QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ noX (Des).
Answer: includes nitric oxide (NO) and Nitrogen dioxide (NO2) which is a
reddish brown gas and nitrogen dioxide (N2O) which is a greenhouse gas
◍ Advance Beneficiary Notice (ABN).
Answer: A form provided to the patient when the provider believes
Medicare will probably not pay for services received
◍ Allowed Amount.
Answer: The maximum amount a third-party payer will pay for a particular
procedure or service
◍ CO (des).
Answer: poisonous colorless odorless gas
◍ Lead (des).
Answer: heavy metal relased into air as suspended particulate
◍ Copayment.
Answer: a small fixed fee paid by the patient at the time of an office visit
◍ Coinsurance.
Answer: a provision under which both the insured and the insurer share the
covered losses, typically 80:20
◍ deductible.
Answer: specific amount of money a patient must pay out of pocket before
the insurance carrier begins paying
◍ Explanation of Benefits.
, Answer: a form created by the insurance company to explain what charges
were covered, denied, or need more documentation based on the claims
submitted by the physician's office
◍ Participating provider (PAR).
Answer: Providers who agree to write off the difference between the amount
charged by the provider and the approved fee established by the insurer
◍ Medicare.
Answer: A federal program of health insurance for persons 65 years of age
and older by Part A (hospitalization) or Part B (routine medical office visits)
◍ CFCs (des).
Answer: hydrocarbons containing carbon, chlorine and fluorine
◍ PM (des).
Answer: very small particles of soot dust or other mater classified based on
size
◍ Tricare.
Answer: U.S. government health insurance plan for all military personnel
◍ CHAMPVA.
Answer: covers surviving spouses and dependent children of veterans who
died as a result of service-related disabilities
◍ Medicaid.
Answer: provides health insurance to the medically indigent population
through a cost-sharing program between federal and state governments for
those who meet specific eligibility criteria
◍ Managed Care.
Answer: is an umbrella term for plans that provide health care in return for
preset scheduled payments and coordinated care through a defined network
of providers and hospitals
◍ CMS-1500 form.
Answer: Standard insurance form used by all government and most
, commercial insurance payers.- 33 blocks- divided into three section
◍ CMS-1500 Section 1.
Answer: Carrier Block: contains the address of the insurance carrier and is
located at the top of the form
◍ O3 (des).
Answer: colorless reactice gas that is helpful in the stratosphere but harmful
in the troposphere
◍ CMS-1500 Section 2.
Answer: Patient/insured section: contains information about the patient or
insured; includes boxes 1-13
◍ SO2 (des).
Answer: colorless gas with a pungent odor
◍ VOCs (des).
Answer: organic molecules that evaporate esily indoor air pollutant
◍ Lead (source).
Answer: smeltijg/metal processing wast incineraots used to be a component
of gasoline and paint
◍ CMS-1500 Section 3.
Answer: Physician/Supplier Section: contains information about the
physician or supplier: boxes 14-33
◍ Epidural Injection.
Answer: epidural space of the spine
◍ NOx (source).
Answer: cehicles exhaust, burning of fossil fuels, argicultural activies
◍ VOCs (source).
Answer: cigarettes, solvents, perfumes, paijnts, clearnesr, glues, pesticides
◍ Intra-arterial Injection.
Answer: injection into an artery (to break up clots)