Share FINALS for Medical Billing & Coding
Save to Folder
A healthcare practitioner is also called a
provider
This Clause is implemented if an In-Network provider failed to meet the requirements associated with preauthorization approval for a claim
a Hold harmless
The CPT coding system is published by ______ and the National codes are known as _____ created by CMS
AMA/HCPCS level II Codes
Healthcare coverage offered by ______ is called Group health Insurance
employers
The first Blue Cross policy was introduced by
Baylor University in Dallas Texas
This Government Health Benefit plan provides healthcare coverage to Americans seniors over the age of 65
Medicare
A healthcare provider submit a ________ to the payer requesting payment of health services
health insurance claim
A remittance advice from_________contains___________
medicare/payment information about a claim
A specific amount paid by a patient at the time of service is known as
copay
The American Medical Billing Association offers which certification exam?
CMRS
Which is a primary purpose of the patient record?
ensure continuity of care
"I am experiencing severe headache for 2 weeks," the SOAP format documents that statement in the _________ portion of the clinic note
subjective
The problem-oriented record (POR) includes the following four components
database, problem list, initial plan and progress notes
Dr. Jones ordered a neck x-ray because Kelly had knee pain. The procedure did not meet ___________ because the diagnosis did not justify the service
medical necessity
The employer identification or Tax Id # is issued by
Internal Revenue Service
Medical malpractice insurance covers physicians and other healthcare professionals for liability arising from negligence
True
