When a provider receives a fixed amount to provide only the care that an individual needs from the provider, this is known as a _____________ payment.
The healthcare industry is heavily regulated by ____ and ____ legislation.
When a patient signs a release of medical information at a physician’s office, that release is generally considered to be valid
for six months
for a single visit to the physician
for one year from the date entered on the form
until the patient changes insurance companies
When the provider is required to receive as payment in full whatever amount the insurance reimburses for services, the provider is agreeing to
assignment of benefits
coordination of benefits
Which document is used to guarantee the patient’s financial and medical record?
patient insurance form
patient registration form
The person responsible for paying the charges for services rendered by the provider is the
Which federal legislation was enacted in1995 to restrict the referral of patients to organizations in which providers have a financial interest?
Federal Anti-Kickback Law
Stark II laws
The recognized difference between fraud and abuse is the
The specified amount of annual out-of-pocket expenses for covered health care services that the insured must pay annually for health care is called the
Which three components constitute the RBRVS payment system?
fee schedule, practice expense, and malpractice expense
physician work, practice expense, and geographical location
physician work, practice expense, and malpractice insurance espense
practice expense, malpractice insurance expense, and liability insurance expense
Which type of HMO offers subscribers health care services by physicians who remain in their individual office setting?