Healthcare Billing and Financial Practices Quiz

Summarizes the costs covered and not covered by an insurance plan after a healthcare service.

International Classification of Diseases, 10th Edition, Clinical Modification for coding medical conditions.

Process of managing multiple insurance policies to determine coverage responsibility.

Document sent by the insurer explaining payments and denials for healthcare claims.

Standard form used to submit healthcare claims for payment.

Enables standardized documentation and billing for medical procedures and services.

Verifying insurance coverage electronically through online platforms.

A claim submitted with accurate and complete information, reducing processing delays.

Inflating codes to charge for more expensive services than those provided.

Systematic classification of medical information for billing and data analysis.

An entity tasked with identifying and recovering improper payments in healthcare claims.

Legislation ensuring privacy and security of health information.

Verifying patient identity by checking government-issued identification.

Capturing and documenting all billable services and procedures for accurate billing.

Automated tool to check and clean claims for accuracy before submission.