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Ch. 2 CMAA II
Test Description: A
Instructions: Answer all questions to get your test result.
1) A form submitted to a third party payer for reimbursement is called a(n) ____________.
A
CMS-1500
B
Copayment
C
Claim
D
Contract
2) A contract is a legally binding agreement between two parties.
A
True and False
B
True
C
False
3) A(n) __________ is a small fee paid to a provider at the time services are rendered.
A
Premium
B
Coinsurance
C
Deductible
D
Copay
4) Current Procedural Tests (CPT) codes are standard codes used to designate procedures and tests.
A
True and False
B
True
C
False
5) _______________ is the amount of money that is the patient's share of the costs of treatment
A
Out of Pocket
B
Copay
C
Premium
D
Deductible
6) ________________ is government health insurance for older adults, retired individuals, and some people who are disabled.
A
Medicare
B
Medialinsurance
C
Medicaid
D
Medisoft
7) Medicaid is government provided health insurance for the poor and some disabled people.
A
False
B
True and False
C
True
8) _____________ is the amount of money the patient must pay for medical care.
A
Premium
B
Out of Pocket
C
Deductible
D
Copay
9) Premiums are the costs for health insurance.
A
False and True
B
False
C
True
10) Private Health Information (PHI) is any information concerning a patient's health, medical condition, diagnosis, or treatment; it can include financial information as well.
A
False and True
B
None
C
False
D
True
11) Precertification is the process of obtaining approval from a health insurance company for an admission, a test, procedure, or medication, also called preauthorization.
A
False
B
True
12) Provider networks are patients, health care facilities, and doctor's offices who have contracts with health insurance companies to provide services.
A
False
B
True
13) Customary is a term used to describe a _____________ fee which denotes the fee is usual and acceptable.
A
Doctor's
B
Provider's
C
Physician's
D
All of the above
14) CMS-1500 is an unusual health insurance claim form.
A
True
B
False
15) If someone is you're guarantor, you don't need to pay your healthcare costs.
A
False
B
True
*select an answer for all questions
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