Copayment - Study guides, Class notes & Summaries

H has suffered a covered disability away from her job and will shortly begin collecting benefits. The insurer sends a letter to H stating that she will not receive any benefit amounts greater than her income. This clause is known as: A: Over-insurance clause B: free look C: relation of earning to insurance D: relation of economic value - answer-C: relation of earning to insurance The insured should be aware of the issue date upon delivery a policy and the date should be listed on: A: the...

Medical Billing & Coding: Final Exam Study Guide with Complete Solutions The largest federal program providing healthcare is __________________ which provides health insurance for citizens aged 65 and older as well as certain patients under the age of 65. Medicare The ___________________ ______________ is responsible for filing insurance claims in most medical offices.. Medical Assistant Patients are generally asked to sign an _____________ of _____________statement, in which the p...

HFMA CRCR EXAM, CERTIFICATION EXAM, PRACTICE EXAM AND A STUDY GUIDE LATEST 2024 ACTUAL EXAM 320 QUESTIONS AND CORRECT DETAILED ANSWERS Study online at 1. Pre-Service activities 1. Requested service is screened for med necessity, health coverage/benefits verified, preauthorization obtained and estimate to patient oop costs generated within guidelines of NSA and state regulations. 2. Patient notified of financial responsibility including copayment and health plan deductibles, eligibil...

RMIN 4000 UGA Brown Test 4 Questions and Answers (Graded A)RMIN 4000 UGA Brown Test 4 Questions and Answers (Graded A)RMIN 4000 UGA Brown Test 4 Questions and Answers (Graded A) fee-for-serive - ANSWER-a separate fee is paid for each service copayment - ANSWER-flat amount the insured must pay each time health services are received calendar year deductible - ANSWER-an aggregate deductible that has to be satisfied only once during the calendar year

AAPC CPB FINAL EXAM 2023-2024 REAL EXAM 170 QUESTIONS AND ANSWERS (VERIFIED ANSWERS)|ARGADE Which is a TRUE statement regarding Workers' Compensation? A. There is no copayment for the injured worker in workers' compensation cases. B. The filing deadline for a first report of injury form is one week from the date of the accident. C. Providers can balance bill a patient when compensation payment is not paid in full. D. There is a deductible for the injured worker in workers' compensa...

©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e AAPC Official CPC Certification Study Guide "hold harmless clause" - answer* found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - answer* more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-ref...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospi...

Georgia JAM Questions and Answers Rated A+ professional licensing boards division division individual appointed by the Secretary of State as director of the professional licensing boards division within the office of the Secretary of State division director any board, bureau, commission, or other agency of the executive branch of the state government which is created for the purpose of licensing or otherwise regulating or controlling any profession, business, or trade and which is...

the second level of disease prevention is - screening When the insured person pays an annual cost for healthcare insurance, it is called a ________. - premium Which of the following occupations might put a patient at risk for injury because having to sit for long periods? - Secretary Files that feature pullout drawers that contain a metal bar equipped to handle letter-size or legal-size documents are called ____. - Vertical Files Who most frequently files insurance claims and handles insu...

MedCerts/WK#1: Insurance and Billing, and Coding Essentials What is a copayment? -Amount paid by policyholder/beneficiary annually. -Fixed amount paid by policyholder/beneficiary for service. -Percentage of charge paid by policyholder/beneficiary. - Ans>>>Fixed amount paid by policyholder/beneficiary for service. What is a deductible? -Amount paid by policyholder/beneficiary annually. -Fixed amount paid by policyholder/beneficiary for service. -Percentage of charge paid by p...

Workbook for Introductory Medical-Surgical Nursing, 11e Chapter 1 SECTION 1: ASSESSING YOUR UNDERSTANDING Activity A 1. Illness 2. Client 3. Healthcare delivery system 4. Health 5. Medicaid Activity B 1. Holism 2. Healthcare team 3. Medicare 4. Diagnosis-related groups 5. Wellness Activity C 1. C 2. D 3. E 4. A 5. B Activity D 1. The major difference between illness and disease is that illness is highly individual and personal, whereas disease is something more definitive ...