Thriteenth Test Flashcards

1
Q

Hospital insurance began in

A

1929

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Medicare and Medicaid were enacted in

A

1965

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In 2010 the health insurance exchange debated as a part of the Patient

A

Protect and affordable care act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The person who owns an insurance policy is called the

A

Member, subscriber insured or policy holder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Those covered by government insurance programs aer known

A

as beneficiary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Dependents are Family members also covered on

A

commercial insurance plans.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List three common types of out-of-pocket expenses.

A

Deductible
Copay
Coin insurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List the groups of people eligible for government health insurance.

A

Older adults
Disabled
Military personnel
retired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Medicare part B covers what

A

phusician care, therapy, and
testing, and members must pay
-based premiums because Part b is a voluntary program.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Medicare Part C is known as the _medicate choice
and si often sold by

A

private insurance companies offering all parts of Medicare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Medciare Part D covers _

A

prescription drugs through private companies contracted with Medicare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Medicaid covers

A

low income patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

TRICARE provides health insurance benefits to family’s of

A

current and retired military personnel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

workers compensation insurance covers workers who have been

A

injured in the work place or as a result of a work related illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Disability income insurance is either

A

Short term or long term

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The Family medical leave Act allows employees to take

A

unpaid leave for specified family and medical reasons, while protecting their jobs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The national prouder Identifer is a

A

unique, 10 digit number assigned to health care providers by CMS.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The CMS-1500 form is printed in a specific color of _

A

Red ink so that it is recognizable by OCR scanners.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Insurance companies may accept claims for as long as up to

A

one year from the date of service or for as little as _90 days

20
Q

Diagnosis

A

codes identify the reasons that health care services were provided.

21
Q

Procedure

A

codes describe services performed for patient

22
Q

Physicians

A

are responsible for coding and billing for all the services the personally provide 4 The Medical Assistant’

23
Q

The MAs’ role regarding coding involves the following.

A

assisting communication between physicians and coders when a question arises

24
Q

The Bertilon Classification of Causes of Death was adopted in

A

1098 by the American Public Health Association (APHA).

25
The patient protection and Affordable care act mandates
compliance programs for providers who contract with Medicare and Medicaid.
26
Thsi is an alphabetically sequenced list of diagnostic codes divided into
21 chapters based on the cause of the cause or etiology and body system
27
Verify the code(s) in the
Tabular List
28
List the three tabulated levels within the sections.
Category three character entries Subcategory Four- and five-character entries) the most specific entry that requires no additional characters)
29
ICD-10-CM codes can be between
Three and seven characters in length.
30
CPT stands for
Current procedural Terminology.
31
The first edition of the CPT was published ni
1966 in the American Medical Association, and codes were four numbers long.
32
The second edition of the CPT published in
1970 expanded Surgical procedures.
33
The fourth edition, which si used today, was published in
1977
34
Only one code is
correct in any given situation.
35
upcoding Is billing
for a higher level of service than was actually provided in order ot gain higher reimbursement.
36
downcoding is coding for
a lower level of service than was actually provided.
37
Examples of abuse
Charging excesively high fees for Services or SUPPlies
38
The C M S website offers information to consumers and patients
to encourage them to identify and _report fraud
39
The tabular list si a(
Numerical listing of al CPT codes, divided into threw categories
40
Appendix A
Modifiers
41
Apendxi B:
Summary of Additions
42
Appendix C:
Clinical examples
43
The surgical section is the
largest section in the CPT manual.
44
Immunizations require 2 codes
one of that _administering of the immunization and one for the particular. Vaccine or toxin
45
E&M codes begin with the numbers
99
46
List five services billed in addition to the E&M code.
Venipuncture Immunization ECGS EKG ab test performed in office. X-rays