MEDICAL BILLING AND CODING
CHAPTER 1 QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
Manged Care - ANSWER a system in which healthcare is monitored. Health care provider contract with a
health insurance company.
What percentage does physicians and nurses make up? - ANSWER 40% of all healthcare providers
Solo/private facilities - ANSWER The receptionist and medical biller are often cross-trained. Staff may
consist of nurse, receptionist and a medical biller and/or office manger.
small group practice - ANSWER four or five general practitioner. they contract out their billing and
accounts receivable.
large- group practice/ specialized practice - ANSWER commonly handles claims and accounts receivable
in house.
multi-specialty clinic - ANSWER group of physicians with several specialties provides service under each
specialty.
Most hospitals are owned by whom? - ANSWER corporations
What does HCA stands for? - ANSWER Hospitals Corporation of America
Patient Account Services (PAS) - ANSWER these facilities handles hospitals' claims and account receivable
for the state in which the PAS facility is located.
Who uses Centralized Billing Offices ( CBO) ? - ANSWER physicians, multi-site or multi-physicians who
chooses not to handle claims with there facility then a contract can be signed with a CBO. CBO handles
their claims and account receivable.
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