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[Show more]Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of 
the following is NOT included as a standard transaction? 
a. Payment and remittance advice 
b. Eligibility in a health plan 
c. Coordination of benefits 
d. Physician unique identifier number - Answ...
Preview 2 out of 11 pages
Add to cartEight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of 
the following is NOT included as a standard transaction? 
a. Payment and remittance advice 
b. Eligibility in a health plan 
c. Coordination of benefits 
d. Physician unique identifier number - Answ...
What does the acronym PHI stand for? 
a. Patient Healthcare Information 
b. Patient History of Illness 
c. Protected Health Information 
d. Protected Healthcare Index - Answer c. Protected Health Information 
A new radiology company opens in town. The manager calls your practice and offers to pay $2...
Preview 2 out of 8 pages
Add to cartWhat does the acronym PHI stand for? 
a. Patient Healthcare Information 
b. Patient History of Illness 
c. Protected Health Information 
d. Protected Healthcare Index - Answer c. Protected Health Information 
A new radiology company opens in town. The manager calls your practice and offers to pay $2...
EPO - ...provides benefits to subscribers who are required to receive services from network 
providers 
IDS - ...organizations of affiliated providers sites that offer joint healthcare services to subscribers 
HMO - ...providers comprehensive healthcare services to voluntarily enrolled members on a ...
Preview 2 out of 6 pages
Add to cartEPO - ...provides benefits to subscribers who are required to receive services from network 
providers 
IDS - ...organizations of affiliated providers sites that offer joint healthcare services to subscribers 
HMO - ...providers comprehensive healthcare services to voluntarily enrolled members on a ...
Abuse - An action that results in unnecessary costs to a federal healthcare program, directly or 
indirectly. 
Anti-kickback - Knowingly and willfully offering or accepting rewards or remuneration for services 
that are billable to a federal healthcare plan. 
Benefiiciary - An individual that is eli...
Preview 2 out of 9 pages
Add to cartAbuse - An action that results in unnecessary costs to a federal healthcare program, directly or 
indirectly. 
Anti-kickback - Knowingly and willfully offering or accepting rewards or remuneration for services 
that are billable to a federal healthcare plan. 
Benefiiciary - An individual that is eli...
What is the term for the total amount of covered medical expenses a policyholder must pay each year 
out-of-pocket before the health insurance company begins to pay any benefits? 
A. Copayment 
B. Deductible 
C. Secondary Payment 
D. Coinsurance - Answer B. Deductible 
Which type of insurance covers...
Preview 2 out of 15 pages
Add to cartWhat is the term for the total amount of covered medical expenses a policyholder must pay each year 
out-of-pocket before the health insurance company begins to pay any benefits? 
A. Copayment 
B. Deductible 
C. Secondary Payment 
D. Coinsurance - Answer B. Deductible 
Which type of insurance covers...
A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one 
patient to justify services on multiple other patients' claims. The office manager brought the civil suit. 
What type of case is this? - Qui Tam 
In which of the following circumstances may PHI n...
Preview 3 out of 16 pages
Add to cartA practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one 
patient to justify services on multiple other patients' claims. The office manager brought the civil suit. 
What type of case is this? - Qui Tam 
In which of the following circumstances may PHI n...
The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by 
highest outstanding balance. Based on the A/R report provided, which payer type and aging category 
would be one of the top priorities on which to focus collection efforts? - workers' compensatio...
Preview 2 out of 9 pages
Add to cartThe office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by 
highest outstanding balance. Based on the A/R report provided, which payer type and aging category 
would be one of the top priorities on which to focus collection efforts? - workers' compensatio...
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