Preauthorization - Study guides, Class notes & Summaries

The ______ _______ of disease and illness prevention involves adopting healthpromoting behaviors and education patients about the symptoms and warning signs of disease. - ️️first level All patient education materials should be written at a ________ reading level to accommodate the greatest number of patients - ️️sixth-grade The third level of disease prevention involves _________ and ________ of an existing illness. - ️️rehabilitation and management Many medical practices is __...

When a patient signs an Assignment of Benefits form, who is the patient authorizing to receive the reimbursement? A) The physician. B) A third-party accountant. C) The patient. D) The beneficiary. - ️️The physician. An individual health insurance contract is between a(n) _______________ and a(n) _______________. A) health insurance carrier : government agencies B) patient : employer C) employer : health insurance carrier D) patient : health insurance carrier - ️️patient : heal...

NHA CMAA Practice Test QUESTIONS AND ANSWERS GRADED A+ 2023|2024 Which of the following letter styles is most efficient? a. block b. standard c. modified block intended d. simplified a. Block A patient who has Medicare and has a physical examination 10 months ago calls to schedule another physical within the week. Which of the following actions is appropriate for the medical administrative assistant to take? a. explain that the physical exam cannot be scheduled for another 2 months ...

Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - The amount owed to a business for services or goods provided. Accounts Receivable Aging Report - Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Accounts Receivable Mana...

What describes the reason for a claim rejection because of Medicare NCCI edits - Improper code combinations A claim is submitted with a transposed insurance member ID number and returned to the provider. - Invalid Medigap coverage is offered to Medicare beneficiaries by whom - Private thirdparty payers What provision assures that an insured's benefits from all insurance companies do not exceed 100% of the allowable medical expense - Coordination of benefits A coroner's autopsy is compri...

Medical Insurance Billing Test Questions and Answers Graded A+ Another name for an electronic transmission is known asnce EDI which is a type of insurance coverage for those injured on the job? WC Which of the following covers medications? Medicare Part D the insurance company is contacted to get a managed care referral. false accuracy in obtaining patient information is vital to reimbursement true the following are considered to be patients out of pocket expenses: deductibl...

When is the principle diagnosis applicable? - Inpatient Hospital coding The term "encounter records" means: - claim What is the name of the act designed to address the collection practices of thirdparty debt collectors and attorneys who regularly collect debts for others? - Fair debt collection practices act (FDCPA) Medigap insurance may cover - the deductible not covered under Medicare Which of the following coding manuals is used primarily to identify products, supplies, and services? ...

Under the insurance policy, the __________ pay a premium or annual charge for keeping the insurance policy in force - policyholder ___________ is the process of contacting the insurance plan to see if the proposed procedure is a covered service under the patient's insurance plan. - preauthorization Patient who do not adhere to the instructions on their medications run the risk of ____________ - potentially dangerous side effects _______________ are more cost-efficient even in smaller offi...

NHA CMAA Practice Test QUESTIONS AND ANSWERS GRADED A+ 2023|2024 Which of the following letter styles is most efficient? a. block b. standard c. modified block intended d. simplified a. Block A patient who has Medicare and has a physical examination 10 months ago calls to schedule another physical within the week. Which of the following actions is appropriate for the medical administrative assistant to take? a. explain that the physical exam cannot be scheduled for another 2 months ...

CCMA EXAM (NHA) Billing and Coding| Medical Assisting| Questions with complete Answers| Rated A What is the purpose of the ICD-10 coding system? To classify and code diagnoses, symptoms, and procedures for healthcare billing and statistical purposes. Which coding system is used for procedural coding in outpatient and physician office settings? Current Procedural Terminology (CPT). What does the term "copayment" refer to in health insurance? A fixed amount that a patient pa...