chapter 1 health insurance specialist career

Question 1

AAPC

Answer 1

PROFESSIONATL ASSOCIATION PREVIOUSLY KNOWN AS THE AMERICIAN ACADEMY OF PROFESSIONAL CODERS ESTABILISHED TO PROVID SUPPORT THE NATIONAL AND LOCAL MEMERSHIP BY PROVIDING EDUCATIONAL PRODUCTS AND OPPORTUNITIES TO NETWORKS AND TO INCREASE AND PROTE NATIONAL RECOGNITION AND AWARENESS OF PROFESSIONAL CODING

Question 2

AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS AAMA

Answer 2

ENBLES MEDICAL ASSISTING PROFESSINALS TO ENHANCE AND DEMOSTRATE THE KNOWLEDGE SKILLS AND PROFESSIONALISM REQUIRED BY EMPLOYERS

Question 3

AMERICAN HEALTH INFORMATION MANAGEMNT ASSOCIATION

Answer 3

IMPROVE THE QUALITY OF MEDICAL RECORDS AND CURRENTLY ADVANCE THE HEALTH INFORMATION MANAGMENT

Question 4

BONDING INSURANCE

Answer 4

AN INSURANCE AGREEMENT THAT GUARANTEES REPAYMENT FOR FINCIAL LOSSSES RESULTHING FROM THE ACT OR FALIURE TO ACT OF AN EMPLOYEE

Question 5

CENTERS FOR MEDICARE AND MADICAID SERVICES

Answer 5

FORMELY KNOWN AS THE HEALTH CARE FINACING ADMINISTRATION, AN ADMINSTRATIVE AGENCY WITHIN THE FEDERAL DEPARTMETN OF HEALTH AND HUMAN SERVICES

Question 5

CLAMIS EXAMINER

Answer 5

THIRD PARTY PAYERS TO REVIEW HEALTH RELATED CLAIMS TO DETERMINE WHEATHER THE CHARGES ARE REASONABLE AND MEDICALLY NECESSARY BASED ON THE PATIENTS DIAGNOSIS

Question 6

BUSINESS LIABILITY INSURANCE

Answer 6

PROTECTS BUSINESS ASSETS AND COVERS THE COST OF LAWSUITS RESULTING FROM BODILY INJURY PERSONAL INJURY AND FALSE ADVERTISING

Question 7

CODING

Answer 7

PROCESS OF REPORTING DIAGNOSED PROCEDURE AND SERVICES AS NUMERIC AND ALPHANUMERIC CHARACTERS ON THE INSURANCE CLAIM

Question 8

CURRENT PROCEDURAL TERMINOLOGY

Answer 8

FIVE DIGIT NUMERIC CODES AND DESCRIPTORS FPR PROCEDURES AND SERVICES PERFORMEND AND PROVIDERS

Question 9

EMBEZZLE

Answer 9

ILLEGAL TRANSFER OF MONEY OR PROPERTY AS A FRAUDULENT ACTION

Question 10

errors and omission isurance

Answer 10

are professional liability insurance

Question 10

ethics

Answer 10

principle of right or good conduct

Question 11

explanation of benefits

Answer 11

report that details the results of processing a claim

Question 12

HCPCS LEVEL II CODES

Answer 12

NATIONAL CODES PUBLISHED BY CMS WHICH INCLUDE FIVE DIGIT ALPHANUMERIC CODE FOR PROCEDURES SERVICES AND SUPPLUES

Question 13

HEALTH CARE PROVIDER

Answer 13

PHYSICIAN OR OTHER HEALTH CARE PRACTITIONER

Question 14

HEALTH INFORMATION TECHNICIAN

Answer 14

PROFESSIONALS WHO MANAGE PATIENT HEALTH INFORMATION AND MEDICAL RECORDS ADMINISTER COMPUTER INFORMATON SYSTEMS AND CODE DIAGNOSES

Question 15

HEALTH INSURANCE CLAIM

Answer 15

DOCUMENTATION SUNMITTED TO AN INSURANCE PLAN REQUESTION REIMBURSENT FOR HEATH CARE SERVICES

Question 16

HEALTH INSURANCE SPECIALIST

Answer 16

PERSON WHO REVIEWS HEALTH RELATED CLAIMS TO MATCH NECESSITY TO PROCEDURES OR SERVICES PERCORMED BEFORE PAYMENT

Question 17

HEALTHCARE COMMON PROCEDURE CODING SYSTEM

Answer 17

CODING SYSTEM THAT CONSITS OF CPT

Question 18

HOLD HARMLESS CLAUSE

Answer 18

POLICY THAT THE PATIENT IS NOT RESPONSIBLE FOR PAYING WHA TTHE INSURANCE PLAN DENIES

Question 19

INDEPENDENT CONTRACTIOR

Answer 19

PERSON WHO PERFORMES SERVICES FOR ANOTHETRR UNDER AN EXPRESS OR IMPLIED AGREEMENT AND WHO IS NOT SUBJECT TO THE OTHERS CONTROL OR RIGH CONTROL OF THE MEANNER ANED MEANS OF PERFORMING THE SERVICES

Question 20

INTERNATION CLASSIFICATION OF DISEASE 10TH REVISION CLINICLA MODIFICATION

Answer 20

CODING SYSTEM TO BE IMPLEMENTED ON OCT 1,2015 AND USED TO REPORT DISEASE INJUREIES AND OTHER REASONS FOR INPATIENT AND OUTPATIENT ENCOUNTERS

Question 21

INTERNATIONAL CLASSIFICATION OF DISEASE

Answer 21

USED TO REPORT PROCEDURES AND SERVICES ON INPATIENT CLAIMS

Question 22

INTERNSHIP

Answer 22

NONPAID PROFESIONAL PRACTICE EXPERIENCE THAT BENEFITS STUDENTS AND FACILITIES THAT ACCEPT STUDENTS FOR PLACEMENT

Question 23

MEDICAL ASSISTANT

Answer 23

EMPLOYED BY A PROVIDER TP PERFORM ADMINISTRATIVE AND CLINCLA TASKS THAT KEEP THE OFFICE OR CLINIC RUNNING SMOOTHY

Question 24

MEDICIAL MALPRACTICE INSURANCE

Answer 24

TYPE OF LIABILITY INSURANCE THAT COVERS PHYCIIANS AND OTHER HEALTH CARE PROFESSIONALS FOR LIABILITY CLAIMS ARISING FOR PATIENT TREATMENT

Question 25

MEDCIAL NECESSITY

Answer 25

LINKING EVERY PROCEDURE OR SERVICE CODE REPORTED ON AN INSURANCE CLAIM TO A CONDITION

Question 26

NATIONAL CODES

Answer 26

INCLUDE FIVE DIGIT ALPHANUMERIC CODES FOR PROCEDURES SERVIES AND SUPPLIES THAT ARE NOT CLASSIFIED IN CPT

Question 27

PTOFESSIONAL LIABILITY INSURANCE

Answer 27

PROTECTION FORM LIABILITY AS A RESULT OF REEORS AND OMISSIONS WHEN PERFORMING THEIR PROFESSIONAL SERVICES

Question 28

PROFESSIONALISM

Answer 28

CONDUCT OR QUALITIES THAT CHARACTRERIZE A PROFESSIONAL PERSON

Question 29

PROPERTY INSURANCE

Answer 29

PROTECTS BUSINESS CONTENTS

Question 30

REIMBURSEMENT SPECIALIST

Answer 30

HEATH INSURANCE SPECIALIST

Question 31

REMITTANCE ADVICE

Answer 31

ELECTRONIC OR PAPER BASED REPORT OF PAYMENT SENT BY THE PAYERE TO THE PROVIDER

Question 32

RESPONDEAT SUPERIOR

Answer 32

LEGAL DOCTRINE HOLDING THAT THE EMPLOYER IS LIABLE FOR THE ACTIONS AND OMISSION OF EMPLOYEES PERFORMEND AND COMMITTED WITHIN THE SCOPE OF EMPLOYMENT

Question 33

SCOPE OF PRACTICE

Answer 33

HEALTH CARE SERVICE DETERMINED BY THE STATE

Question 34

WORKERS COMPENSATION INSURANCE

Answer 34

REQUIRES EMPLOYERS TO COVER MEDICAL EXPENSES AND LOSS WAGES FOR WORKERS WHO ARE INJURED ON THE JOB

Question 35

HEALTHCARE COMMON PROCEDURE CODING SYSTEM

Answer 35

CONSITS OF CPT NATIONAL CODES LEVEAL II AND LOCAL CODES

Question 36

HEALTH INSURANCE SPECIALISTS

Answer 36

PERSON WHO REVIEWS HEALTH RELATED CLAIMS TO MATCH MEDICLA NECESSITIY

Question 37

REIMBURSEMENT SPECIALISTS

Answer 37

HEALTH INSURANCE SPECIALIST

Question 38

HEALTH INFORMATION TECHNICIANS

Answer 38

MANAGE PATIE NT HEALTH INFORMATION AND MEDICAL RECORDS ADMINISTER COMPUTER INFORMATION SYSTEMS AND CODE DIAGNOSES AND PROCEDURE FOR HEALTH CARE SEVIECES

Question 39

REMITTANCE ADVICE

Answer 39

ELECTRONIC OR PAPER BASED REPORT SENT BY THE PAYER TO TEH PROVIDER