MOP'S

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Author:
chooper812
ID:
158382
Filename:
MOP'S
Updated:
2012-06-19 12:58:18
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Medical Office Procedures Quiz
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Description:
Test Review for Chapter 9, 11, 12, 14, 20, 21 & 22
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  1. 2 TYPES OF CLAIMS
    • 1. ELECTRONIC
    • 2. PAPER
  2. HOW MANY WEEKS FOR EACH TYPE OF CLAIM FORM TO RETURN FROM BILLING
    • 1. ELECTRONIC 7-14 DAYS
    • 2. PAPER 6-8 WEEKS
  3. MEDICARE PART D
    DRUGS AND PRESCRIPTIONS
  4. MEDICARE PART A
    INPATIENT
  5. 2 NAMES FOR CLAIMS FORMS
    • 1. UNIVERSAL CLAMIS FORM
    • 2. CMS-1500
  6. 3 WAYS TO VERIFY INSURANCE
    • 1. TELEPHONE
    • 2. ONLINE
    • 3. PASSPORT
  7. TRICARE
    MILITARY
  8. MEDICARE PART B
    OUTPATIENT
  9. PREMIUM
    MONEY PAID MONTHLY, QUARTERLY, OR ANNUALLY TO THE INSURANCE COMPANY
  10. WORKERS' COMPENSATION
    INSURANCE SUPPLIED BY A WORKERS' EMPLOYER FOR INJURY'S THAT OCCURRED WHILE ON THE JOB.
  11. HEALTH INSURANCE
    PROTECTION FOR INDIVIDUALS FROM ILLNESS OR INJURY
  12. DEPENDENT
    FAMILY MEMBER COVERED UNDER A HEALTHCARE PLAN
  13. CO-PAYMENT
    SET AMOUNT OF MONEY PAID AT THE TIME OF SERVICE
  14. CARRIER
    A COMPANY THAT ASSUMES THE RISK OF AN INSURANCE POLICY
  15. GUARANTOR
    PERSON RESPONSIBLE FOR PAYING THE MEDICAL BILL
  16. POLICYHOLDER
    PERSON WHO CARRIES THE INSURANCE
  17. HANDSET (Phone)
    THE HANDSET SHOULD BE HELD IN THE CENTER, WITH THE MOUTHPIECE APPROXIMATELY 1-INCH IN FRONT OF THE LIPS.
  18. TYPICAL QUESTIONS TO ASK A CALLER TO DETERMINE THE VALIDITY AND DISPOSITION OF AN EMERGENCY
    • 1. At what telephone number can you be reached?
    • 2. Where are you located?
    • 3. What are the Chief Symptoms?
    • 4. When did they start?
    • 5. Has this happened before?
    • 6. Are you alone?
    • 7. Do you have transportation?
  19. WHAT IS THE MINIMUM OF 7 ITEMS TO TAKE A PHONE MESSAGE
    • 1. Name of person to whom the call is directed
    • 2. Name of the person calling
    • 3. Caller's daytime, evening, and/or cell phone number
    • 4. Reason for the call
    • 5. Action to be taken
    • 6. Date and time of the call
    • 7. Initials of the person taking the call
  20. PROVIDER
    AN INDIVIDUAL OR COMPANY THAT PROVIDES MEDICAL CARE AND SERVICES TO A PATIENT OR THE PUBLIC
  21. CLARITY
    THE QUALITY OR STATE OF BEING CLEAR
  22. JARGON
    THE TECHNICAL TERMINOLOGY OR CHARACTERISTIC IDIOM OF A PARTICULAR GROUP OR SPECIAL ACTIVITY, AS OPPOSED TO LAY TERMS.
  23. MONOTONE
    A SUCCESSION OF SYLLABLES, WORDS OR SENTENCES IN AN UNVARIED KEY OR PITCH.
  24. PITCH
    THE PROPERTY OF A SOUND, ESPECIALLY A MUSICAL TONE, THAT IS DETERMINED BY THE FREQUENCY OF THE WAVES PRODUCING IT; THE HIGHNESS OR LOWNESS OF SOUND.
  25. AMENITY
    SOMETHING CONDUCIVE TO COMFORT, CONVENIENCE, OR ENJOYMENT
  26. DEMOGRAPHIC
    THE STATISTICAL CHARACTERISTICS OF HUMAN POPULATIONS (as in age or income) USED ESPECIALLY TO IDENTIFY MARKETS
  27. PERCEPTION
    A QUICK, ACUTE, AND INTUITIVE COGNITION; A CAPACITY FOR COMPREHENSION.
  28. PROGRESS NOTES
    NOTES USED IN THE MEDICAL RECORD TO TRACK THE PATIENT'S PROGRESS AND CONDITION.
  29. DEMOGRAPHIC INFORMATION
    • 1. Patient's full name and date of birth
    • 2. Responsible person's name and relationship to the patient
    • 3. Address and telephone number
    • 4. Name, address, and telephone number of spouse
    • 5. Occupation
    • 6. Place of employment
    • 7. Social Security Number
    • 8. Driver's License Number
    • 9. Nearest relative not living with the patient and his/her relationship to patient
    • 10. Source of referral, if any
  30. BACKORDER
    AN ORDERED ITEM THAT IS NOT DELIVERED WHEN PROMISED OR DEMANDED BUT WILL BE FILLED AT A LATER DATE.
  31. BUDGET
    A PLAN FOR THE COORDINATION OF RESOURCES AND EXPENDITURE, THE AMOUNT OF MONEY AVAILABLE OR REQUIRED FOR A PARTICULAR PURPOSE.
  32. OUTSOURCING
    THE PRACTICE OF SUBCONTRACTING WORK TO AN OUTSIDE COMPANY
  33. OVERHEAD
    THE ONGOING ADMINISTRATIVE EXPENSES OF A BUSINESS THAT CANNOT BE ATTRIBUTED TO ANY SPECIFIC BUSINESS ACTIVITY BUT ARE STILL NECESSARY FOR THE BUSINESS TO FUNCTION. (e.g. rent, utilities, insurance)
  34. CHRONOLOGIC ORDER
    OF, RELATING TO, OR ARRANGED IN OR ACCORDING TO THE ORDER OF TIME
  35. OBJECTIVE INFORMATION
    INFORMATION THAT IS GATHERED BY WATCHING OR OBSERVATION OF A PATIENT
  36. POWER OF ATTORNEY
    A LEGAL INSTRUMENT AUTHORIZING ONE TO ACT AS THE ATTORNEY OR AGENT OF THE GARANTOR
  37. SUBJECTIVE INFORMATION
    INFORMATION THAT IS GAINED BY QUESTIONING THE PATIENT OR TAKEN FROM A FORM
  38. ACCOUNT BALANCE
    THE AMOUNT OWED ON AN ACCOUNT
  39. FEE SCHEDULE
    A COMPILATION OF PRE-ESTABLISHED FEE ALLOWANCES FOR GIVEN SERVICES OR PROCEDURES
  40. FISCAL AGENT
    AN ORGANIZATION UNDER CONTRACT TO THE GOVERNMENT (as well as some private plans) TO ACT AS FINANCIAL REPRESENTATIVES IN HANDLING INSURANCE CLAIMS FROM PROVIDERS OF HEALTHCARE; ALSO REFERED TO AS FISCAL INTERMEDIARY.
  41. MEDICALLY INDIGENT
    ABLE TO TAKE CARE OF ORDINARY LIVING EXPENSES BUT UNABLE TO AFFORD MEDICAL CARE
  42. PROFESSIONAL COURTESY
    REDUCTION OR ABSENCE OF FEES TO PROFESSIONAL ASSOCIATES

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