Week 1 - Ch. 1

Question 1

Types of insurance plans

Answer 1

indemnity plan; managed care

Question 2

health plan that offers protection from loss

Answer 2

indemnity plan

Question 3

types of managed care plans

Answer 3

Health Mainenance Organizations (HMO); Point of Service Plans (POS); Preferred provider organizaiton (PPO); Consumer-driven health plans

Question 4

managed healtcare system in which providers offer healthcare to members for fixed periodic payments

Answer 4

health maintainence organizations (HMO)

Question 5

managed care organization in which a network of providers supplies discounted treatment for plan members

Answer 5

Preferred Provider Organization (PPO)

Question 6

medical insurance that combines a high-deductible health plan with a medical savings plan

Answer 6

consumer driven health plan (CDHP)

Question 7

Steps in the medical biling cycyle (before the encounter)

Answer 7

Pre-register patients

Question 8

Steps in the medical biling cycyle (during the encounter)

Answer 8

Establish financial responsibility; check in patients; review coding compliance; review billing companies; check out patients

Question 9

Steps in the medical biling cycyle (after the encounter)

Answer 9

prepare and transmit claims; monitor payer adjudicaiton; generate patient statements; follow up payments and collections