Chapter 3

Question 1

was created under the Consolidated
Omnibus Budget Reconciliation Act. It allows an employee
who leaves a company to continue to be covered under the
company’s health plan, for a certain time period and under
certain conditions.

Answer 1

COBRA

Question 2

is a fixed amount that a patient is

responsible to pay for a covered health service.

Answer 2

Copayment

Question 3

A percentage of the allowed amount due by the

patient.

Answer 3

Coinsurance

Question 4

The parent with physical custody of the

child or the parent with whom the child resides.

Answer 4

Custodial Parent

Question 5

Also called manual daily accounts receivable journal;
chronological summary of all transactions posted to individual
patient ledger(s)/account(s) on a specific day.

Answer 5

Day Sheet

Question 6

The amount of expenses that must be paid by the

patient before health insurance begins to pay.

Answer 6

Deductible

Question 7

is defined as a digital collection of patient

health information.

Answer 7

Electronic Medical Record (EMR)

Question 8

Person responsible for paying healthcare fees.

Answer 8

Guarantor

Question 9

Includes the privacy rule. This regulates the use and

disclosure of Protected Health Information (PHI).

Answer 9

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Question 10

is used to determine if Medicare is a secondary
insurance for a patient who has Medicare and another
insurance.

Answer 10

Medicare Secondary Payer (MSP) form

Question 11

a computerized permanent record of all
financial transactions between the patient and the practice,
also called patient account record.

Answer 11

Patient Ledger

Question 12

Software used by
physicians for scheduling, registration, billing and account
receivables management.

Answer 12

Practice Management System (PMS)

Question 13

Responsible for supervising and

coordinating healthcare services for patients.

Answer 13

Primary care provider (PCP)