Select the answer choice that best completes the statement or answers the question.
15. LO 3.2 A patient's group insurance number written on the patient information or update form must match
A. the patient's Social Security number
B. the number on the patient's insurance card
C. the practice's identification number for the patient
D. the diagnosis codes
16. LO 3.4 If a health plan member receives medical services from a provider who does not participate in the plan, the cost to the member is
A. lower
C. the same
B. higher
D. negotiable
17. LO 3.2 What information does a patient information form gather?
A. the patient's personal information, employment data, and insurance information
B. the patient's history of present illness, past medical history, and examination results
C. the patient's chief complaint
D. the patient's insurance plan deductible and/or copayment requirements
18. LO 3.6 If a husband has an insurance policy but is also eligible for benefits as a dependent under his wife's insurance policy, the wife's policy is considered for him.
A. primary
C. secondary
B. participating
D. coordinated
19. LO 3.5 A certification number for a procedure is the result of which transaction and process?
A. claim status
C. coordination of benefits
B. healthcare payment
D. referral and authorization and remittance advice
20. LO 3.9 A practice's rules for payment for medical services are found in its
A. coordination of benefits
C. financial policy
B. documentation
D. compliance plan
21. LO 3.7 The encounter form is a source of information for the medical insurance specialist.
A. billing
C. third-party payment
B. treatment plan
D. credit card
22. LO 3.9 Under Medicare, what must a provider receive before it is permitted to collect a deductible or any other payment?
A. the patient's coinsurance
C. authority to accept assignment
B. the patient's copayment
D. data on how the claim is going to be paid
23. LO 3.8 Which charges are usually collected at the time of service?
A. copayments, lab fees, and therapy charges
B. copayments, noncovered or overlimit fees, charges of nonparticipating providers, and charges for self-pay patients
C. deductibles and lab fees
D. coinsurance
24. LO 3.6 The tertiary insurance pays
A. after the first and
C. after receipt of the claim second payers
B. after the first payer
D. before all other payers
Select the answer choice that best completes the statement or answers the question.
A. the patient's Social Security number B. the number on the patient's insurance card C. the practice's identification number for the patient D. the diagnosis codes
the cost to the member is A.lower B.higher
c. the same D.negotiable
17. LO 3.2 What information does a patient information form gather? A. the patient's personal information, employment data, and insurance information B. the patient's history of present illness, past medical history, and examination results C. the patient's chief complaint D. the patient's insurance plan deductible and/or copayment requirements
18. LO 3.6 If a husband has an insurance policy but is also eligible for benefits as a dependent under his wife's insurance policy,the wife's policy is considered for him. A.primary C.secondary B.participating D.coordinated
19. LO 3.5 A certification number for a procedure is the result of which transaction and process A.claim status C.coordination of benefits B.healthcare payment D.referra and authorization and remittance advice
20. L0 3.9 A practice's rules for payment for medical services are found in its A. coordination of benefits C.financial policy B.documentation D.compliance plan
21. LO 3.7 The encounter form is a source of information for the medical insurance specialist A.billing C.third-party payment B.treatment plan D.credit card
22. Lo 3.9 Under Medicare, what must a provider receive before it is permitted to collect a deductible or any other payment? A.the patient's coinsurance C. authority to accept assignment B. the patient's copayment D.data on how the claim is going to be paid 23. LO 3.8 Which charges are usually collected at the time of service? A.copayments, lab fees,and therapy charges B. copayments, noncovered or overlimit fees, charges of nonparticipating providers, and charges for self-pay patients C. deductibles and lab fees D.coinsurance
24. LO 3.6 The tertiary insurance pays A. after the first and C.after receipt of the claim second payers B. after the first payer D.before all other payers
