What does it mean by gluc and glyc?
A. protein
B. fat
C. vitamins
D. sugar, glucose
What does AHFS stand for?
A. American Hospital Formulary Service
B. American Hospital Formulary Standards
C. American Healthcare Formulary Service
D. American Healthcare Formulary Standards
Which document communicates to the payer that the provider is requesting reimbursement?
A. Centers of Medicare and Medicaid Services150 (CMS1500)
B. of Benefits
C. Hold Harmless Clause
D. Health Insurance Claim
Advance Beneficiary Notice (ABN) is document that acknowledges patient responsibility for payment if Medicare denies the claim.
A. TRUE
B. FALSE
Accept Assignment
A. The amount owed to a business for services or goods provided.
B. Provider accepts as payment in full whatever is paid on the claim by the payer (except for any copayment and or coinsurance amounts.)
C. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
D. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
Which professional association was founded to elevate the standards of medical coding by providing certification, ongoing education, networking, and recognition for coders?
A. American Health Information Management Association (AHIMA)
B. Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities
C. An association of independent Blue Cross Blue Shield plans
D. American Academy of Professional Coders (AAPC)
What does AHA stand for?
A. American Hospital Association
B. American Healthcare Association
C. American Hospitality Association
D. American Hostel Association
Accounts Receivable Aging Report
A. Assists Providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
B. 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.
C. Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.
D. Judicial dispute resolution process in which an appeals board makes a final determination.
HAVEN stands for Home Assessment Validation and Entry.
A. TRUE
B. FALSE
Blue Shield (BS) __________
A. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1939; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
B. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1940; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
C. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1941; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
D. began as a resolution passed by the house of Delegates at an American Medical Association meetings in 1938; incorporates a concept of voluntary health insurance that encourages physicians to corporate with prepaid health plans.
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