Study Guide Flashcards
Which physician contracts with the third-party payer and accepts the allowed amount as payment in full?
Participating
How does an insurance specialist avoid duplication of payment using coordination of benefits?
Identify primary and secondary policies
What covers a Medicare patient for inpatient services?
Part A
Which of the following contains patient data and diagnoses and tracks the patient during an office visit?
Encounter form, suberbill, charge slip
Which suffix is defined as rupture?
-rrhexis
What is an insurance task that keeps up to date with where a claim is in the payment process?
Tracking
What type of referral is being conducted when a primary care physician contacts the specialist and provides an approval?
Verbal
Which is a medical decision making complexity level used in CPT coding?
Low, Moderate, High
When a bad debt is written off a patient’s account, which of the following is true?
AR is uncollectable
CPT codes are assigned to procedures provided to patients. What is a cholecystectomy procedure?
Removal of gallbladder
Which documentation includes a patient’s age, marital status, employment and habits?
Social history
If an encounter form indicates a diagnosis of dermatitis on the right hand, what does the patient have?
Inflammation of the skin
