#1
What does the term 'co-payment' refer to in health insurance?
The total amount of money an insured individual must pay out of pocket for healthcare services before the insurance company begins to pay.
A fixed amount paid by an insured individual for covered services, typically due at the time of service.
The percentage of costs of a covered healthcare service an insured individual must pay after meeting the deductible.
A form of health insurance coverage that limits coverage to care from doctors who work for or contract with the HMO.
#2
What is a 'deductible' in health insurance terminology?
The total amount of money an insured individual must pay out of pocket for healthcare services before the insurance company begins to pay.
A fixed amount paid by an insured individual for covered services, typically due at the time of service.
The percentage of costs of a covered healthcare service an insured individual must pay after meeting the deductible.
A form of health insurance coverage that limits coverage to care from doctors who work for or contract with the HMO.
#3
What does 'HIPAA' refer to in the healthcare industry?
Health Insurance Program and Accountability Act
Health Insurance Portability and Accountability Act
Health Information Privacy and Protection Act
Healthcare Insurance and Protection Act
#4
In health insurance, what is the 'network'?
A group of healthcare providers and facilities that have contracts with a health insurance company to provide services at negotiated rates.
A list of covered medical services.
A document detailing the terms of an insurance policy.
A type of insurance coverage.
#5
What does 'EHR' stand for in healthcare?
Electronic Health Record
Emergency Hospital Response
Effective Healthcare Regulation
Essential Health Resource
#6
What is 'PHR' in the context of healthcare?
Personal Health Record
Public Health Regulation
Patient Healthcare Review
Physician Health Report
#7
What does 'DOB' stand for in medical billing?
Date of Birth
Declaration of Benefits
Deductible of Billing
Documentation of Billing
#8
What does 'HMO' stand for in health insurance?
Health Management Organization
Healthcare Maintenance Organization
Healthcare Management Organization
Health Maintenance Organization
#9
In medical billing, what does 'CMS' typically refer to?
Critical Medical Services
Center for Medicare and Medicaid Services
Coding Management System
Clinical Medical Standards
#10
What does the term 'EOB' stand for in medical billing?
End of Business
Explanation of Benefits
Electronic Order Billing
Extended Office Billing
#11
What is 'CPT' in medical coding and billing?
Current Procedural Terminology
Coding Procedure Toolkit
Certified Professional Coder
Centralized Patient Tracking
#12
What is 'pre-authorization' in the context of health insurance?
A process by which a healthcare provider gets approval from a health insurance company before providing certain services.
An upfront payment required by a healthcare provider before providing services.
A document sent by an insurance company to explain benefits.
A type of insurance coverage for medical procedures.
#13
What is 'COBRA' in the context of health insurance?
A type of snake venom used in medical treatments.
A federal law that allows individuals to continue their group health insurance coverage for a limited time after leaving employment.
A medical billing code for emergency room visits.
A type of health insurance plan for retirees.
#14
What does 'PHI' mean in healthcare?
Public Health Insurance
Protected Health Information
Personal Health Insurance
Patient Health Interaction
#15
What is 'ICD-10' in the context of medical billing?
A standardized system of medical codes used for billing purposes.
A specific type of medical procedure.
An insurance coverage designation.
A type of healthcare facility.
#16
What does 'U&C' mean in medical billing?
Usual and Customary
Underwriting and Coverage
Urgent Care
Uninsured and Covered
#17
What does 'NPI' stand for in medical billing?
National Provider Identifier
Net Payment Invoice
Non-Profit Insurance
Normal Payment Index
#18
What is 'PAR' in the context of healthcare?
Personal Authorization Request
Preferred Allowable Rate
Provider Assessment Report
Physician Approved Referral