Page | 1
UHI- CH. 1-5 Questions with Detailed Verified
Answers
Question: 1. It is the process of reporting as numeric and alphanumeric
characters on the insurance claim which is called coding.
Ans✅ ✅: diagnosis and procedures/services
Question: 2. Medical necessity
Ans✅ ✅: Involves linking every procedure or service code reported on the claim to a
condition code that justifies the necessity of performing that procedure or service.
Question: 3. Health insurance claim
Ans✅ ✅: It is submitted to the payer requesting reimbursement.
Question: 4. when a health insurance plan's preauthorization
requirements
are not met by providers:
Ans✅ ✅: payment of the claim is denied.
Question: 5. CPT
Ans✅ ✅: is a coding system used to report procedures and services on claims.
Question: 6. Remittance advice
Ans✅ ✅: payment information about a claim are found on this document.
Question: 7. Embezzle
Ans✅ ✅: steal
Question: 8. Ethics
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Ans✅ ✅: describes the principles of right or good conduct and include rules that
govern the conduct of members of a profession.
Question: 9. Patient confidentiality
Ans✅ ✅: each student internship must sign a nondisclosure agreement for the sake
of patients' protection.
Question: 10. ICD-1- PCS
Ans✅ ✅: is a coding system used to report procedures and services on inpatient
hospital claims.
Question: 11. Medical care
Ans✅ ✅: includes the identification of disease and the provision of care and
treatment to persons who are sick, injured, or concerned about their health status.
Question: 12. Preventive examination
Ans✅ ✅: It may specifically result in the early detection of health problems,
allowing less drastic and less expensive treatment options.
Question: 13. Group health insurance
Ans✅ ✅: a health insurance coverage is subsidized by employers and other
organizations.
Question: 14. Individual health insurance
Ans✅ ✅: this is purchased by families who do not have access to employer
subsidized coverage
Question: 15. ICD
Ans✅ ✅: International Classification of Diseases
Question: 16. ICD
UHI- CH. 1-5 Questions with Detailed Verified
Answers
Question: 1. It is the process of reporting as numeric and alphanumeric
characters on the insurance claim which is called coding.
Ans✅ ✅: diagnosis and procedures/services
Question: 2. Medical necessity
Ans✅ ✅: Involves linking every procedure or service code reported on the claim to a
condition code that justifies the necessity of performing that procedure or service.
Question: 3. Health insurance claim
Ans✅ ✅: It is submitted to the payer requesting reimbursement.
Question: 4. when a health insurance plan's preauthorization
requirements
are not met by providers:
Ans✅ ✅: payment of the claim is denied.
Question: 5. CPT
Ans✅ ✅: is a coding system used to report procedures and services on claims.
Question: 6. Remittance advice
Ans✅ ✅: payment information about a claim are found on this document.
Question: 7. Embezzle
Ans✅ ✅: steal
Question: 8. Ethics
, Page | 2
Ans✅ ✅: describes the principles of right or good conduct and include rules that
govern the conduct of members of a profession.
Question: 9. Patient confidentiality
Ans✅ ✅: each student internship must sign a nondisclosure agreement for the sake
of patients' protection.
Question: 10. ICD-1- PCS
Ans✅ ✅: is a coding system used to report procedures and services on inpatient
hospital claims.
Question: 11. Medical care
Ans✅ ✅: includes the identification of disease and the provision of care and
treatment to persons who are sick, injured, or concerned about their health status.
Question: 12. Preventive examination
Ans✅ ✅: It may specifically result in the early detection of health problems,
allowing less drastic and less expensive treatment options.
Question: 13. Group health insurance
Ans✅ ✅: a health insurance coverage is subsidized by employers and other
organizations.
Question: 14. Individual health insurance
Ans✅ ✅: this is purchased by families who do not have access to employer
subsidized coverage
Question: 15. ICD
Ans✅ ✅: International Classification of Diseases
Question: 16. ICD
