package deal of CPB.

WHO IS COVERED BY CHAMPVA? A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES B) ACTIVE DUTY MILITARY AND THEIR FAMILIES C) RETIRED MILITARY AND THEIR FAMILIES D) ACTIVE DUTY MILITARY OVER THE AGE OF 65 - correct answer A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND T...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. ...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - correct answer covered entity Which of the following is not a covered entity in the Privacy Rule - correct answer healthcare consulting firm A request for medical records is...

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 - correct answer B. Deductible Which type of i...

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - correct answer c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offe...

Electronic data interchange - correct answer EDI Treatment, payment and operations - correct answer TPO Conditions of participation - correct answer COP False claim act - correct answer FCA Health information portability and accountability act - correct answer HIPAA Preferred provider...

1. The biller at a medical practice has identified $575 in Medicare overpayments. After verification, they are presented to the office manager, who tells the biller not to write the refund check. The medical practice is going to put the money in their general account instead. What act does this acti...

HRA - Health Reimbursement Account What part of Medicare pays for prescriptions - Part D What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO insurance plans to its members? - Triple Option Plan HIPAA - Health Insurance Portability and Accountabil...

Which of the following does NOT qualify a patient for coverage under Medicare? a. End Stage Renal Disease (ESRD) b. Age 65 or older c. Under age 65 with disabilities d. Low income individual - correct answer d. Low income individual The insurance claim process begins with: a. Patient inf...