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billing/coding
chapters 13,14,15
| Question | Answer |
|---|---|
| The Social Security Act of 1935 | a. Set up the public assistance programs |
| The Federal Emergency Relief Administration made funds available to pay for | c. Medical expenses of the needy employed |
| In the Medicaid program, Congress authorized vendor payments for medical care, which are payments from the | b. Welfare agency directly to the physician |
| The medically needy aged | a. require help in meeting costs of medical care |
| If a physician accepts Medicaid patients, the physician must accept | a. the medicaid allowed amount |
| Medicaid eligibility must always be checked for the | d. type of service |
| medicaid managed care patient claims should be sent to the | d. both a and b |
| medicaid managed care patient claims should be sent to the | d. managed care organization and not the medicaid fiscal agent |
| tricare, formerly known as champus, is funded through | a. congress |
| the three choices of health care coverage for families of active duty military personnel, military retirees, and their dependents are | c. tricare standard, tricare prime, and tricare extra |
| people not entitled to benefits under tricare are | a. champva beneficiaries |
| what is the system called that tricare clains processors use to verify beneficiary eligibility | d. deers |
| an nas is a | d. certification from a military hospital stating that it cannot provide the necessary care |
| the nas carchment area is | d. both a nad c |
| health care professionals who may treat a tricare patient are | d. all of the above |
| the privacy act of 1974 establishes an individuals right to review his or her medical records maintained by a | d. all of the above |
| the reason for workers compensation laws is | d. all of the above |
| an abnormal condition caused by exposure to environmental factors associated with employment is | b. occupational illness |
| premiums for workers compensation insurance are paid by the | b. employer |
| workers compensation benefits include | d. all of the above |
| when a case is rated for permanent disability and settled, this is called | c. compromise and release |
| final determination involving settlement of an industrial accident is known as | a. adjudication |
| an individualized program of therapy using simulated or real work tasks to build strength and improve the workers endurance toward a full days work is known as | a. work hardening |
| video tapes made of the patient without his or her knowledge to document the extent of the patients permanent disability are called | d. sub rosa films |
| a proceeding in which an attorney asks a witness questions regarding a case and the witness answers under oath but not in open court in known as a/an | c. deposition |
| which is the correct procedure for keeping an industrial patients financial and health records when the same physician is also seeing the patient as a private patient | d. separate financial and health records must be used |
| in a workers compensation case, the contract and financial responsibility exists between the | a. physician and the insurance company |
Created by:
myname1
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