Billing & Coding Mid-Term Exam Review

2. Medicare Part A is what kind of insurance
3. establish financial responsibility for a visit is which step of the medical billing cycle?
5. The amount of time that must pass before an employee can enroll in a health plan is called a(n)
8. consumer-driven health plan funding option is set up and funded by employers
9. After providing treatment, the provider submits the claim to the local BCBS plan in his or her service area, which is referred to as the
11. refers to an individual who enrolls in a health plan after the original enrollment date
12. type of surgery is a procedure that can be scheduled ahead of time, but which may or may not be medically necessary
14. Medicare Part B is what type of medical insurance
19. program under Medicaid offers health insurance coverage for uninsured children

1. The physician who first treats the injured or ill employee is known as the
4. What service is performed for a patient who does not have symptoms, abnormal findings, or any past history of the disease?
6. If a Medicare PAR physician thinks that a planned procedure will not be found medically necessary by Medicare and so will not be reimbursed, the patient should be asked to sign a(n)
7. Individuals who are eligible for both Medicaid and Medicare benefits are called Medi-Medi beneficiaries or
10. program under Medicaid offers financial assistance for people with low incomes and few resources
13. The program that offers benefits to veterans with 100 percent disability, as well as to their dependents or survivors, is
15. The TRICARE program that offers an HMO-like plan requiring no annual deductible is
16. The TRICARE program that offers an alternative managed care plan to TRICARE Prime with no annual enrollment fee is
17. Department of Defense's health insurance plan for military personnel and their families.
18. consumer-driven health plan funding option can be funded by both employers and employees