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Chapter 27

Quiz by Alyson Walden

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81 questions
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  • Q1
    Required by medicare when a service is provided to a beneficiary who is either not covered or the provider is unsure of coverage
    Advanced beneficiary notice or ABN
    30s
  • Q2
    Term for an insurance company that reimburses for health care services
    Carrier
    30s
  • Q3
    Procedures used by insurers to avoid duplication of payment on claims when the patient has more than one policy
    Coordination of benefits for COB
    30s
  • Q4
    When health care providers inform patients of charges before the services are performed
    Fee disclosure
    30s
  • Q5
    List of free determined payment amounts for professional services provided to patients
    Fee schedule
    30s
  • Q6
    Payments made to an insured person to help replace income lost or inability to work because of an insured disability
    Loss of income benefits
    30s
  • Q7
    Provider who has contract with an insurer and Accepts whatever the insurance pays as payment in full
    Participating provider
    30s
  • Q8
    Patients eligibility For benefits
    Patient status
    30s
  • Q9
    Numeric values assigned to a payment components of the resource based relative value scale or RBRVS
    Relative value units
    30s
  • Q10
    Insurance company that intervenes to pay hospital or medical bills for contract with the doctor or patient
    3rd party payer
    30s
  • Q11
    Health care delivery system that combines the delivery of health care and payment of services
    Managed care
    30s
  • Q12
    Joint funding for gram by federal and state governments for the medical care of low income patients on public assistance
    Medicaid
    30s
  • Q13
    Approval obtained before the patient is admitted to the hospital receive specified outpatient or in office procedures
    Precertification
    30s
  • Q14
    Condition that existed before the the insured's policy was issued
    Pre existing condition
    30s
  • Q15
    Geographic area served by an insurance Carrier
    Service area
    30s

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