MA NHA Module 11 Practice 1

Patient appointments are monitored by noting:

• Patient vital signs

• Appointment scheduling

• Billing details

• Medical history

The type of appointment needed for a check-up is:

• Annual wellness visit

• Follow-up visit

• New patient appointment

• Consultation visit

Appointment needs are prioritized based on:

• Urgency and patient needs

• First come, first served

• Availability of doctors

• Appointment type

A superbill includes services rendered, diagnosis codes, and charges.

• Services rendered, diagnosis codes, and charges.

• Only services rendered and diagnosis codes.

• Only charges and diagnosis codes.

• Only services rendered.

An encounter form is used for documenting patient visits and billing information.

• Documenting patient visits and billing information

• Scheduling patient appointments

• Storing patient demographic details

• Assessing patient treatment outcomes

Insurance verification is confirming a patient's insurance coverage.

• Confirming a patient's insurance coverage

• Booking a patient appointment

• Completing medical paperwork

• Verifying a patient's identity

Financial eligibility refers to meeting the income and asset requirements for participation.

• meeting the income and asset requirements

• having a high credit rating

• earning above minimum wage

• possessing sufficient academic qualifications

Prior authorizations are processes required by insurance companies to approve certain health care services before they are provided.

• An administrative process to determine and approve coverage

• A direct payment method for services

• A system for patient referrals

• A form of insurance claim adjustment

Patient check in/out involves verifying patient identity and appointment details.

• By verifying patient identity and appointment information.

• By simply recording patient data without verification.

• By contacting the doctor for confirmation.

• By ignoring patient appointment details.

Coinsurance is defined as the portion of covered healthcare costs that the insured is required to pay.

• The portion of covered healthcare costs that the insured is required to pay.

• A payment for each doctor's visit.

• A flat deductible fee.

• A penalty for late insurance premium.