CPB Certified Professional Biller Certification Practice Exam

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Who is considered a professional member of the healthcare team that provides services or supplies to the insured?

  1. Healthcare provider

  2. Insurance adjuster

  3. Health information technician

  4. Quality assurance specialist

The correct answer is: Healthcare provider

The correct choice, which identifies who is regarded as a professional member of the healthcare team that provides services or supplies to the insured, is a healthcare provider. Healthcare providers encompass a broad range of professionals such as physicians, nurses, therapists, and other licensed individuals who deliver medical services directly to patients or offer necessary supplies related to their care. This distinction is crucial as the role of a healthcare provider is centered on delivering care, services, and interventions that directly impact patient health and treatment outcomes. They play a pivotal role in the healthcare delivery system, working to assess, diagnose, and treat individuals based on their medical needs. In contrast, an insurance adjuster typically focuses on claims assessment rather than direct patient care; a health information technician manages patient records but does not provide medical services; and a quality assurance specialist develops and monitors policies related to the quality of care but does not engage in the direct provision of healthcare services. Thus, recognizing healthcare providers is essential to understanding the structure of the healthcare team.