Insurance Tests Flashcards
A health insurance claim form is
Document submitted for reimbursement
CMS means
Centers for Medicare and Medicaid services
HIS stands for:
Health Insurance specialist
How many coding systems are there?
3
ICD coding came about in what year?
1970
A health care practitioner is also called a health care:
Provider
Which coding system is used to report diagnosis and conditions on claims?
ICD-10
Which report is sent to the patient by the payer to clarify the results of claims processing:
Explanation of benefits
What is the primary purpose of the patient health record:
Continuity of care
Health Insurance is a contract between a policyholder and a:
Third party payer
A policyholder is the person:
Signs the contract with a health insurance company
A third-party payer is:
The health insurance company
The claim form that most insurance is billed on:
CMS-1500
The first Insurance policy (Franklin Health Assurance Company) was started in:
1850
The Electronic Health Record is:
Global
Health care coverage offered by________is called group health insurance.
Employer
The government health plan that provides health care services to Americans over the age of 65 is called:
Medicare
The percentage of costs that a patient shares with the health plan is usually:
80-20
Another name for the provider is:
Gatekeeper
CMS is administrative agency within the
DHHS
This document records the patients’ demographics, medications, diagnosis, treatment and any follow procedures:
Medical record
The Encounter form is the financial record source document used by health care providers and other personnel to record treated diagnosis and services rendered to the patient, it is also called a:
Superbill
An alternative to traditional group health insurance coverage is called
HMO
Who is the third-party payer?
The insurance company
