Administrative Skills for the Medical Assistant
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| FFS | show 🗑
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| show | insurance reimbursement based on fee charged and the service provided
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| show | payment of a fixed amount monthly per member regardless of the amount of care
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| show | amount of money paid to purchase health insurance or other insurance
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| benefit | show 🗑
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| show | each individual covered by the insurance
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| show | individual who has the insurance
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| show | payment by member each calender year before health insurance pays for any services
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| show | percentage the member must pay
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| copayment | show 🗑
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| primary insurance | show 🗑
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| secondary insurance | show 🗑
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| show | rules insurance companies use to coordinate insurance payments
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| birthday rule | show 🗑
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| PAR | show 🗑
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| nonPAR | show 🗑
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| show | obligation to compensate an individual for loss or damage
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| show | usual, customary and reasonable fee
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| medicare deductible amount | show 🗑
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| what factors involved in UCR? | show 🗑
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| show | movement to control health costs while improving preventative care while improving preventative care and a general term for insurance provided with these goals
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| health insurance | show 🗑
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| show | request for payment
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| CMS | show 🗑
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| CMS-1500 | show 🗑
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| traditional health insurance | show 🗑
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| show | managed care organization
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| show | health maintainance orginazation
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| show | prefered provider organization
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| balance billing | show 🗑
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| show | primary care provider; physician who provides most care and determines what other services are necessary; "gatekeeper"
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| show | point of service
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| DRGs | show 🗑
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| show | resource-based relative value scale; system of reimbursement that assigns relative value units to procedures based on amount of work, overhead expenses, and cost of malpractice insurance
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| Medicare Part A | show 🗑
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| Medicare Part B | show 🗑
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| Medicare Part C | show 🗑
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| Medicare Part D | show 🗑
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| show | children's health insurance program; state programs to provide insurance for children whoses parents cannot afford health insurance for them
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| show | provides health benefits for spouses and children of active military personnel
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| show | provides benefits for spouses and dependents of some military veterans
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| referral | show 🗑
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| formulary | show 🗑
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| workers' compensation | show 🗑
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| show | current procedural terminology; for billing
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| WHO | show 🗑
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| ICD-9-CM | show 🗑
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| ICD-9 volume 1 | show 🗑
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| show | alphabetic index
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| ICD-9 volume 3 | show 🗑
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| HAC | show 🗑
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| NEC | show 🗑
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| show | not otherwise specified
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| show | something thats important to note that has happened in the past but current problem is related
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| show | factors that influence patient care
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| show | supplementary classification of external causes of injury and poisoning; never a stand alone or primary code
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| show | hypertension, neoplasms, drugs and chemicals
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| health insurance in the US is primarily a ________ market | show 🗑
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| show | 44 million
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| show | independant practice association
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| pre-authorization | show 🗑
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| pre-certification | show 🗑
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| who covered by medicare | show 🗑
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| show | maximum fee that can be collected per Medicare; 115% of medicare allowed charges
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| show | check with patient's employer immediately, establish seporate medical record, physician must file a first report, physician must submit a statement of services and monthly report, physician must accept payment as paid in full
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| what information is required for preauthorization? | show 🗑
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| who is considered a new patient? | show 🗑
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| who is considered an established patient? | show 🗑
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| show | healthcare common procedure coding system
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| what purpose of procedural coding? | show 🗑
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| purpose of modifiers | show 🗑
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| show | administration of medication that causes total or partial loss of sensation
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| what factors determine the level of service | show 🗑
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| what does not play a factor in E & M code selection | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
jabert1
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