HCR 203 Week 4 Ch. 14 Online Quiz

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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
Complete the quiz and click the Submit button.
Create a screenshot of the completed quiz.
To take a screenshot, follow these directions:
1. Press Alt + Print Screen on your computer keyboard to create a screenshot.
2. Open a blank Microsoft® Word document.
3. Press Ctrl + V on your keyboard to paste the screenshot into the document.
4. Save the document to your computer, and submit the document to your instructor.
Click the Assignment Files tab to submit your assignment.


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
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