MAAS 211G- MEDICAL INSURANCE STUDY GUIDE QUESTIONS AND ANSWERS 2024/2025
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Course
MAAS 211
Institution
MAAS 211
Under the insurance policy, the __________ pay a premium or annual charge for keeping the
insurance policy in force
→ policyholder
___________ is the process of contacting the insurance plan to see if the proposed procedure
is a covered service under the patient's insurance plan.
→ preau...
MAAS 211G- MEDICAL INSURANCE
STUDY GUIDE QUESTIONS AND
ANSWERS 2024/2025
Under the insurance policy, the __________ pay a premium or annual charge for keeping the
insurance policy in force
→ policyholder
___________ is the process of contacting the insurance plan to see if the proposed procedure
is a covered service under the patient's insurance plan.
→ preauthorization
Patient who do not adhere to the instructions on their medications run the risk of
____________
→ potentially dangerous side effects
_______________ are more cost-efficient even in smaller offices, and claims are generally
paid much more quickly-within a week or two instead of 6 to 8 weeks for paper claims
→ electronic claim submissions
The _________ is responsible for filing insurance claims in most medical offices.
→ medical assistant
In the review of allowable benefits, the claims department compares the fees the physician
has charged with the benefits provided by the patient's health insurance policy to determine
the amount of __________ or __________ the patient owes.
The ____________ or ________ ____________ professional qualification and training are
included in the Physician's Qualifications section of the patient information packet.
→ physician's or licensed practitioner's
The _________ _________ would be denied as a billing error because the treatment was not
medically necessary based on the diagnosis code and there is no evidence of code linkage.
→ insurance claim
All patient education materials should be written at a ________ reading level to
accommodate the greatest number of patients
→ sixth-grade
The third level of disease prevention involves _________ and ________ of an existing illness.
→ rehabilitation and management
A patient's file is ______________ if the patient dies, moves away, or for some other reason
no longer comes to the office
→ closed
Many medical practices is ___________ _________ to track important dates or events, such
as sending patient checkup cards or ordering supplies
→ ticker files
The _______ ________ of disease prevention is screening
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