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Do you speak 'HospitalBillingese?

Created by vendome

Fun Trivia : Quizzes : Medical Lingo / Abbreviations
Do you speak HospitalBillingese game quiz
"Welcome to HospitalBillingese 101, a real foreign language. These basics should help you get by. Good luck and RX!"

15 Points Per Correct Answer - No time limit  



1. You've arrived at the hospital for testing, and you're asked to sign an 'assignment of benefits'. What on earth does that mean?
    you authorize your insurance to send payment to the hospital
    you're permitting the hospital to bill your insurance
    you're verifying that you have valid insurance
    none of these


2. You're told that 'coordination of benefits' will apply to your bill. Just what does that mean?
    your insurance won't pay
    you will owe a balance after the insurance pays
    more than one insurance carrier will provide benefits
    there aren't enough benefits to cover the service rendered


3. They told me at the hospital that the 'birthday rule' will apply to my insurance. Do I buy hats and horns? What is the birthday rule?
    none of these
    Yep, buy the hats and horns!
    how the insurance carriers will determine who pays first
    to determine by the patient's age if coverage is available


4. I'm covered by an HMO, and they told me that I have to bring a referral from my 'PCP.' What's that?
    all of these
    your doctor wants you to give up drugs; PCP is dangerous and illegal
    permission from your doctor to render the specified care or service
    your doctor wants to refer you elsewhere for care


5. My bill had a large amount on it listed as a 'Contractual Adjustment.' What's that?
    an adjustment reflecting a correction for incorrectly charged services
    all of these
    the mob has a contract out on you
    the difference between your covered charges and the amount your insurance is contractually obligated to pay


6. The hospital asked for the effective date of my husband's and my insurance coverage. Why do they care?
    to ensure coverage is available
    to determine which insurance will be primary
    to see if coverage has been interrupted in the past
    just to be nosy


7. The hospital has notified me that my insurance won't pay because of a 'pre-existing condition.' Say what?
    none of these
    the treatment requested is not covered by your plan
    they won't pay because you had this injury or illness prior to the effective date of your coverage,
    you've used all available benefits for this condition


8. I saw something called a 'per diem payment' on my bill. I don't speak Latin. What is it?
    a daily charge, like television, has been applied to your bill
    none of the above
    Per Diem was the Danish doctor who checked you out on admission
    a flat rate per day paid by your insurance


9. I got another bill, and there's something called a 'DRG' printed on it. Why don't they speak English, and what does 'DRG' mean?
    Daily Routine Grams
    Diagnosis Related Group
    Diagnosis Return-Gerontology
    none of these


10. When I go into the hospital, should I expect my insurance to pay everything? What will I owe?
    your insurance should pay everything
    you will owe a deductible
    you will owe a copayment
    you will owe any 'personal items' as well as any copayments or deductibles

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