospital beds - wheelchairs and oxygen equipment
Maximum Out Of Pocket
complience
(DCI) Duplicate Coverage Inquiry
(DME) Durable Medical Equipment
2. Medical services provided on an outpatient basis
Embezzlement
Individually identifiable health information
Amblatory Care
subscriber
3. An independent person or corporate enitity(third party) that administers group benefits - claims and administration for a self-insured company or group
Pre-certification
Notice of Privacy Practices
Covered Expenses
(TPA) Third Party Administrator
4. A form signed by the patient showing insurance plans assigned and their billing priority. This form allows the hospital to bill insurance on the patient's behalf and receive payment directly from the payor
pos
Preauthorization
Assignment & Authorization
covered entity
5. Any data that identify an individual and describes his or her health status - age - sex - ethnicity - or other demographic characteristics - whether or not that information is stored or transmitted electronically.
Protected health information
Maximum Out Of Pocket
Pre-existing Condition Exclusion
benefit period
6. Programs designed to reduce unnecessary medical services - both inpatient and outpatient
epo
AMA
self-referral
(UR) Utilization review
7. Medicare's method of paying acute care hospitals for inpatient care
(PPS) Hospital Impatient Prospective Payment System
subscriber
health care provider
Beneficiary
8. The member who holds an insurance policy providing medical coverage in return for a fixed monthly fee
privacy
pos
subscriber
Sub-acute Care
9. What the insurance company will consider paying for as defined in the contract.
ordering physician
Resonable Charge
Covered Expenses
closed panel HMO
10. A request to an insurance company or group medical plan by another inusrance company or medical plan to find out whether other coverage exists
Beneficiary
(DCI) Duplicate Coverage Inquiry
Individually identifiable health information
subscriber
11. The maximum amount a plan pays for a covered service
Covered Expenses
Allowed Expenses
Standard
Protected health information
12. Medical services provided on an outpatient basis
Amblatory Care
Pre-existing Condition Exclusion
closed panel HMO
(DCI) Duplicate Coverage Inquiry
13. Integrating benefits payable under more than one health insurance.
complience
consent
Coordinated Coverage
privacy
14. A health care provider that is not employed by the HMO and does not belong to a medical group owned or managed by the HMO
econdary Payer
e-health information management
open panel HMO
Coordinated Coverage
15. Usually described as a comprehensive inpatient program for those who have experienced a serious illness - injury or disease but who do not require intensive hospital services. This includes infusion therapy - respiratory care - cardiac services - wou
Sub-acute Care
Resonable Charge
clearinghouse
prepaid plan
16. A review of the need for inpatient hospital care - completed before the actual admission
ids
(PAC) Pre- Admission Certification
Treating or performing physician
electronic media
17. Also known as out-of-network provider. A healthcare provider who has not contracted with the carrier of a health plan to be a participating provider of healthcare
Specialist
Covered Expenses
ordering physician
(Non-par) Non-Participating Provider
18. Arrangement consisting of a group of providers who have a contract with an insurer - employer - third party administrator or other sponsoring group.
(EPO) Exclusive Provider Organization
(DME) Durable Medical Equipment
Treating or performing physician
Pre-certification
19. A term used to refer to the commonly charged or prevailing fees for health services within a geographic area
Claim
(UCR) Usual - Customary and Reasonable
(COB) Coordination of Benefits
self-referral
20. Individually identifiable health information
security officer
IIHI
(ABN) Advance Beneficiary Notice
Deductible
21. A managed care plan in which a range of health care services are made available to plan members for a predetermined fee per member
confidentiality
Specialist
hmo
deductible
22. Someone who is eligible for or receiving benefits under an insurance policy or plan
Beneficiary
(UCR) Usual - Customary and Reasonable
(EPO) Exclusive Provider Organization
Amblatory Care
23. The person responsible for payment of premiums or whose employment is the basis for eligibility for membership in an HMO or other health plan
(COB) Coordination of Benefits
Embezzlement
benefit period
Subscriber
24. A group of physicians or other health care providers who have a contractual agreement to provide services to subscribers on a negotiated fee-for-services or capitated basis
subscriber
Privacy officer
(OOPs) Out of Pocket Costs/Expenses
prepaid plan
25. Is the provider who renders a service to a patient
Specialist
Treating or performing physician
(DME) Durable Medical Equipment
Consent form
26. American Medical Association
Resonable Charge
IIHI
AMA
crossover claim
27. A federal law that requires employers to offer continued health insurance coverage to certain employees and their beneficiaries whose group health insurance coverage has been terminated
(COBRA)
subscriber
consulting physician
Sub-acute Care
28. A health care plan that stipulates that the patient must use a medical provider who is under contract with the insurer for an agreed on fee
Standard
ppo
closed panel HMO
(EPO) Exclusive Provider Organization
29. The period of time that payment for Medicare inpatient hospital benefits are available
benefit period
(PPS) Hospital Impatient Prospective Payment System
Individually identifiable health information
(PCP) Primary Care Physician
30. A document that is not required before physicians use or disclose protected health information for treatment - payment - or routine health care operations of the patient. (For other purposes - see Authorization form)
cash flow
epo
Consent form
Preauthorization
31. The release - transfer - provision of access to - or divulging in any other manner of information outside the entity holding the information.
abuse
(DOS) Date of Service
disclosure
subscriber
32. Any and all transations in which health care information is accessed - processed - stored - and transferred using electronic technologies.
Subscriber
Coordinated Coverage
e-health information management
deductible
33. Is a provider who sends the patients for testing or treatment
prepaid plan
(DME) Durable Medical Equipment
referring physician
Claim
34. Authorization given by a health plan for a Member to obtain services form a healthcare provider - most commonly required for hospital services
Confidential communication
self-referral
Pre-certification
(COB) Coordination of Benefits
35. The most money you can expect to pay for covered expenses. Once the max out-of-pocket has been met - the health plan will pay 100% of certain covered expenses
benefit period
econdary Payer
ppo
Maximum Out Of Pocket
36. A written and documented request for reimbursement for an eligible expense to the insurance company in a correct and timely manner
deductible
Security Rule
Protected health information
claim
37. A provider whose opinion or advice about evaluation or management of a specific problem is requested by another physician
subscriber
Sub-acute Care
consulting physician
Supplementary Medical Insurance
38. A provision that apples when a person is covered under more than one group medical program
epo
Participating Provider
(COB) Coordination of Benefits
Deductible
39. A person who protects the computer and networking systems within the practice and implements protocols such as password assignment - backup procedures - firewalls - virus protection - and contingency planning for emergencies.
attending physician
Resonable Charge
security officer
ethics
40. Paperwork for the insurance company that is required from the PCP to send a patient to see a medical specialist for treatment
Embezzlement
privacy
referral
Claim
41. The transmission of information between two parties to carry out financial or administrative activities related to health care.
transaction
premium
HIPAA
Standard
42. An organization of provider sites with a contracted relationship that offer services
(DRG's)
(ERISA) Employee Retirement Income Security Act of 1974
Assignment & Authorization
ids
43. A document signed by the patient that is needed for use and disclosure of protected health information for purposes other than treatment - payment or health care operations
Deductible
Privacy officer
(PPS) Hospital Impatient Prospective Payment System
authorization form
44. A privileged communication that may be disclosed only with the patient's permission.
Confidential communication
(DOS) Date of Service
Specialist
benefit period
45. A written and documented request for reimbursement for an eligible expense to the insurance company in a correct and timely manner
claim
(OOPs) Out of Pocket Costs/Expenses
transaction
confidentiality
46. A provider who has contracted with the health plan to deliver medical services to covered persons. This includes hospitals - pharmacies or a physician who has contractually accepted the terms and conditions as set forth by the health plan
Sub-acute Care
Confidential communication
Participating Provider
transaction
47. The hospital classification and reimbursement system that groups patients by diagnosis - surgical procedures - age - sex and presence of complications.
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
48. Under HIPAA - regulations related to the security of electronic protected health information that - along with regulations - related to electronic transactions and code sets - privacy - and enforcement - compose the Administrative Simplification prov
Security Rule
Confidential communication
(UR) Utilization review
ethics
49. A provider of medical or health services and any other person or organization who furnishes bills or is paid for health care in the normal course of business.
health care provider
pos
(PPS) Hospital Impatient Prospective Payment System
IIHI
50. The dates of healthcare services were provided to the beneficiary
(DOS) Date of Service
Deductible
(AOB) Assignment of Benefits
(UR) Utilization review