RCM Basics - Mock Assessment

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Across
  1. 2. MEDICAID IS A ________________ PAYER
  2. 4. The acronym is a law that increases patient confidentiality and restrictions.
  3. 7. Expansion of ABN
  4. 11. PRIOR-AUTHORIZATION NUMBER WILL BE PRINTED IN BLOCK ________ OF THE CMS1500 FORM
  5. 13. XYE167343467 IS AN EXAMPLE OF _______________ ID
  6. 15. Expansion of CPT
  7. 20. The concept provides a system that financially assists those individuals who need healthcare. Many employers provide this benefit to their employees. They both share the cost (2 words)
  8. 21. Part B Deductible for the year 2017 is ____________
  9. 22. B.A - 1000 AA - 800 DED - 200 PROVIDER IS PARTICIPATING AND WOULD BE PAID AT 80%. PLEASE FIND OUT THE TOTAL PATIENT RESPONSIBILITY
  10. 23. Expansion of PIP
  11. 24. ALL WC CLAIMS HAVE TO BE FILED WITH ______________
  12. 25. THE DIAGNOSIS CODE(S) WILL BE PRINTED IN BLOCK(S) __________
  13. 27. Expansion of FEP
  14. 29. A CLAIM WITH NO ERRORS THAT PASSES THROUGH ALL THE FRONT END ERRORS OF THE PAYER'S SYSTEM IS CALLED A __________________ CLAIM
Down
  1. 1. THE MEDICARE PROGRAMS RESPONSIBLE FOR PHYSICIANS AND HOSPITAL BASED CHARGES ARE
  2. 3. POS 22 denotes _________________________
  3. 5. The first digit of ICD 10 will be an ________________
  4. 6. Expansion of SNF
  5. 8. Part A Deductible for the year 2017 is ____________
  6. 9. AOB WILL BE INDICATED IN BLOCKS ____ & ______ IN THE CMS1500 FORM
  7. 10. NAS IS VALID UPTO ____________ DAYS
  8. 12. Modifier 26 stands for ___________________
  9. 14. This type of health insurance represents 55% of US Health Insurance coverage. (3 words)
  10. 16. The acronym is a law that focuses on balancing cost, access and quality of a healthcare system.
  11. 17. Expansion of MSP
  12. 18. This health insurance program was the first to start a group health program nationally. (2 words)
  13. 19. WHEN MTF IS UNABLE TO RENDER THE TREATMENT, IT WOULD REFER THE PATIENT TO A CIVILIAN FACILITY BY ISSUING A _____________________
  14. 26. Medicare Part B covers ________________ charges
  15. 28. This govt program focuses on providing services to the indigent.