WorksheetsLesson 1 Quiz Review Insurance Billing & Coding
Total questions: 10
Worksheet time: 5mins
Which of the following statements describes a major trend in the healthcare industry today?
There is an increase in hospital visits
Insurance companies are covering more services
There is a shift of payment responsibility from employers and insurance companies to patients
Employers are paying more for employee insurance
Why is the work of insurance specialists an increasingly complex job?
Providers deal with only one type of insurance
Healthcare practices do not have to follow any regulations
The work is simple and straightforward
Healthcare practices work with managed care contracts, providers must follow federal and state regulations, and providers deal with many health plans
A practice's operating expenses are called __________.
Accounts receivable
Accounts payable
Revenue
Net income
What is the term for the person who is the holder of the insurance policy?
Beneficiary
Provider
Policyholder
Insured party
Payments for covered services made to providers by health plans are called __________.
Co-pays
Premiums
Benefits
Deductions
A(n) __________ is an electronic or paper document that is filed to receive benefits.
Invoice
Prescription
Healthcare claim
Medical record
The amount the insured must pay before a health plan's payment begins is called a(n) __________.
Premium
Co-pay
Deductible
Benefit
A payment method based on provider charges is called __________.
Capitation
Fee for service
Pay for performance
Value-based payment
Staff members who handle billing, check insurance, and process payments are typically known as __________.
Medical assistants
Medical insurance specialists
Receptionists
Accountants
A series of steps that leads to maximum, appropriate, and timely payments for patients' medical services is called the __________.
Claims process
Billing cycle
Revenue cycle
Payment plan
