Insurance Tests

Question 1

A health insurance claim form is

Answer 1

Document submitted for reimbursement

Question 2

CMS means

Answer 2

Centers for Medicare and Medicaid services

Question 3

HIS stands for:

Answer 3

Health Insurance specialist

Question 4

How many coding systems are there?

Answer 4

3

Question 5

ICD coding came about in what year?

Answer 5

1970

Question 6

A health care practitioner is also called a health care:

Answer 6

Provider

Question 7

Which coding system is used to report diagnosis and conditions on claims?

Answer 7

ICD-10

Question 8

Which report is sent to the patient by the payer to clarify the results of claims processing:

Answer 8

Explanation of benefits

Question 9

What is the primary purpose of the patient health record:

Answer 9

Continuity of care

Question 10

Health Insurance is a contract between a policyholder and a:

Answer 10

Third party payer

Question 11

A policyholder is the person:

Answer 11

Signs the contract with a health insurance company

Question 12

A third-party payer is:

Answer 12

The health insurance company

Question 13

The claim form that most insurance is billed on:

Answer 13

CMS-1500

Question 14

The first Insurance policy (Franklin Health Assurance Company) was started in:

Answer 14

1850

Question 15

The Electronic Health Record is:

Answer 15

Global

Question 16

Health care coverage offered by________is called group health insurance.

Answer 16

Employer

Question 17

The government health plan that provides health care services to Americans over the age of 65 is called:

Answer 17

Medicare

Question 18

The percentage of costs that a patient shares with the health plan is usually:

Answer 18

80-20

Question 19

Another name for the provider is:

Answer 19

Gatekeeper

Question 20

CMS is administrative agency within the

Answer 20

DHHS

Question 21

This document records the patients’ demographics, medications, diagnosis, treatment and any follow procedures:

Answer 21

Medical record

Question 22

The Encounter form is the financial record source document used by health care providers and other personnel to record treated diagnosis and services rendered to the patient, it is also called a:

Answer 22

Superbill

Question 23

An alternative to traditional group health insurance coverage is called

Answer 23

HMO

Question 24

Who is the third-party payer?

Answer 24

The insurance company

Question 25

The first Blue Cross insurance policy was introduced by

Answer 25

Baylor University

Question 26

The government health plan that provides medical services for Americans over the age of 65

Answer 26

Medicare

Question 27

The PCP serves as the __________ by providing essential health care services at the lowest possible cost

Answer 27

Gatekeeper

Question 28

Managed Health care (Managed Care) was developed as a way to provide affordable, comprehensive, pre-paid health care services to:

Answer 28

Enrollees, subscribers and policyholders