NHA Quiz

A claim with no defect, impropriety, or special circumstance, including incomplete documentation that delays timely payment is called

• Pure claim

• Good claim

• Clean claim

• False claim

When two insurance companies to work together to coordinate benefits so they pay their fair share.

• Fee sharing

• Coordination of benefit

• Balance Billing

• Charging

Which part of Medicare is known as Hospital Insurance?

• Part C

• Part B

• Part D

• Part A

Law that prohibits physicians from referring patients to entities with which the physician or an immediate family member has a financial relationship.

• Stark Law

• False Claims Act

• HIPPA

• Privacy Practices

Managed care program where its members are assigned a primary care manager to coordinate and manage their healthcare

• Medicare

• Tricare Prime

• Tricare Standard

• Medicaid

How many numbers are in an NPI

• 9

• 5

• 10

• 6

Insurance covered as employee, subscriber, or member

• Primary insurance

• Secondary insurance

• Provider insurance

• Beneficiary insurance

A decision by your health insurance that a medical service is medically necessary

• Prerefferal

• Predetermination

• Preauthorization

• Precertification

Insurance providing wage replacement and medical benefits to employees

• Worker's Comp

• TRICARE

• Medicare

• Medicaid

AOB

• Any other Business

• Assignment of Benefits

• Account of Beneficiary

• All on Board