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CBCS: Module 1 Vocab Quiz

Select the Definition that corresponds to the displayed Term.
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1. Third Party Payer




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2. Assignment of Benefits




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3. Auditing Process




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4. Out of Pocket Payment




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5. Abuse




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6. Fee-for-Service




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7. Accounts Recievable




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8. Fraud




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9. Health and Human Services




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10. Eligibility




Select the Term that corresponds to the displayed Definition.
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11. Predetermined percentage the patient is responsible to pay for covered services once the annual deductible has been met




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12. A claim returned for a third-party payer because of technical errors patient coverage errors




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13. The act of disregarding rules and guidelines outlined by state and federal government agencies and third-party agencies




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14. Descriptive definitions used to explain procedures and services provided to the patient




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15. Method used to control health care cost, by reviewing the appropriateness and medical necessity of services rendered to the patients prior to the treatment being performed




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16. Annual amount the patient must pay before the insurance will begin to pay for covered benefits




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17. Individually Identifiable Patient Information




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18. Two-digit code that identifies where the services were performed




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19. Person eligible to receive benefits for covered services once the annual deductible has been met




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20. Process of requesting approval for a service or procedure by providing medical history to the insurance to support the medical need for the surgical procedures





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