HCR 203 Week 4 Ch. 14 Online Quiz

Resource: Ch. 14 online quiz

Access the Ch. 14 Medical Insurance online quiz relating to guidelines for patient accounts

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An appeal is sent to third-party payers before a questionable claim is transmitted.
	A)	True
	B)	False



2	The claimant is the person or entity who seeks to receive benefits.
	A)	True
	B)	False



3	The claim turnaround time is the period between the patient’s encounter and the transmission of the resulting claim.
	A)	True
	B)	False



4	Medical insurance specialists follow up on claims that are not processed within the specified claim turnaround time for the payer.
	A)	True
	B)	False



5	An example of concurrent care is a case in which a patient is attended by two physicians, such as a cardiologist and a thoracic surgeon, during surgery.
	A)	True
	B)	False



6	The determination of a claim refers to the payer’s decision regarding payment.
	A)	True
	B)	False



7	An insurance aging report lists the practice’s patients, their insurance information, and their ages.
	A)	True
	B)	False



8	A medical necessity denial occurs when a procedure is halted by a provider because of the patient’s condition.
	A)	True
	B)	False



9	A medical review program is established by a third-party payer.
	A)	True
	B)	False



10	A utilization review is conducted by provider to check the medical necessity of claims before they are transmitted.
	A)	True
	B)	False