Review Game Zone
Flash Cards
(current)
Games
Teachers
Search
CMAA Review
Test Description: CMAA Review over insurance.
Instructions: Answer all questions to get your test result.
1) If the insurance plan has a hold harmless clause, it means that the patient
A
was required to pay any amounts that the insurance plan denies.
B
automatically has lower out-of-pocket health care expenses.
C
is charged for fees by the health care provider, per the EOB.
D
is not responsible for paying what the insurance plan denies.
2) The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.
A
diagnoses and procedures/services
B
dates of service for procedures
C
national provider identifiers
D
health insurance claims identifiers
3) A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to
A
resubmitting denied claims to health care providers.
B
determining medical necessity of services/procedures.
C
assigning ICD-10-CM and CPT codes.
D
billing patients for copayments and coinsurance.
4) Which is another name for a health insurance specialist?
A
billing specialist
B
coding specialist
C
reimbursement specialist
D
health information specialist
5) Which includes the identification of disease and the provision of care and treatment to persons who are sick, injured, or concerned about their health status?
A
third-party payment
B
health insurance
C
preventive care
D
medical care
6) Which may specifically result in the early detection of health problems, allowing less drastic and less expensive treatment options?
A
preventive examination
B
health care insurance
C
third-party payment
D
medical necessity
7) Which party signs a contract with a health insurance company and thus, owns the health insurance policy?
A
patient
B
dependent
C
payer
D
policyholder
8) Which provides health insurance coverage?
A
third-party payer
B
health insurance exchange
C
meaningful use
D
continuity of care
9) Which type of health insurance coverage is subsidized by employers and other organizations?
A
public health insurance
B
individual health insurance
C
group health insurance
D
universal health insurance
10) Which type of health insurance coverage has costs that are typically less per person and provides broader coverage?
A
group health insurance
B
universal health insurance
C
public health insurance
D
individual health insurance
*select an answer for all questions
Check Results & Get Answers
Play Games with the Questions Above
Teachers: Create FREE classroom games with your questions
Click for more info!
©2007-2024
ReviewGameZone.com
|
About
|
Privacy
|
Contact
|
Terms
|
Site Map
WAIT! Find what you needed?
×
Still Looking for the Answers?
Have Another Question?
Play a Review Game with These Questions?
Want to Make Your Own Test Like This One?