41. What is a Health Plan?
a) a code that identifies a medical service
b) a list of the procedures and charges for a patient's visit
c) a person or entity who buys an insurance plan; the insured
d) a plan, program, or organization that provides health benefits
Ans: d
42. What is a Medical Record?
a) a chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan
b) monies that are flowing into a business
c) physician's opinion of the nature of the patient's illness or injury
d) a code that identifies a medical service
Ans: a
43. What is a Payer?
a) physician's opinion of the nature of the patient's illness or injury
b) private or government organization that insures or pays for health care on behalf of beneficiaries
c) a list of all services performed for a patient, along with the charges for each service
d) a chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan
Ans: b
44. What is a Accounts Receivable (AR)?
a) amount due before benefits start
b) monies that are flowing into a business
c) a code that identifies a medical service
d) treatment provided by a physician to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and is provided in accordance with generally accepted standards of medical practice
Ans: b
45. What is a Policyholder?
a) a plan, program, or organization that provides health benefits
b) a person or entity who buys an insurance plan; the insured
c) monies that are flowing into a business
d) a plan, program, or organization that provides health benefits
Ans: b
46. What is meant by Medical Necessity?
a) physician's opinion of the nature of the patient's illness or injury
b) monies that are flowing into a business
c) a plan, program, or organization that provides health benefits
d) treatment provided by a physician to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and is provided in accordance with generally accepted standards of medical practice
Ans: d
47. What is meant by Remittance Advice (RA)?
a) an explanation of benefits transmitted electronically by a payer to a provider
b) a fixed fee paid by the patient at the time of an office visit
c) monies that are flowing into a business
d) a software program that automates many of the administrative and financial tasks in a medical practice
Ans: a
48. What is Copayment?
a) a code that identifies a medical service
b) a chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan
c) a fixed fee paid by the patient at the time of an office visit
d) a person or entity who buys an insurance plan; the insured
Ans: c
49. What is meant by Encounter Form?
a) a list of the procedures and charges for a patient's visit
b) a software program that automates many of the administrative and financial tasks in a medical practice
c) a person or entity who buys an insurance plan; the insured
d) an explanation of benefits transmitted electronically by a payer to a provider
Ans: a
50. What is meant by Deductible?
a) private or government organization that insures or pays for health care on behalf of beneficiaries
b) a list of all services performed for a patient, along with the charges for each service
c) amount due before benefits start
d) a software program that automates many of the administrative and financial tasks in a medical practice
Ans: c
a) a code that identifies a medical service
b) a list of the procedures and charges for a patient's visit
c) a person or entity who buys an insurance plan; the insured
d) a plan, program, or organization that provides health benefits
Ans: d
42. What is a Medical Record?
a) a chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan
b) monies that are flowing into a business
c) physician's opinion of the nature of the patient's illness or injury
d) a code that identifies a medical service
Ans: a
43. What is a Payer?
a) physician's opinion of the nature of the patient's illness or injury
b) private or government organization that insures or pays for health care on behalf of beneficiaries
c) a list of all services performed for a patient, along with the charges for each service
d) a chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan
Ans: b
44. What is a Accounts Receivable (AR)?
a) amount due before benefits start
b) monies that are flowing into a business
c) a code that identifies a medical service
d) treatment provided by a physician to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and is provided in accordance with generally accepted standards of medical practice
Ans: b
45. What is a Policyholder?
a) a plan, program, or organization that provides health benefits
b) a person or entity who buys an insurance plan; the insured
c) monies that are flowing into a business
d) a plan, program, or organization that provides health benefits
Ans: b
46. What is meant by Medical Necessity?
a) physician's opinion of the nature of the patient's illness or injury
b) monies that are flowing into a business
c) a plan, program, or organization that provides health benefits
d) treatment provided by a physician to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and is provided in accordance with generally accepted standards of medical practice
Ans: d
47. What is meant by Remittance Advice (RA)?
a) an explanation of benefits transmitted electronically by a payer to a provider
b) a fixed fee paid by the patient at the time of an office visit
c) monies that are flowing into a business
d) a software program that automates many of the administrative and financial tasks in a medical practice
Ans: a
48. What is Copayment?
a) a code that identifies a medical service
b) a chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan
c) a fixed fee paid by the patient at the time of an office visit
d) a person or entity who buys an insurance plan; the insured
Ans: c
49. What is meant by Encounter Form?
a) a list of the procedures and charges for a patient's visit
b) a software program that automates many of the administrative and financial tasks in a medical practice
c) a person or entity who buys an insurance plan; the insured
d) an explanation of benefits transmitted electronically by a payer to a provider
Ans: a
50. What is meant by Deductible?
a) private or government organization that insures or pays for health care on behalf of beneficiaries
b) a list of all services performed for a patient, along with the charges for each service
c) amount due before benefits start
d) a software program that automates many of the administrative and financial tasks in a medical practice
Ans: c
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