Answer the following statements true (T) or false (F)
1) A medical office specialist can appeal a claim in writing or over the telephone.
2) If a claim is denied due to services NOT being covered under the insurance policy, the patient cannot be billed for the services.
3) When payment is denied, the insurance carrier only notifies the patient.
4) If a procedure is NOT documented in the medical record, it cannot be reported or billed.
5) When answering a patient's questions about claims, the medical office specialist should use technical terms in order to sound more professional and accurate.
1. TRUE
2. FALSE
3. FALSE
4. TRUE
5. FALSE
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You have been assigned to a football game to provide standby coverage. While taking a break, you decide to walk to a nearby concession stand for a soft drink. On the way, you come across a group of people standing around a male patient who collapsed and is on the ground. Your assessment reveals him to be unresponsive, not breathing, and pulseless. A bystander states that the patient collapsed
less than a minute earlier. An AED is located less than a minute from your location. The nearest EMT is 5 minutes from your location. Which one of the following should you do immediately? A) Start CPR and wait for the AED. B) Run to retrieve the nearby AED. C) Call for assistance and start CPR. D) Take manual in-line spinal stabilization.
Referring to a patient by his or her disease, such as "the amputee," is a form of:
a. discrimination. b. sexual harassment. c. being politically incorrect. d. communication.
The health care sector constituted what percentage of the U.S. gross domestic product in 2011?
a. 8% b. 18% c. 28% d. 38%
The amount of time from the date of service to the deadline the claim can be filed with the insurance company is called a(n) ____________________
Fill in the blank(s) with correct word