Information Technology and Medical
Billing Test With Verified Answers
/.a code that identifies a medical service. - Answer-procedure code
/.a communication tool that provides the patient with relevant and actionable information
and instructions. - Answer-after-visit summary (AVS)
/.a company that receives electronic claims from medical practices and forwards the
claims to the appropriate health plans. - Answer-clearinghouse
/.a computerized lifelong healthcare record for an individual that incorporates data from
all providers who treat the individual. - Answer-electronic health record (EHR)
/.a document that lists the amount that has been paid on each claim as well as the
reasons for nonpayment or partial payment. - Answer-remittance advice (RA)
/.a form that includes a patient's personal, employment, and insurance data needed to
complete an insurance claim. - Answer-patient information form
/.a formal examination or review undertaken to determine whether a healthcare
organization's staff members comply with regulations. - Answer-audit
/.a list of the procedures and diagnoses for a patient's visit. - Answer-encounter form
/.a model of physician reimbursement in which payment is provided for specific,
individual services provided to a patient. - Answer-fee-for-service
/.a model of primary care that provides comprehensive and timely care to patients, while
emphasizing teamwork and patient involvement. - Answer-patient-centered medical
home (PCMH)
/.a model of reimbursement in which single payments are made to multiple providers
involved in an episode of care, creating a sense of shared accountability among
providers. - Answer-bundled payments
/.a network of doctors and hospitals that shares responsibility for managing the quality
and cost of care provided to a group of patients. - Answer-accountable care
organization (ACO)