MAAS 211G FINAL EXAM QUESTIONS AND ANSWERS 2024/2025
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Course
MAAS 211
Institution
MAAS 211
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 __________ __________.
→ ...
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
An advantage of pt education is that it results in greater __________ with prescribed ______
programs.
→ compliance; treatment
In a typical medical practice, insurance claims are filed a few ______ days after the ______
of _______.
→ business; date of service.
Pts. who belong to a managed care health plan, such as an HMO, are responsible for a small
per-visit fee collected at the time of the visit. This fee is commonly called a(n)
_______________.
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