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Related Flashcards
Cards In This Set
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The provider owns the actual medical records, but the information in a record belongs to:
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The patient
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When personal identifiers have been removed, protected health information is called:
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Research data
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What is the single most important strategy for achieving compliance in medical practices?
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Having a compliance plan in place
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Which of the following is NOT part of usual evaluation and management services?
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Surgical procedure
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When a provider injures a patient due to failure to follow medical standards of care, this is called?
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Malpractice
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In the United States, rising medical costs are primarily due to?
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Advances in technology and aging population
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Under a fee-for-service plan, the third party payer makes a payment?
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After medical medical services are provided
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Which of the following conditions must be met before payment is made under an *indemnity plan?
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Payment of premium, deductible, and coinsurance
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Scheduling appointments is part of which medical billing process step?
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Step 1, preregister patients
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The statement that "coding professionals should not change codes...to increase billings" is an example of?
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Professional ethics
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An established patient is defined as one who has seen the provider within the last?
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3 years
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A provider such as a facility which test patients as instructed by the direct provider is called an?
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Indirect provider
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Which HIPPA transaction is sent from a payer to a provider after claim adjudication?
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Health care payment
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Collecting payment information begins before patient appointments during the?
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Preregistration process
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If the patient has coverage under 2 insurance plans, the primary plan is the one that?
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Has been in effect for the patient the longest
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