HIM 130 exam 1 review questions n
answers already passed
what is a health insurance claim form? - correct answer ✔✔a document submitted to the payer
requesting reimbursement.
who oversees the centers for Medicare and Medicaid services (CMS) - correct answer ✔✔the
department of health and human services
what is another name for a health care practitioner - correct answer ✔✔a provider
how would you answer the phone to a patient that calls the office and demands to speak to the
provider? - correct answer ✔✔you would let them know the provider is not available and ask if
they would like to recieve a message.
the process of assigning diagnoses, procedures, and services using numeric and alphanumeric
characters is known as what? - correct answer ✔✔coding
if providers do not meet a health insurance plan prior approval requirements, what can/will
happen? - correct answer ✔✔the claim will be denied
which coding system is used to report diagnoses and conditions on claims? - correct answer
✔✔ICD-10-CM
what is an explanation of benefits and when does the patient receive it? - correct answer
✔✔the report that is sent to the patient by the payer after the visit to clarify the results of the
claims that were processed.
answers already passed
what is a health insurance claim form? - correct answer ✔✔a document submitted to the payer
requesting reimbursement.
who oversees the centers for Medicare and Medicaid services (CMS) - correct answer ✔✔the
department of health and human services
what is another name for a health care practitioner - correct answer ✔✔a provider
how would you answer the phone to a patient that calls the office and demands to speak to the
provider? - correct answer ✔✔you would let them know the provider is not available and ask if
they would like to recieve a message.
the process of assigning diagnoses, procedures, and services using numeric and alphanumeric
characters is known as what? - correct answer ✔✔coding
if providers do not meet a health insurance plan prior approval requirements, what can/will
happen? - correct answer ✔✔the claim will be denied
which coding system is used to report diagnoses and conditions on claims? - correct answer
✔✔ICD-10-CM
what is an explanation of benefits and when does the patient receive it? - correct answer
✔✔the report that is sent to the patient by the payer after the visit to clarify the results of the
claims that were processed.
