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| 12035453840 | Final determination involving settlement of an industrial accident is known as | adjudication | 0 | |
| 12035453841 | Do you need prior employment to receive SSDI payments? | True | 1 | |
| 12035453842 | OSHA | Occupational Safety and Health Administration | 2 | |
| 12035453843 | SOAP | subjective, objective, assessment, plan | 3 | |
| 12035453844 | NPI | National Provider Identifier | 4 | |
| 12035453845 | NOS | Not otherwise specified | 5 | |
| 12035453846 | Are worker's compensation records kept in a separate chart or the patients personal chart if they see their own provider for workers comp services? | True | 6 | |
| 12035453847 | What are supplementary reports and when are they filed for temporary disability insurance claims? | Reports for current status of patient; after every visit | 7 | |
| 12035453848 | In a worker's comp case, the contract and financial responsibility exists between who? | The physician and insurance company | 8 | |
| 12035453849 | For patients receiving VA medical care, travel expenses to and from the facility are a benefit. | True | 9 | |
| 12035453850 | Does California allow for state disability benefits in a normal routine pregnancy? | True | 10 | |
| 12035453851 | Where is disability insurance available from, what sources? | Private insurance, group policies, and government policies | 11 | |
| 12035453852 | What is one of the most important items needed on a state disability claim form? | Social security number | 12 | |
| 12035453853 | When a case is rated for permanent disability and settled, this is called | compromise and release | 13 | |
| 12035453854 | The simplest type of workers compensation claim is | Non-disability | 14 | |
| 12035453855 | What do worker's comp benefits include? | Medical treatment, temporary disability indemnity, permanent disability indemnity, etc. | 15 | |
| 12035453856 | In many states, worker's compensation laws have exemptions for certain occupations such as? | Domestic employees, babysitters, and gardeners | 16 | |
| 12035453857 | Premiums for workers' compensation insurance are paid by the | Employer | 17 | |
| 12035453858 | What are reasons for worker's' compensation laws? | Provide income, encourage workplace safety | 18 | |
| 12035453859 | A person retired from a career in the armed forces is eligible for TRICARE until 65 years of age? | True | 19 | |
| 12035453860 | What is CHAMPVA? How does a person qualify for it? Who can treat CHAMPVA patients? | A service benefit program; beneficiaries or a veteran, freedom of choice | 20 | |
| 12035453861 | How and who administers Medicaid benefits? What individuals qualify forMedicaid benefits? What benefits are available through Medicaid? | State governments; federal guidelines; elderly, blind, disabled, low income; family planning & basic care. | 21 | |
| 12035453862 | Who is eligible for Medicare benefits? Know the types of coverages Medicare provides? Who administers Medicare benefits? | 65 or older; physician services; hospital care; administered by the CMS. | 22 | |
| 12035453863 | Know the two types of personal bankruptcy. | Chapter 7; Chapter 13: liquidation and reorganization | 23 | |
| 12035453864 | What is small claims court? | Allows laypeople to a court system without the use of an attorney | 24 | |
| 12035453865 | When insurance carriers do not pay claims in a timely manner, what effect does this have on the medical practice? | decreased cash flow | 25 | |
| 12035453866 | professional courtesy | Discount the provider gives the patient | 26 | |
| 12035453867 | The first level of appeal in the Medicare program is | redetermination | 27 | |
| 12035453868 | Routine use of too many nonspecific diagnostic codes may result in downcoding. | True | 28 | |
| 12035453869 | An insurance claim submitted with errors is referred to as? | dirty claim | 29 | |
| 12035453870 | A code or codes that further explain or add additional detail to a CPT code is known as a | Modifier | 30 | |
| 12035453871 | What does bundling mean? | Grouping codes that are related to a procedure | 31 | |
| 12035453872 | The key components that determine an evaluation and management code are documented by who? | The physician | 32 | |
| 12035453873 | What are Z codes used for? How often are CPT and ICD codes updated? | Anything other than injury or illness. Updated annually. | 33 | |
| 12035453874 | What are neoplasms? | new growths | 34 | |
| 12035453875 | It is possible for the primary diagnosis and the principal diagnosis to be the same? Can we code for symptoms? Can a condition be both acute and chronic at the same time? | True. True. True. | 35 | |
| 12035453876 | What is the term used as the name of a disease, structure, operation, or procedure, usually derived from the name of a place or a person who discovered or described it first called? | Eponym | 36 | |
| 12035453877 | Burns are reported based on the depth of the burn, the extent of the burn, and the agent that caused the burn | True | 37 | |
| 12035453878 | Primary, principle, secondary | Main reason for the encounter; diagnosis obtained after the study; contribute to the condition | 38 | |
| 12035453879 | What do diagnostic and procedure codes explain? | Diagnostic: explains the reason the patient sought health care services; procedure: explains services provided | 39 | |
| 12035453880 | Birthday rule | The guidelines that determines which of two married parents with medical coverage from different employers has the primary insurance for a child; the parent whose day of birth is earlier in the calendar year is considered primary | 40 | |
| 12035453881 | The reason for a coordination of benefits statement in a health insurance policy is to | prevent duplication or overlapping of payments for the same medical expense. | 41 | |
| 12035453882 | When does the physician/patient contract begin? | When the physician accepts the patient and agrees to treat the patient | 42 | |
| 12035453883 | Most physician/patient contracts are | implied | 43 | |
| 12035453884 | Confidentiality between the physician and the patient is automatically waived when the patient is being treated in a worker's comp case? | True | 44 | |
| 12035453885 | Submitting a claim for services that is not medically necessary is a violation of what act? What penalties might be incurred for illegally coding claims? | False Claims Act; fines, imprisonment, or both. | 45 | |
| 12035453886 | Are physicians legally responsible for any actions of their employees performed within the context of their employment? | True | 46 | |
| 12035453887 | What does confidential information include? What are medical ethics? | Anything that identifies the patient; standards of conduct | 47 | |
| 12035453888 | What does cash flow mean? | The amount of actual cash generated and available for use by the medical practice within a given period of time. | 48 | |
| 12035453889 | What is an encounter form? Other names it could be called? | a list of procedures with the charges; charge slip, superbill, transaction slip | 49 | |
| 12035453899 | What is an assignment of benefits? | 50 | ||
| 12035453890 | What are reasons to document patient encounters? | Coding, data, progressions | 51 | |
| 12035453891 | What are the differences between a new patient and an existing patient? | New patient: has not received services within the past 3 years Existing patient: has received services within the past 3 years | 52 | |
| 12035453892 | Is a problem focused examination more complex than a detailed examination? | False | 53 | |
| 12035453893 | When a discussion takes place with a patient concerning the risks and benefits of treatment options, it is considered | counseling | 54 | |
| 12035453894 | A daily record sheet used to record daily business transactions is called a(n) | day sheet | 55 | |
| 12035453895 | An insurance billing specialist can escape liability by pleading ignorance. | False | 56 | |
| 12035453896 | Personal insurance is usually less expensive than other health insurance | False | 57 | |
| 12035453897 | Information such as the deductible, copayment, preapproval provisions, and insurance company address and telephone number usually can be found on the insurance card. | True | 58 | |
| 12035453898 | Front office medical duties have become increasingly important because | Diagnostic and procedure coding must be reviewed for its correctness and completeness. | 59 |
