#1
In healthcare, what does EHR stand for?
Electronic Health Record
Emergency Healthcare Response
Effective Hospital Regulation
Extended Health Reporting
#2
Which government program provides healthcare coverage for individuals aged 65 and older in the United States?
#3
What does the acronym 'HIPAA' stand for in healthcare?
Healthcare Insurance and Privacy Accountability Act
Health Information Protection and Access Act
Health Insurance Portability and Accountability Act
Healthcare Information Privacy and Assurance Act
#4
What does the acronym 'HMO' stand for in healthcare?
Healthcare Maintenance Organization
Health Management Operation
Hospital Management Office
Healthcare Marketing Organization
#5
What is the primary purpose of the CPT code in medical billing?
Identify the patient
Describe medical procedures and services
Specify the patient's insurance plan
Determine the patient's age
#6
What does the term 'co-payment' refer to in healthcare billing?
The total cost of medical services
The amount the insured patient pays out of pocket for a specific service
The payment made by the insurance company
A payment made by the healthcare provider to the patient
#7
What is the purpose of a 'superbill' in medical billing?
A document detailing the provider's qualifications
A summary of services provided and associated costs for billing
An emergency response plan for healthcare facilities
A report on patient satisfaction
#8
What is the purpose of a 'pre-authorization' process in healthcare billing?
Verifying patient identity
Obtaining approval from insurance before certain medical services are provided
Ensuring accurate coding of medical procedures
Collecting payment after services are rendered
#9
What is the role of a 'billing specialist' in healthcare administration?
Performing surgical procedures
Managing patient appointments
Processing insurance claims and invoices
Diagnosing medical conditions
#10
What is the purpose of the 'Explanation of Benefits (EOB)' statement in healthcare billing?
Detailing the provider's qualifications
Explaining the reasons for a denied insurance claim
Outlining the benefits of a particular insurance plan
Describing the patient's medical history
#11
Which of the following is an example of a 'UB-04' form?
Patient's prescription record
Hospital inpatient claim form
Health insurance card
Patient encounter summary
#12
What is the role of the 'ICD-10' code in healthcare coding and billing?
Identifying medical procedures
Describing patient demographics
Providing information on insurance coverage
Classifying diseases and related health problems
#13
What is a 'clearinghouse' in the context of healthcare billing?
A transparent billing statement sent to patients
An organization that processes and submits claims to insurance carriers
A type of healthcare insurance plan
A facility for patient check-ins
#14
In healthcare, what does the term 'Deductible' refer to in insurance plans?
The amount a patient must pay out-of-pocket before the insurance coverage begins
A discount offered by healthcare providers
The fee charged for cancelling a medical appointment
The maximum amount an insurance company will pay for a specific medical procedure
#15
What does the term 'CMS-1500' refer to in healthcare billing?
A type of medical procedure
A billing form used for professional claims and services
A patient's identification code
A healthcare certification program
#16
What is the role of a 'compliance officer' in healthcare organizations?
Overseeing hospital construction projects
Ensuring adherence to laws and regulations in healthcare practices
Managing patient appointments
Conducting medical research