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Chapter 15 Health Insurance Essentials 323 A payment method in which providers are 9. naid for each individual enrolled in a plan, regardless of whether the person sees the pro- vider that month, is called a (a. capitation b. 10. What should the medical assistant always verify prior to the patient's appointment? a. Eligibility b. Benefits and exclusions Effective date of insurance d All of the above plan. self-insured managed care d. fee-for-service C. WORKPLACE APPLICATIONS 1. After reading the following paragraph, fill the blanks in the statements. The medical assistant's tasks related to health insurance processing are initiated when the patient encounters the provider by appointment, as a walk-in, or in the emergency department or hospital. To complete insurance billing and coding properly, the medical assistant must perform the following tasks: Obtain information from the patient and/or the guarantor, including and a. data. b. Verify the patient's rier or carriers, as well as insurance for insurance payment with the insurance car- exclusions, and whether is required to refer patients to specialists or to perform certain services or procedures such as surgery or diagnostic tests. for referral of the patient to a specialist or for special services or C. Obtain procedures that require advance permission. 2. Julia Berkley has just gotten a new insurance policy and is struggling with all of the terminology she is seeing in her policy. She would like you to explain just what premium, deductible, coinsurance, and copay- ment really mean.

Chapter 15 Health Insurance Essentials 323 A payment method in which providers are 9. naid for each individual enrolled in a plan, regardless of whether the person sees the pro- vider that month, is called a (a. capitation b. 10. What should the medical assistant always verify prior to the patient's appointment? a. Eligibility b. Benefits and exclusions Effective date of insurance d All of the above plan. self-insured managed care d. fee-for-service C. WORKPLACE APPLICATIONS 1. After reading the following paragraph, fill the blanks in the statements. The medical assistant's tasks related to health insurance processing are initiated when the patient encounters the provider by appointment, as a walk-in, or in the emergency department or hospital. To complete insurance billing and coding properly, the medical assistant must perform the following tasks: Obtain information from the patient and/or the guarantor, including and a. data. b. Verify the patient's rier or carriers, as well as insurance for insurance payment with the insurance car- exclusions, and whether is required to refer patients to specialists or to perform certain services or procedures such as surgery or diagnostic tests. for referral of the patient to a specialist or for special services or C. Obtain procedures that require advance permission. 2. Julia Berkley has just gotten a new insurance policy and is struggling with all of the terminology she is seeing in her policy. She would like you to explain just what premium, deductible, coinsurance, and copay- ment really mean.

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Chapter 15 Health Insurance Essentials 323 . A payment method in which providers are paid for each individual enrolled in a plan, regardless of whether the person sees the pro- vider that month, is called a a. capitation b. self-insured managed care d. fee-for-service 10. What should the medical assistant always verify prior to the patient's appointment? a. Eligibility b. Benefits and exclusions plan. Effective date of insurance C. d All of the above WORKPLACE APPLICATIONS 1. After reading the following paragraph, fill the blanks in the statements. The medical assistant's tasks related to health insurance processing are initiated when the patient encounters the provider by appointment, as a walk-in, or in the emergency department or hospital. To complete insurance billing and coding properly, the medical assistant must perform the following tasks: and a. Obtain information from the patient and/or the guarantor, including data. b. Verify the patient's rier or carriers, as well as insurance for insurance payment with the insurance car- exclusions, and whether is required to refer patients to specialists or to perform certain services or procedures such as surgery or diagnostic tests. for referral of the patient to a specialist or for special services or C. Obtain procedures that require advance permission. 2. Julia Berkley has just gotten a new insurance policy and is struggling with all of the terminology she is seeing in her policy. She would like you to explain just what premium, deductible, coinsurance, and copay- ment really mean.
Transcribed Image Text:Chapter 15 Health Insurance Essentials 323 . A payment method in which providers are paid for each individual enrolled in a plan, regardless of whether the person sees the pro- vider that month, is called a a. capitation b. self-insured managed care d. fee-for-service 10. What should the medical assistant always verify prior to the patient's appointment? a. Eligibility b. Benefits and exclusions plan. Effective date of insurance C. d All of the above WORKPLACE APPLICATIONS 1. After reading the following paragraph, fill the blanks in the statements. The medical assistant's tasks related to health insurance processing are initiated when the patient encounters the provider by appointment, as a walk-in, or in the emergency department or hospital. To complete insurance billing and coding properly, the medical assistant must perform the following tasks: and a. Obtain information from the patient and/or the guarantor, including data. b. Verify the patient's rier or carriers, as well as insurance for insurance payment with the insurance car- exclusions, and whether is required to refer patients to specialists or to perform certain services or procedures such as surgery or diagnostic tests. for referral of the patient to a specialist or for special services or C. Obtain procedures that require advance permission. 2. Julia Berkley has just gotten a new insurance policy and is struggling with all of the terminology she is seeing in her policy. She would like you to explain just what premium, deductible, coinsurance, and copay- ment really mean.
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