NCCT - Medical Office Management - Part C - Financial Management
NCCT - MEDICAL OFFICE MANAGEMENT - PART C - FINANCIAL MANAGEMENT
- 1.A BED PATIENT IN A HOSPITAL IS CALLED A(N)?
- A.
INPATIENT
- B.
OUTPATIENT
- C.
THIRD PARTY PAYER
- D.
PROVIDER
- 2.A PERSON WHO REPRESENTS EITHER PARTY OF AN INSURANCE CLAIM IS THE?
- A.
DOCTOR
- B.
ADJUSTER
- C.
PROVIDER
- D.
SUBSCRIBER
- 3.A REQUEST FOR PAYMENT UNDER AN INSURANCE CONTRACTOR BOND IS CALLED A(N)?
- A.
INSURANCE APPLICATION
- B.
CLAIM
- C.
DUAL CHOICE REQUEST
- D.
TOTAL DISABILITY
- 4.PAYMENT MADE PERIODICALLY TO KEEP AN INSURANCE POLICY IN FORCE IS CALLED?
- A.
TIME LIMIT
- B.
PREMIUM
- C.
COINSURANCE
- D.
FEE-FOR-SERVICE
- 5.A PERSON OR INSTITUTION THAT GIVES MEDICAL CARE IS A(N)?
- A.
THIRD-PARTY PAYER
- B.
PROVIDER
- C.
ADJUSTER
- D.
INSURANCE AGENT
- 6.BENEFITS THAT ARE MADE IN THE FORM OF CASH PAYMENTS ARE KNOWN AS?
- A.
INDEMNITIES
- B.
DEDUCTIBLES
- C.
MEDICAL CO-PAYS
- D.
CASH ADVANCES
- 7.AN AMOUNT THE INSURED MUST PAY BEFORE POLICY BENEFITS BEGIN IS CALLED?
- A.
INDEMNITY
- B.
EXTENDED BENEFITS
- C.
DEDUCTIBLE
- D.
CATASTROPHIC
- 8.AN ORGANIZATION THAT OFFERS HEALTH INSURANCE AT A FIXED MONTHLY PREMIUM WITH LITTLE OR NO DEDUCTIBLE & WORKS THROUGH A PRIMARY CARE PROVIDER IS CALLED A(N)?
- A.
PREFERRED PROVIDER
- B.
HEALTH MAINTENANCE ORGANIZATION
- C.
MEMBER PHYSICIAN
- D.
PRIVATE HEALTH PROVIDER
- 9.HEALTH INSURANCE THAT PROVIDES PROTECTION AGAINST THE HIGH COST OF TREATING SEVERE OR LENGTHY ILLNESSES OR DISABILITIES IS CALLED?
- A.
CATASTROPHIC
- B.
SEVERE
- C.
THIRD-PARY PAYER
- D.
NO CORRECT ANSWER
- 10.A PATIENT RECEIVING AMBULATORY CARE AT A HOSPITAL OR OTHER HEALTH FACILITY WITHOUT BEING ADMITTED AS A BED PATIENT IS CALLED A(N)?
- A.
INPATIENT
- B.
OUTPATIENT
- C.
CARRIER
- D.
ADJUSTER
- 11.AN INJURY THAT PREVENTS A WORKER FROM PERFORMING ONE OR MORE OF THE REGULAR FUNCTIONS OF HIS JOB WOULD BE KNOW AS A?
- A.
PARTIAL DISABILITY
- B.
PERMANENT DISABILITY
- C.
TOTAL DISABILITY
- D.
RESULTANT DISABILITY
- 12.A PREVIOUS INJURY, DISEASE OR PHYSICAL CONDITION THAT EXISTED BEFORE THE HEALTH INSURANCE POLICY WAS ISSUED IS CALLED?
- A.
PREEXISTING CONDITION
- B.
PRIOR EXPOSURE
- C.
FOREGOING CONDITION
- D.
NO CORRECT ANSWER
- 13.ONE WHO BELONGS TO A GROUP INSURANCE PLAN IS CALLED?
- A.
THIRD-PARTY PAYER
- B.
SUBSCRIBER
- C.
CARRIER
- D.
NO CORRECT ANSWER
- 14.A SUM OF MONEY PROVIDED IN AN INSURANCE POLICY, PAYABLE FOR COVERED SERVICES IS CALLED?
- A.
DEDUCTIBLE
- B.
BENEFITS
- C.
DUES PAYABLE
- D.
PREMIUM
- 15.TO PREVENT THE INSURED FROM RECEIVING A DUPLICATE PAYMENT FOR LOSSES UNDER MORE THAN ONE INSURANCE POLICY IS CALLED?
- A.
FEE-FOR-SERVICE
- B.
HOSPITAL BENEFITS
- C.
COORDINATION OF BENEFITS
- D.
NON DUPLICATION BENEFITS
- 16.WHEN A PATIENT HAS HEALTH INSURANCE, THE PERCENTAGE OF COVERED SERVICES THAT IS THE RESPONSIBILITY OF THE PATIENT TO PAY IS KNOW AS?
- A.
COINSURANCE
- B.
PRE-DEFINED POLICY
- C.
COMPREHENSIVE
- D.
IN PERCENT POLICY
- 17.INSURANCE THAT IS MEANT TO OFFSET MEDICAL EXPENSES RESULTING FROM A CATASTROPHIC ILLNESS IS CALLED?
- A.
PRIMARY INSURANCE
- B.
MAJOR MEDICAL
- C.
WHOLE LIFE POLICY
- D.
COMPREHENSIVE
- 18.AN UNEXPECTED EVENT WHICH MAY CAUSE INJURY IS CALLED?
- A.
DREAD DISEASE RIDER
- B.
ACCIDENT
- C.
ADJUSTER
- D.
NO CORRECT ANSWER
- 19.A DOCTOR WHO AGREES TO ACCEPT AN INSURANCE COMPANIES PRE-ESTABLISHED FEE AS THE MAXIMUM AMOUNT TO BE COLLECTED IS CALLED?
- A.
SUBSCRIBER
- B.
CLAIM REPRESENTATIVE
- C.
PARTICIPATING PHYSICIAN
- D.
ADJUSTER
- 20.INSURANCE PLANS THAT PAY A PHYSICIAN'S FULL CHARGE IF IT DOES NOT EXCEED HIS NORMAL CHARGE OR DOES NOT EXCEED THE AMOUNT NORMALLY CHARGED FOR THE SERVICE IS CALLED?
- A.
USUAL, CUSTOMARY AND REASONABLE
- B.
COMPREHENSIVE
- C.
DUAL CHOICE
- D.
NO CORRECT ANSWER
- 21.A NOTICE OF INSURANCE CLAIM OR PROOF OF LOSS MUST BE FILED WITHIN A DESIGNATED __________ OR IT CAN BE DENIED?
- A.
WAITING PERIOD
- B.
POLICY DATE
- C.
TIME LIMIT
- D.
GRACE PERIOD
- 22.A HEALTH PROGRAM FOR PEOPLE AGE 65 AND OLDER UNDER SOCIAL SECURITY IS CALLED?
- A.
TRI-CARE
- B.
MEDICARE
- C.
CHAMPVA
- D.
WORKERS' COMPENSATION
- 23.A CIVILIAN HEALTH & MEDICAL PROGRAM OF THE UNIFORM SERVICES IS CALLED?
- A.
TRI-CARE
- B.
MEDICARE
- C.
MEDICAID
- D.
WORKERS' COMPENSATION
- 24.A FORM OF INSURANCE PAID BY THE EMPLOYER PROVIDING CASH BENEFITS TO WORKERS INJURED OR DISABLED IN THE COURSE OF EMPLOYMENT IS CALLED?
- A.
TRI-CARE
- B.
CHAMPUS
- C.
WORKERS' COMPENSATION
- D.
MEDICAID
- 25.A RECAP SHEET THAT ACCOMPANIES A MEDICARE OR MEDICAID CHECK, SHOWING BREAKDOWN & EXPLANATION OF PAYMENT ON A CLAIM IS CALLED?
- A.
FEE-FOR-SERVICE
- B.
EXPLANATION OF BENEFITS
- C.
COORDINATION OF BENEFITS
- D.
DUAL CHOICE
Back to top