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NEW QUESTION # 41
Who is the person who prepares and reviews claims for accuracy to ensure prompt payment?
- A. Independent Contractor
- B. Health Insurance Specialist
- C. Healthcare Provider
Answer: B
NEW QUESTION # 42
What does it mean by dextr?
- A. right
- B. left
Answer: A
NEW QUESTION # 43
What is the primary purpose of National Correct Coding Initiative (NCCI) edits?
- A. Set reimbursement rates
- B. Increase claim approvals
- C. Replace CPT guidelines
- D. Identify unbundling and improper coding
Answer: D
Explanation:
NCCI edits prevent unbundling and inappropriate coding combinations.
NEW QUESTION # 44
DCAO
- A. Durable Medical Equipment, Prosthetic and Orthotic Supplies
- B. Durable Medical Equipment
- C. Defense Enrollment Eligibility Reporting System
- D. Debt Collection Assistance Officer
Answer: D
NEW QUESTION # 45
Accounts Receivable Management
- A. Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
- B. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services
- C. Payment correction resulting in additional payment(s) to the provider.
- D. Judicial dispute resolution process in which an appeals board makes a final determination.
Answer: B
NEW QUESTION # 46
CDAC stands for Clinical Data Abstracting Center.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 47
What does AHIMA stand for?
- A. American Health Information Management Association
- B. Australian Health Information Management Association
- C. Asian Health Information Management Association
- D. African Health Information Management Association
Answer: A
NEW QUESTION # 48
What does it mean by graphy?
- A. process of publishing
- B. process of recording
Answer: B
NEW QUESTION # 49
HCRA stands for Healthcare Reimbursement Account.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 50
What does BC stand for?
- A. Beneficiary Association
- B. Beneficiary Counseling
- C. Blue Cross
- D. Black Cross
Answer: C
NEW QUESTION # 51
What does it mean by adip?
- A. thin
- B. fat
Answer: B
NEW QUESTION # 52
CPT
- A. Current Procedural Terminology
- B. Customized SubCapitation Plan
- C. Computed Tomography
- D. CHAMPUS Reform Initiative
Answer: A
NEW QUESTION # 53
The word root "hema" refers to:
- A. liver
- B. blood
- C. half
Answer: B
NEW QUESTION # 54
EOB
- A. Exclusive provider organization
- B. Early and Periodic screening, diagnostic, and treatment
- C. Explanation of Benefits
- D. External Quality Review Organization
Answer: C
NEW QUESTION # 55
Case management services is a process by which an attending physician coordinates and supervises care provided to patient by other providers.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 56
What are actions inconsistent with accepted, sound medical business or fiscal practice?
- A. Addiction
- B. Violence
- C. Neglect
- D. Abuse
Answer: D
NEW QUESTION # 57
Which document communicates to the payer that the provider is requesting reimbursement?
- A. Health Insurance Claim
- B. Centers of Medicare and Medicaid Services150 (CMS1500)
- C. Explanation of Benefits
- D. Hold Harmless Clause
Answer: A
NEW QUESTION # 58
What does CDHS stand for?
- A. Connecticut Department of Health Services
- B. Colorado Department of Health Services
- C. California Department of Health Services
Answer: C
NEW QUESTION # 59
EFT
- A. Electronic Health Record
- B. Employer group health plan
- C. Electronic Healthcare Network Accreditation Commission
- D. Electronic funds transfer
Answer: D
NEW QUESTION # 60
The medical word root "hepat" or "hepat/o" refers to the:
- A. liver
- B. above, excessive
- C. below, under
- D. uterus, womb
Answer: A
NEW QUESTION # 61
Which is the universal claim form used by physicians offices?
- A. Centers of Medicare and Medicaid Services150 (CMS1500)
- B. Explanation of Benefits
- C. Health Insurance Claim
- D. Hold Harmless Clause
Answer: A
NEW QUESTION # 62
What does it mean by graph?
- A. instrument for reading
- B. instrument for hearing
- C. process of recording
- D. instrument for speaking
Answer: A
NEW QUESTION # 63
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