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Billing Final

QuestionAnswer
The business of protecting, through legal means, a person or property against loss or harm. Insurance
Health insurance narrows down undesirable events to? Illness and injuries.
The birth of health insurance in this country occurred in? 1929
The federal healthcare plan for the elderly and certin qualifying others is? Medicare
The combined federal and state healthcare program for the indigent and low income individuals is? Medicaid
A relatively new concept of healthcare structure that emerged in the late twentieth century is? Managed care.
Congress passed the Health Maintenance Organization Act in? 1973
many employed individuals obtain healthcare coverage through a/an? Group plan
The acronym for the congressional act that circumvents problems such as preexisting conditions as well as other healthcare related issues is? HIPAA
The situation whereby patients pay a certain portion of healthcare costs(e.g., deductibles and copayment) is called? Cost sharing
Actuaries use statistics to predict anticipated healthcare costs, which establish? Premiums
Fee-for-service healthcare plans are also referred to as? Indemnity insurance
Understanding what you read is called? Comprehension
Sending and receiving information through mutually understood methods is? Communication
When you stick with a task until it is completed, you are? diligent
When you have honest, ethical, and moral principles, you are said to have? Integrity
To write down important lecture facts in one's own words is called? Paraphrasing
Organizing daily responsibilities according to their importance is called? Prioritizing
Sucess in getting te most out of one's education and optimizing career potential facilitates? Lifelong learning
In order to develop effective study skills, it is suggested that a students generate a? Time management schedule
One method of enhancing one's career as a health insurance professional is to acquire? Certification
When a society tends to be hasty in bringing lawsuits, it is said to be? Litigious
The Latin term for "let the master answer" is? Respondeat superior
Members of a medical team who are not physicians are called________members Ancillary
A proposition to creat a contract is the? Offer
The "thing of value" that each party gives to each other is the? Consideration
A contract can be terminated when? Both parties agree to terminate it or either party defaults on the provisions
The type of contract that exists between a healthcare provider and a patient is a/an? Implied contract
A health insurance company is referred to as the? Third party
The federal act that states that Medicare is the secondary payer in the case of automobile or liability coverage is the? Federal Omnibus Budget Reconciliation Act of 1980
The act that made Medicare benefits secondary to employer group health plans for eployees(or spouses) over 65 is the Tax Equity and Fiscal Responsiblity Act of 1982
The act that addresses the prevention of healthcare fraud and abuse of patients eligible for Medicare and Medicaid benefits is the? Fraud and Abuse Act
Following the rules and conventions governing correct or polite behavior in society is called? Etiquette
HIPA was signed into law in? 1996
In compliance wih HIPAA, when patients visit their healthcare providers for treatment, they are given a? Privacy statement
Whentwo patients recognize each other in a medical practice's reception area,HIPAA referrs to this as a/an? Incidental disclosure
The office of Inspector General(OIG) recommends all medical facilities have a? HIPAA compiance plan
Medcare and Medicaid records must be kept a minimum of_____years? Five
Before medical information can be divulged to a third party, the patient should sign a? Release of medical information form
When a health insurance professional intentionally and kowingly misrepresents facts to inncrease the payment of a claim, it is commonly known as? Fraud
Imprper methods of doing business that are contradictory to accepted business practices is a definition of? Abuse
Upcoding and unbundling of charges are examples of? Healthcare fraud
Failue to exercise a reasonable degree of care is a definition of? Negligence
A legal document that requires an individual to appear in court with Subpoena duces tecum
The periodic fee paid for health insurance is commonly called a? Premium
Thye dollar amount that a patient must pay each year before his/her insurance
Created by: Jeannie-Snyder
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