Question

Questions: List the words that indicate a qualified diagnosis . How can you verify the codes you find in the Index? List the terms used for the owner of a health insurance policy . What is the usual deadline for accepting a claim by most insurance carriers? Name patients' out of pocket expenses. How many characters are there in an ICD-10-CM. . What are Disability income (DI) insurance benefits based on? What is national provider identifier (NPI)? . How often you verify patients' information? . What should you do in the case a claim is rejected by the insurance carrie? . While coding for CPT, what part of the procedure description is the first part you are looking up? 1 | P a ge

Answer 1

1. The words that indicate qualified diagnosis are :-

- probable

- suspected

- likely

- questionable

- possible

- still to be ruled out

3. List of the terms used for the owner of a health insurance policy are :-

Actuary

someone versed in the collection and interpretation of numerical data (especially someone who uses statistics to calculate insurance premiums)

Agent

an authorized representative of an insurance company who sells and services insurance contracts. Agents must be licensed by the state.

Beneficiary

person entitled to benefits or proceeds of an insurance policy or will

Benefits

The amount of money the insurance company agrees to pay a claimant or beneficiary under the specific policy terms.

Bonds

a certificate issued by a government or private company which promises to pay back with interest the money borrowed from the buyer of the certificate: The city issued bonds to raise money for putting in new sewers.

Broker

a businessman who buys or sells for another in exchange for a commission

Cash surrender value

the amount that the insurance company will pay on a given life insurance policy if the policy is cancelled prior to the death of the insured

Claim

The demand by an individual to recover losses covered under an insurance policy.

Claimant

The person who files the claim with the insurance company.

Coinsurance

part of charges that an insured person must pay for health care services after payment of the deductible amount

4. Most auto insurance companies have a goal of completing your claim within 30 days.

5. An out-of-pocket expense (or out-of-pocket cost) is the direct payment of money that may or may not be later reimbursed from a third-party source.Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered