HCA 110 EXAM QUESTIONS CORRECTLY ANSWERED.
Coinsurance - CORRECT ANSWER A fixed percentage of covered charges paid by the insured person after the deductible has been met
Fee Schedule - CORRECT ANSWER A list of charges for services or procedures performed
A managed care program in which it...
HCA 110 EXAM QUESTIONS
CORRECTLY ANSWERED.
Coinsurance - CORRECT ANSWER A fixed percentage of covered charges paid by the insured person after
the deductible has been met
Fee Schedule - CORRECT ANSWER A list of charges for services or procedures performed
A managed care program in which its members are expected to receive treatment only from one of its
participating providers - CORRECT ANSWER HMO
A provider who participates in an insurance carrier's plan is considered to be - CORRECT ANSWER PAR
An explanation of benefits (EOB) is called - CORRECT ANSWER RA
Assignment of benefit statements are completed with these types of providers to ensure payment
directly from the insurer to the provider - CORRECT ANSWER PAR
Coordination of benefits refer to - CORRECT ANSWER the legality of having more than one insurance
policy
Elderly or disabled patients who qualify for Medicare and who cannot pay for Medicare's charges may
qualify for dual coverage also know as - CORRECT ANSWER Medi/Medi
Electronic claims can be sent directly to an insurance plan or through a _______ where the claim
information will be standardized and "scrubbed". - CORRECT ANSWER Clearinghouse
If a claim is submitted electronically, the remittance advice, how is the claim received? - CORRECT
ANSWER Electronically
Medicare Part A pays what portion of hospitalization for the first 60 days - CORRECT ANSWER 100%
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