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What is the difference between a reimbursement specialist and a claims examiner? _______________________________. A healthcare practitioner is also called a ______________________________. If patients call requesting

  1. What is the difference between a reimbursement specialist and a claims examiner? _______________________________.
  2. A healthcare practitioner is also called a ______________________________.
  3. If patients call requesting to speak with the physician what is the most appropriate response?
  4. The process of assigning diagnoses, procedures, and services using numeric and alphanumeric characters is called_______________________.
  5. If a health insurance plan's preauthorization requirement are not met by providers the claim(s) will be ___________________________________.
  6. Which coding system is used to report diagnoses and conditions on claims? _____________________________
  7. What document requirements are included in medical necessity? _______________.
  8. The CPT coding system is published by the_______________________________________.
  9. National codes are associated with________________________________.
  10. Which report is sent to the patient by the payer to clarify the results of claims processing? _______________________
  11. A remittance advice contains_______________________.
  12. Which type of insurance guarantees repayment for financial losses resulting from an employee's act or failure to act?
  13. Medical malpractice insurance is a type of _____________________insurance.
  14. Which mandates workers' compensation insurance to cover employees and their dependents against injury and death occurring during the course of employment?
  15. The American Medical Billing Association offers which certification exams? ________________________________________________________.
  16. Describe the marketplace. Who implemented the marketplace and when? Who is eligible for health coverage through the marketplace? ___________________.

What is meaningful use? Describe the measures of meaningful use

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