Review Flashcards

0
Q

True or False: a patient who comes to the hospital for an MRI is always considered inpatient because the hospital radiologist, does the test at the hospital.

A

False

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1
Q

True or False: Patients receive care on an in patient or outpatient basis. This distinction is important for billing and coding.

A

True

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2
Q

Inpatients stay overnight and can access departments and services within the facility that are not accessed by ambulatory patients.

A

True

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3
Q

Many inpatient facilities offer outpatient services

A

True

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4
Q

A patient who comes to the emergency room for treatment because of acute exacerbation of asthma who is observed for 12 hours and then discharged is considered an inpatient.

A

False

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5
Q

Most large industries have trade associations of one kind or another

A

True

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6
Q

Trade associations allow individuals and companies to band together to influence regulations and share resources

A

True

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7
Q

Trade associations are only effective when they organize on a national level

A

False

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8
Q

Trade associations provide services to their membership such as networking opportunities, professional tools, and trade publications.

A

True

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9
Q

Healthcare vendors provide the healthcare industry with tools of the trade

A

True

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10
Q

Kathy went shopping at a large department store, slipped, fell, and twisted her ankle. She reported it to the manager. What kind of third party payer would cover the expense of healthcare for kathy’s injuries.

A

Liability insurance

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11
Q

Kelly started her new job and signed up for healthcare insurance. Since she is the cars holder, she will be the ___

A

Subscriber

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12
Q

Bill went to an independent healthcare insurance company. He was told that his monthly bill will be 600/month. What is this monthly payment referred to as.

A

A premium

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13
Q

Joe was working in a warehouse when a forklift hit him. What kind of third-party payer will cover the expenses for his injuries?

A

Workers’ compensation

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14
Q

Mary added her husband and two children to her healthcare plan. What are her they considered?

A

Dependents

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15
Q

This federal agency is in charge of governing and regulating healthcare in the United States and has several agencies and offices under its umbrella

A

DHHS, department of health and human services

16
Q

This law was passed to protect patient confidentiality and privacy

A

HIPAA,

17
Q

This agency under DHHS occupies a central role in setting standards and regulations for healthcare documentation, coding classification and medical billing

A

CMS

18
Q

The mission of this office is to protect the integrity of DHHS programs. To accomplish this they perform audits.

A

OIG

19
Q

This office helps protect consumers against discrimination by healthcare providers

A

OCR, Office of Civil Rights