Medical medical coding lesson 2 h07v
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Ashworth College *
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H07V
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Health Science
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Dec 6, 2023
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docx
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Uploaded by janet0812
Medic
al medical coding lesson 2 h07v
5 / 5 points
Patient–staff encounters in a medical facility leave lasting impressions. These "encounters" begin when
the patient
Question options:
a)
arrives at the medical facility.
b)
encounter has been completed.
c)
telephones for an appointment.
d)
is in the examination room.
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n 2
5 / 5 points
If a child's parents both have insurance coverage, the primary insurance is determined by the
Question options:
a)
better coverage of the two.
b)
full-time coverage rule.
c)
birthday rule.
d)
father's coverage.
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n 3
0 / 5 points
Which reimbursement model pays on the diagnosis and procedure codes instead of procedure codes
alone?
Question options:
a)
VBRS
b)
FFS
c)
IPPS
d)
OPPS
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n 4
5 / 5 points
The Fair Credit Reporting Act is known for
Question options:
a)
sharing credit reports with family members.
b)
protecting a patient's right to see their credit report.
c)
sharing credit reports with lending agencies.
d)
providing exact details on interest and repayment when extending a line of credit.
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n 5
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An episode-of-care reimbursement can be used for
Question options:
a)
diagnosis and procedures codes together.
b)
an inpatient prospective payment system (IPPS).
c)
a capitated reimbursement structure.
d)
physician work, practice expense, and professional liability insurance.
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n 6
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What's a network of doctors and hospitals that shares responsibility for managing the healthcare needs
of a minimum of 5,000 Medicare beneficiaries for at least three years?
Question options:
a)
Health Insurance Exchange
b)
Health Maintenance Organization
c)
Accountable Care Organization
d)
Health Savings Plan
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n 7
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It's human nature for patients to want to like their physicians. For these reasons, physicians should
Question options:
a)
never talk about any of their private issues.
b)
talk to their patients about all their private problems.
c)
reveal only enough information for their patients to relate to them.
d)
discuss their personal experiences.
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n 8
0 / 5 points
What does the birthday rule refer to?
Question options:
a)
Coordinating benefits when a patient has two insurances
b)
How primary insurance is determined when both a child's parents have insurance coverage
c)
How many years of insurance for children under the age of 25 will last
d)
How to apply contributions to medical expenses in a dedicated medical account
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n 9
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The amount of money a patient must pay that's based on a percentage of the contracted amount is
called the
Question options:
a)
coinsurance.
b)
premium.
c)
copay.
d)
deductible.
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n 10
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Most services offered by a healthcare facility aren't tangible, meaning they can't be seen or felt;
therefore, patients look for surrogates, which include
Question options:
a)
other patients in the facility.
b)
question and answer forms.
c)
the distance of the facility from the patient's house.
d)
office location, size, and layout.
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n 11
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A dedicated account where contributions are made before taxes are deducted but which must be
applied to medical expenses (or childcare services) is called a
Question options:
a)
flexible spending account.
b)
health reimbursement arrangement.
c)
health savings account.
d)
medical savings account.
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n 12
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If a patient slips and falls while getting coffee at the workplace, the medical treatment for their injury
would be covered by which of the following?
Question options:
a)
Commercial property insurance
b)
Their own employer-sponsored medical plan
c)
Workers' compensation
d)
Professional liability insurance
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n 13
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Who is the legal owner of the patient's health record?
Question options:
a)
Physician
b)
Insurance company
c)
Patient's legal guardian
d)
Patient
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n 14
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The amount of money that the patient and the employer must pay each month to maintain insurance
coverage is the
Question options:
a)
copay.
b)
deductible.
c)
premium.
d)
coinsurance.
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n 15
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A patient's copay is the
Question options:
a)
flat fee the patient must pay each time they see a doctor.
b)
amount of money a patient must pay each year before insurance will cover a service.
c)
amount of money that the patient and the employer must pay each month to maintain insurance coverage.
d)
amount of money a patient must pay that's based on a percentage of the contracted amount.
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n 16
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The amount of money a patient must pay each year before insurance will cover a service is a
Question options:
a)
copay.
b)
premium.
c)
coinsurance.
d)
deductible.
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n 17
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A _______ provider contracts with the insurer, agreeing to abide by certain rules and regulations of that
carrier.
Question options:
a)
nonparticipating
b)
fee-for-service
c)
participating (PAR)
d)
managed healthcare
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n 18
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With few exceptions, the release of information contained in a patient's health record to a third party is
Question options:
a)
always allowed.
b)
prohibited by law without written consent from the patient.
c)
expected and encouraged for physician-to-physician discussion.
d)
prohibited by law and can never be released.
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n 19
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The government insurance that provides healthcare coverage to low-income and medically needy
individuals is
Question options:
a)
Medigap.
b)
Tricare.
c)
Medicaid.
d)
Medicare.
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n 20
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What type of insurance covers a broad range of services, including nursing home care, assisted living
facilities, certain types of home healthcare, and adult day care?
Question options:
a)
Health savings account
b)
Accountable Care Organization
c)
Long-term care insurance
d)
Health insurance exchange