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. A person - who on behalf of the covered entity - performs or assists in the performance of a function or activity involving the use or disclosure of individually identifieable health information.
hmo
business associate
(ABN) Advance Beneficiary Notice
disclosure
2. The condition of being secluded from the presence or view of others.
privacy
referral
confidentiality
(ABN) Advance Beneficiary Notice
3. ABN billing rules permit physicians and other Part B care providers to bill beneficiaries directly when Medicare will not cover services for lack of medical necessity
subscriber
Supplementary Medical Insurance
pcp
(ABN) Advance Beneficiary Notice
4. A flexible health care plan that allows patients to choose using the panel of providers within the HMO network or to utilize the services of non HMO providers
Network
(UR) Utilization review
pos
(PAC) Pre- Admission Certification
5. A provider whose opinion or advice about evaluation or management of a specific problem is requested by another physician
crossover claim
closed panel HMO
consulting physician
security officer
6. A management plan composed of policies and procedures to accomplish uniformity - consistency - and conformity in medical record keeping that fulfills offical requirements.
complience plan
phantom billing
deductible
disclosure
7. Any healthcare services - that are determined by the insurance plan to be either; not generally accepted by informed healthcare professionals in the U.S. as efective in treating the condition - illness or diagnosis for which their use is proposed; or
Maximum Out Of Pocket
Experimental Procedures
Standard
ppo
8. 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
Allowed Expenses
Participating Provider
econdary Payer
crossover claim
9. Individually identifiable health information
Treating or performing physician
breach of confidential communication
IIHI
Open Enrollment
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
(PEC) Pre-existing condition
referral
(DCI) Duplicate Coverage Inquiry
(UR) Utilization review
11. Arrangement consisting of a group of providers who have a contract with an insurer - employer - third party administrator or other sponsoring group.
(COBRA)
(EPO) Exclusive Provider Organization
deductible
(AOB) Assignment of Benefits
12. Unauthorized release of information
state preemption
(UCR) Usual - Customary and Reasonable
(PCP) Primary Care Physician
breach of confidential communication
13. The release - transfer - provision of access to - or divulging in any other manner of information outside the entity holding the information.
preauthorization
Network
disclosure
(PCN) Primary Care Network
14. The dates of healthcare services were provided to the beneficiary
referral
(DOS) Date of Service
Treating or performing physician
ordering physician
15. Standards of conduct generally accepted as a moral guide for behavior.
Specialist
Resonable Charge
ethics
Privacy officer
16. A provider whose opinion or advice about evaluation or management of a specific problem is requested by another physician
phantom billing
Amblatory Care
Consent form
consulting physician
17. 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.
security officer
Coordinated Coverage
econdary Payer
(PCP) Primary Care Physician
18. A written and documented request for reimbursement for an eligible expense to the insurance company in a correct and timely manner
Specialist
preauthorization
claim
Deductible
19. 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
(DME) Durable Medical Equipment
Protected health information
(COB) Coordination of Benefits
ppo
20. An organization of provider sites with a contracted relationship that offer services
electronic media
(POS) Point-of Service Plan
ids
Assignment & Authorization
21. 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.
Participating Provider
Consent form
health care provider
claim
22. 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
Individually identifiable health information
authorization form
self-referral
ethics
23. Verbal or written agreement that gives approval to some action - situation - or statement.
consent
Sub-acute Care
(PEC) Pre-existing condition
ids
24. Any medical condition that has been diagnosed or treated within a specified period immediately preceding the covered person's effective date of coverage
(PEC) Pre-existing condition
(DOS) Date of Service
(COBRA)
Pre-certification
25. Prior approval from a health care plan administrator to receive reimbursement for surgery and other procedures to be performed
preauthorization
Subscriber
Covered Expenses
Participating Provider
26. A managed care system that allows the patient to only select from a defined panel of providers - who are reimbursed on a modified fee-for-service method
Open Enrollment
epo
confidentiality
electronic media
27. Is the individual directing the selection - preparation - or administration of tests - medication - or treatment
Deductible
Experimental Procedures
ordering physician
health care provider
28. Integrating benefits payable under more than one health insurance.
Notice of Privacy Practices
ee schedule
Coordinated Coverage
AMA
29. 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
30. A physician who is part of am managed care plan that provides all primary health care services to members of the plan
Privacy officer
pcp
(EPO) Exclusive Provider Organization
Subscriber
31. An insurance policy - plan - or program thay pays second on a claim for medical care. For children covered under two insurance plans - primary coverage will be determined by the Subscriber (mom and dad) whose month of birth is closest to the beginnin
prepaid plan
ethics
econdary Payer
benefit period
32. A clinic that is owned by the HMO and the physicians are employees of the HMO
closed panel HMO
(ERISA) Employee Retirement Income Security Act of 1974
Claim
Embezzlement
33. An intentional misrepresentation of the facts to deceive or mislead another.
confidentiality
fraud
Privileged information
Protected health information
34. A clinic that is owned by the HMO and the physicians are employees of the HMO
Amblatory Care
etiquette
cash flow
closed panel HMO
35. An independent person or corporate enitity(third party) that administers group benefits - claims and administration for a self-insured company or group
(TPA) Third Party Administrator
Privacy officer
(PPS) Hospital Impatient Prospective Payment System
Experimental Procedures
36. Medical staff member who is legally responsible for the care and treatment given to a patient.
Coordinated Coverage
(COB) Coordination of Benefits
ethics
attending physician
37. The amount of actual money available to the medical practice
referral
claim
consent
cash flow
38. Under HIPAA - a document given to the patient at the first visit or at enrollment explaining the individual's rights and the physician's legal duties in regard to protected health information.
(PAC) Pre- Admission Certification
Notice of Privacy Practices
Privacy officer
crossover claim
39. A fee is considered 'Reasonable' if it is both usual and customary or if it is justified because there is a complex problem involved
privacy
Resonable Charge
fraud
state preemption
40. A monthly fee paid by the insured for specific medical insurance coverage
(OOPs) Out of Pocket Costs/Expenses
Pre-existing Condition Exclusion
(COBRA)
premium
41. Any part of an individual's health information - including demographic information collected from the individual - that is created or received by a covered entity.
(PEC) Pre-existing condition
consent
Individually identifiable health information
Allowed Expenses
42. Information consisting of ordinary facts unrelated to the treatment of the patient. The patient's authorization is not required to disclose the data unless the record is in a specialty hospital or in a special service unit of a general hospital - suc
disclosure
consent
nonprivileged information
ee schedule
43. A patient claim is eligible for medicare and medicaid
benefit period
cash flow
preauthorization
crossover claim
44. Verbal or written agreement that gives approval to some action - situation - or statement.
Sub-acute Care
(COB) Coordination of Benefits
consent
epo
45. A health insurance enrollee chooses to see an out of network provider without authorization
self-referral
Preauthorization
Coordinated Coverage
Protected health information
46. The member who holds an insurance policy providing medical coverage in return for a fixed monthly fee
complience plan
IIHI
subscriber
referral
47. Unauthorized release of information
Network
(COB) Coordination of Benefits
benefit period
breach of confidential communication
48. A process of meeting regulations - recommendations - and expectations of federal and state agencies that pay for health care services and regulate the industry
complience
Amblatory Care
security officer
Covered Expenses
49. A physician who is part of am managed care plan that provides all primary health care services to members of the plan
closed panel HMO
Network
complience plan
pcp
50. 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
hmo
(DRG's)
self-referral
Maximum Out Of Pocket
Can you answer 50 questions in 15 minutes?
Let me suggest you:
Browse all subjects
Browse all tests
Most popular tests
Major Subjects
Tests & Exams
AP
CLEP
DSST
GRE
SAT
GMAT
Certifications
CISSP go to https://www.isc2.org/
PMP
ITIL
RHCE
MCTS
More...
IT Skills
Android Programming
Data Modeling
Objective C Programming
Basic Python Programming
Adobe Illustrator
More...
Business Skills
Advertising Techniques
Business Accounting Basics
Business Strategy
Human Resource Management
Marketing Basics
More...
Soft Skills
Body Language
People Skills
Public Speaking
Persuasion
Job Hunting And Resumes
More...
Vocabulary
GRE Vocab
SAT Vocab
TOEFL Essential Vocab
Basic English Words For All
Global Words You Should Know
Business English
More...
Languages
AP German Vocab
AP Latin Vocab
SAT Subject Test: French
Italian Survival
Norwegian Survival
More...
Engineering
Audio Engineering
Computer Science Engineering
Aerospace Engineering
Chemical Engineering
Structural Engineering
More...
Health Sciences
Basic Nursing Skills
Health Science Language Fundamentals
Veterinary Technology Medical Language
Cardiology
Clinical Surgery
More...
English
Grammar Fundamentals
Literary And Rhetorical Vocab
Elements Of Style Vocab
Introduction To English Major
Complete Advanced Sentences
Literature
Homonyms
More...
Math
Algebra Formulas
Basic Arithmetic: Measurements
Metric Conversions
Geometric Properties
Important Math Facts
Number Sense Vocab
Business Math
More...
Other Major Subjects
Science
Economics
History
Law
Performing-arts
Cooking
Logic & Reasoning
Trivia
Browse all subjects
Browse all tests
Most popular tests