Table of Contents
- 1 When fraudulent actions are taken by a provider what penalties may be imposed by the government?
- 2 When only the signature of the payee appears on the back of the check it is called a n?
- 3 When a physician sees a patient more than is medically necessary?
- 4 What if a check is blank on the back?
- 5 Why is the correct sequence of codes on an insurance claim important?
When fraudulent actions are taken by a provider what penalties may be imposed by the government?
Health care providers and their employees can be subject to civil monetary penalties of $5,500 to $11,000 for EACH false claim submitted. They can be required to pay three times the amount of damages sustained by the United States government, and they may also be excluded from participation in Medicare and Medicaid.
When completing a claim form if any question is unanswerable?
Chapters 7,8,9,& 10
| Question | Answer |
|---|---|
| When completing a claim form, if any question is unanswerable, | leave the space blank |
| When medications are considered to be experimental, the claim should be sent to the | insurance carrier with a copy of the invoice from the supply house |
When only the signature of the payee appears on the back of the check it is called a n?
When the signature of the payee appears on the back of a check with additional instructions, it is called a(n): restrictive endorsement. To properly balance a checkbook, it is necessary to have the: monthly bank statement.
What is the key to substantiating procedure and diagnostic code selections for proper reimbursement?
the key to substantiating procedure and diagnostic code selections for appropriate reimbursement is a supporting medical record. physicians are required to use the documentation guidelines developed by the AMA and CMS, formerly the HCFA.
When a physician sees a patient more than is medically necessary?
Insurance Handbook For The Medical Office Chpts. 9-11 Pretest
| Question | Answer |
|---|---|
| ____________ occurs when a physician sees a patient more than medically necessary, thus increasing revenue through an increased number of services. | Churning |
When a physician sees a patient more than is medically necessary it is called?
When a physician sees a patient more than is medically necessary, it is called. churning. Referral of a patient recommended by one specialist to another specialist is known as. tertiary care.
What if a check is blank on the back?
This is because elements like the endorsement line and the security screen are not essential for the validity of a check. Simply sign the end you would normally sign (that is, the end opposite of the signature line on the front of the check), and you’re done!
Is a written order to a bank to pay the amount stated to the person or business name on it?
check
A check is a written order to a bank to pay the amount stated to the person or business named on it. A checking account is also called a demand deposit, because the money may be withdrawn at any time—that is, “on demand.”
Why is the correct sequence of codes on an insurance claim important?
Why is the correct sequence of codes on an insurance claim important? to make the chronology of patient care events understood; to make the severity of disease understood.
When a new CPT code is used it may take as long as 6 months before an insurance company has a mandatory value assignment?
when a new CPT code is used, it may take as long as 6 months before an insurance company has a mandatory value assignment. in coding a surgical procedure, postoperative care follow-up visits may not be coded separately if they fall within the global period for the procedure.