| 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 |
