Which of the following describes the function of a medical coder?
A. assists patients in completing the paperwork necessary to obtain insurance payments
B. helps the patient identify the amount that health insurance pays for a given service and how much the patient must pay
C. assigns numeric codes to diagnostic, procedure, and treatment information
D. works with insurance companies to resolve billing and payment problems
Answer: C
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The medical assistant should honor a request for copies of a patient record only after:
A) verifying the patient's/legal guardian's signature and date of the consent. B) receiving a court order. C) verifying the release of sensitive patient information such as AIDS or STDs. D) all of the above
If a carrier downcodes a claim and the provider maintains that the reported services were medically necessary, the medical office specialist should:
send a bill to the patient for the remaining balance. write off the remaining balance. file an appeal with the insurance carrier. send a complaint to the state insurance commissioner.
President ____ signed a directive that mandated that NIOSH investigate incident-related firefighter fatalities.
A. Bush B. Clinton C. Nixon D. Reagan
Individuals who are eligible for both Medicaid and Medicare benefits are called
A. Medi-eligibles. B. both dual-eligibles and Medi-Medi beneficiaries. C. Medi-Medi beneficiaries. D. dual-eligibles.