1 RMA INSURANCE Q/A EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ The Medicare program that provides expanded benefits through private health insurance programs is called Correct Answer: Medicare Advantage (MA) The RBRVS fee schedule is known as the Correct Answer: Resource based relative value scale The CMS -1500 claim form most widely used by physician offices was developed by Correct Answer: (CMS) the Centers for Medicare and Medicaid Services Maximum medical improvement is the earlier of the point in time that an injured worker has improved as much as likely or Correct Answer: 104 weeks from the date the worker became eligible to If a patient has two insurance plans under which she is the primary policyholder, the primary plan is considered Correct Answer: the plan in effect the longest period of time 2 the chronological recording of pertinent facts and observations regarding a patient's health status is known as Correct Answer: documentation The majority of income in a physician's office comes from Correct Answer: insurance companies The benefits of a managed care contract to the provider Correct Answer: bringing more patients to the practice According to HIPAA, covered entities for compliance issues include Correct Answer: health plans, clearinghouses, and healthcare providers only Which of the following is true of managed care contracts with providers Correct Answer: they are usually 1 year contracts If a claim was denied because the physician provided services before the patient's health insurance contract went into effect, the medical office specialist should Correct Answer: bill the patient The HMO act of 1973 used federal funds for the purpose of Correct Answer: promoting health maintenance organizations (HMOs)
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