DAS 140 Final

Allowable services outlined by the third party dental benefits plan

Covered charges

If a mistake is made in the clinical record, what procedure should be followed to make the correction

Cross out the error with a single line, date and initial the error, and then write the correct information

Salary can be reported in several ways. what is the classification in which employees are paid according to the amount of work they produce

Contract employee

Company that sells several different manufacturers' goods/products

Dental supply house

T or F When patients are solely responsible for scheduling their recall appointments, most patients will follow through and schedule an appointment

False

T or F A copayment is the portion of the dental statement for which the insurance company is financially liable

False

T or F Inactive records must be stored with the active files, until the patient confirms, in writing, that his/her intent to leave the dental practice

False

T or F The first step in processing a dental claim form is to discuss the insurance coverage with the patient, and determine the patients portion

False

Tor F Small, solar-powered (non-printing) desktop calculators are highly recommended for use in the dental office

False

A paperless dental practice uses a _______ software program

level three (advanced)

What filing method is used for very large numbers of records?

Numeric

The acronym OSHA stands for _____

Occupational Safety and Health Administration

Crowns and bridges

Restorative recall

Orthodontic evaluations

Restorative recall

The primary reason for carefully maintaining clinical records is to

Support the need for dental treatment and justify the actions of the dentist

What should be considered when a software package is selected?

The package comes with sufficient support to run the software

______ is the set dollar amount that the patient has to pay toward treatment before the third party will consider payment

Deductible

Any number of hardware devices connected to the CPU

Peripheral

A _____ weighs and calculates the correct postage for outgoing mail

Postage meter

Confirmation by a dental benefits plan that a pretreatment plan is authorized for payment

Preauthorization

Radiographs

Preventative recall

New patients should be instructed to arrive ___ early to complete paperwork if they are unable to complete registration and medical history forms before arriving for their first visit

15 minutes

Patients may get frustrated and seek another dentist if they cannot schedule an appointment within _________

2 weeks

Accounts are considered current if the patient has not received the first statement and the money has not been owed for longer than ______

30 days

All employees tax records should be kept for a period of ____ years

4

How long must payroll records be kept

4 years

How many data items must be entered to complete the ADA dental claim form

58

If the appointment book is divided into six time units per hour, how many minutes is a 7 unit appointment?

70

Administrative safeguards that apply to electronic clinical records include identification of who will supervise compliance with HIPAA Security Standards, a staff clearance procedure that identifies which members of the staff will have access to electronic protected health information (EPHI), and

A disaster recovery plan

The clinical record process starts and ends with the _______, who plays a key role in protecting the dental practice from malpractice litigation

Administrative assistant

Which safeguard has a data backup plan?

Administrative safeguard

Which safeguard has emergency access procedures?

Administrative safeguard

The electronic scheduler function can do all of the following except:

Alert the user if the recall does not meet the insurance company's standard

The maximum amount paid for each procedure

Allowable charges

With one exception, all basic filing methods use this arrangement

Alphabetical

a "telephone reminder" should not be made ______

Before 8AM

Disinfection completely destroys all living organisms. Supplies that come in direct contact with a patient can be reused when properly disinfected

Both statements are false.

Small unit or storage; 8 bits; usually holds one character

Byte

Saliva ejectors are categorized as:

Consumable supplies and Disposable supplies

Company or person who uses the products/goods

Consumer

The brain of the computer; controls the other elements of the computer

Central processing unit (CPU)

Used to file documents according to date, month, or year

Chronological

Guaranteed dental coverage for 18 months after the loss of group benefit coverage

Consolidated Omnibus Budget Reconciliation Act (COBRA)

Usual, customary, or reasonable charges include criteria that may be used to establish a fee schedule. A patient asks you to explain "reasonable fee" what would be a proper explanation

Determination by a third party administrator that a particular service for a given procedure has been modified to take into consideration unusual complications

What is NOT an operating system software?

Eaglesoft

A device (usually within the computer) that reads and writes information

Hard Drive

Protects network servers from damage by unauthorized users

Firewall

Providing dental care under a common name with regional or national advertising

Franchise dentistry

What dental plans limits patients to a predetermined list of dentists?

HMO plan, EPO plan, and Managed Care Plan

Name of a product that is based on its composition

Generic name

What filing method is used to categorize records according to city, ZIP code, area code, state, or country?

Geographic

Legal organization of dental practitioners who enter into contracts with dental benefits plans

Individual Practice Association

The ultimatum

Level 4

What level is generating insurance claims?

Level one (basic)

What level is organizing patient names, addresses, and telephone numbers?

Level one (basic)

What level is electronic scheduling?

Level two (intermediate)

What is used to minimize the screen glare produced by intense overhead lighting?

Louvers

Company that produces the products/goods

Manufacturer

Insurance companies calculate eligibility on a ______ basis

Monthly

The ______ is a unique identification number for healthcare providers that is required on all electronic transactions

NPI (National Provider Identifier)

Dual coverage patients cannot receive payment for more than 100% of the covered benefit

Non-duplication of benefits

The clinical chart notation NSF is an abbreviation for ______

No significant findings

Time period when a dental benefits member can select his/her provider and type of coverage

Open enrollment

What is NOT needed to reconcile an account

Payroll records

Stamp the date paid on the statement, and include check number

Step five

Prepare the checks

Step four

Establish set dates, each month, when checks will be generated

Step one

Categorize the expenditures for use in accounting reports

Step six

Verify charges by comparing invoices with the statement

Step three

Categorize unpaid bills by the date each check will be written

Step two

T or F Appointment books contain protected health information (PHI) and must be kept out of sight

TRUE

Which safeguard has unique user identification (password protection)?

Technical safeguard

The dental office is considering purchase of a new phone system. During the demonstration, the vendor explains that a call management feature is available. This feature can be described how?

Telephone system that monitors and routes phone calls

The ______ is a communications system designed to transmit patient health information; when fully developed, it will allow individuals to create and control a personal health record

The National Information Infrastructure

In a small dental practice, which member of the team completes the majority of information processing?

The administrative assistant

Schedule the patient 15 minutes early for his/her appointment

The chronologically late patient

What is NOT an advantage of computer generated clinical records

The dental practice will not need to employ an administrative assistant

Matrix the appointment book with morning and afternoon cushion times

The emergency patient

All-In-One printers serve as an input and output device. Floppy disks and other portable data storage mediums have been replaced by this type printer

The first statement is true, the second statement is false

A teenager is new to the dental office and is filling out paperwork. When he gets to the insurance section, he asks you what he should put for subscriber. you explain that:

The holder for the dental benefits is the subscriber

A new administrative dental assistant is learning how to complete insurance claims. The claim she is processing is for a minor who is covered under dental plans from both parents' employers. She asks what plan should be billed first. Using the birthday rule what would you tell your colleague

The parent whose birthday falls first in the year is the primary insurance holder

Always give patients an appointment card specifying time and date of appointment

The patient who arrives on the wrong day

Analog technology is most commonly used for telephones in dental offices

This statement is false

Open-ended questions are effective when a collection call is placed

This statement is true

What is the primary function of the clinical record

To provide a total picture of the patient and the patients needs

T or F A manual inventory management system is effective, but more time-consuming than a computerized inventory management system

True

T or F More than one patient can be assigned to an account

True

T or F Noncompliance with statues and regulations established by federal law can result in the dentist losing his/her dental license

True

T or F Sound accounting practices mandate that the person who writes the checks CANNOT also sign the checks

True

The primary purpose of a backup plan is to

safeguard the practice from loss of time and valuable information