MAAS 211G Final Exam Week 4 | Questions with 100% Correct Answers | Verified | Latest Update 2024
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Course
MAAS 211G
Institution
MAAS 211G
An insurance claims dept compares the fee the Dr charges with the benefits provided by the pt's health
plan. This is called the review for - allowable benefits
Files of pts who have died, moved away, or for some reason no longer consult the office are considered
__________ __________. - closed f...
MAAS 211G Final Exam Week 4 | Questions with 100% Correct Answers | Verified | Latest Update 2024 An insurance claims dept compares the fee the Dr charges with the benefits provided by the pt's health plan. This is called the review for - ✔✔allowable benefits Files of pts who have died, moved away, or for some reason no longer consult the office are considered __________ __________. - ✔✔closed files Pt. education brochures should not exceed the _______ _________ reading level. - ✔✔sixth grade The insurance policy of the policyholder whose birthday comes first in the calendar year is the primary payer for all dependents, this is the _________ __________. - ✔✔birthday rule Medical practices use _______ files to avoid losing track of important dates. - ✔✔tickler TRICARE for Life enrollees who are aged _____ _____ _______ can receive healthcare at a military treatment facility. - ✔✔65 and older The most likely outcome of an insurance claim submitted with a diagnosis code of a sore throat and a treatment code indicating a cast for a broken leg would be denied because the _______ was not _______ _________ based on the _____. - ✔✔treatment; medically necessary; diagnosis Another term for naming a file is _____________. - ✔✔indexing The second level of disease prevention is ___________. - ✔✔screening The fixed dollar amount a subscriber must pay or "meet" each year before the insurer begins to cover expenses is the _____________. - ✔✔deductible
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