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How many buttons are on the Office Hours toolbar?

17

Calculate the Units field if the entry in the Amount field of the Transaction Entry dialog box is $126.00 and the entry in the Total field is $504.

4

If a provider who does not participate in the Medicare program accepts assignment for a Medicare patient, they will be paid ____________ percent less than providers who do participate.

5%

Change

What button is clicked in the New Appointment Entry dialog box to display the Repeat Change dialog box?

A remittance advice lists

ALL OF THESE ANSWERS ARE CORRECT

EHRs are most frequently praised for providing

ALL OF THESE ANSWERS ARE CORRECT

Medisoft's Report Designer feature makes which of the following formatting styles available?

ALL OF THESE ANSWERS ARE CORRECT

Which button is clicked to open Office Hours in Medisoft?

Appointment Book button

A patient who has been seen by a provider in the practice in the same specialty within three years

Established patient

Tendon

Attach muscle to bone

Lists the status of all transactions that have responsible insurance carriers, showing who has paid and who has not been billed. The report is in a column format sorted first by chart number and then by case

Billing/payment status report

What type of payment is made to physicians on a regular basis?

CAPITATION

Which of the tabs in the Claim dialog box displays information about claims being submitted to a patient's primary insurance carrier?

CARRIER 1 TAB

Where is the insurance carrier that is making the payment selected in the Deposit Dialog box?

Insurance box

The Patient Recall feature can be accessed from the ________ menu in Medisoft or Office Hours.

Lists

What button is clicked on the Lists menu to display the Patient List dialog box?

Patients/Guarantors and Cases

A payer sends a practice an electronic check as scheduled under a capitation plan. This is an example of which one of the following choices:

Payments

What are the printing options?

Preview, Print, and Export it to a file

A physician who recommends that a patient see a specific other physician

Referring provider

What type of report would you find information to determine the origins of revenue derived from providers who have referred patients to a practice?

Referring provider list

Which type of Medisoft report would you use to determine the origins of revenue derived from providers who have been referred patients to your practice?

Referring provider report

Statements that list only those charges that are not paid in full after all insurance carrier payments have been received

Remainder statements

An explanation of benefits transmitted electronically by a payer to a provider

Remittance advice (RA)

The built-in custom reports, which were created in Medisoft using the __________ are accessed via the Custom Report List option on the reports menu

Report Designer

This box is used to record the report transmission code, a two-character code that indicates the means by which the report will be transmitted to the payer (for example, via mail, e-mail, or fax)

Report transmission code

*Bradykinesia

Slow movement

what is the common abbreviation for complete physical?

CPE

Which of the following refers to procedure codes?

CPT

When all necessary information has been entered in the Create Claims dialog box, clicking the_______button creates the claims

CREATE

Claims are created in the_______dialog box

CREATE CLAIMS

In this type of billing system, patient statements are created and sent on a staggered basis rather than all at once

CYCLE

1. Select Revenue Management 2. Revenue management main window opens 3. Select claims on the process menu 4. Select an EDI receiver 5. To perform an edit check on the claims, click check claims and the EDI receiver

Steps in Transmitting electronic claims

Where do you enter payments

The transaction entry dialog box under patients adjustments and comments

Meaningful Use

The utilization of certified EHR technology to improve quality, efficiency, and patient safety in the healthcare system.

Now that you understand the functions of practice management programs and electronic health records, explain why many in the healthcare field believe these programs can trim costs and improve quality.

They can improve: safety by preventing or reducing the chances of fraud; Efficiency, by receiving faster test results or sending out prescriptions that cannot be changed; and quality, to make the patients feel more at ease or comfortable enough to be in an office or hospital. Many believe that these programs can trim the costs and improve quality because of the change in society and the constant changing advances in technology.

Once the payment has been applied in the Apply Payment to Charges dialog box, the amount in the________column changes

UNAPPLIED

The amount in the ____________ column changes once the payment has been applied in the Apply Payment to Charges dialog box.

Unapplied

A block of time during which a physician is ______________ for appointments with patients is known as an Office Hours break.

Unavailable

Three types of muscle tissue

Visceral, Skeletal, Cardiac

Which of these is a collection of related pieces of information?

DATABASE

Capitation payments are entered in the

DEPOSIT LIST DIALOG BOX

Recall

Which of the following fields is NOT in the New Appointment entry dialog box?

Locate the Appointment that needs to be Changed

Which of the following is the first step in rescheduling an appointment?

Patient Information

Which of the four main areas of Office Hours contains information about the patient's insurance?

Click Start > All Programs; then click Medisoft on the Programs submenu; then click Office Hours on the Medisoft submenu.

Which sequence represents the correct method of starting Office Hours without entering Medisoft first?

The last character in a chart number is always a

ZERO

In order to adjust the patient accounts of those covered by the capitated plan, a second deposit is entered with a

ZERO AMOUNT

What should be done as a safety precaution before purging data?

a backup should be performed

The amount owed that is written off the practice's expected accounts receivable when collection efforts are discontinued is called?

a bad debt or an uncollectible amount

How does Office Hours indicate that a time-slot box has been selected?

a black border surrounds the time slot

What is Medisoft?

a practice management program

an example of screening test is___.

a stroke rehabilitation program

The National Provider Identifier (NPI) is a ten-position identifier consisting of

all numbers

Which of the following accounts would NOT be considered past due in most aging reports?

an account that has not been paid for 25 days

A formal examination or review undertaken to determine whether a healthcare organization's staff members comply with regulations is known as a(n)

audit.

What should you do when you are away from your computer?

lock your computer

What does NSF stand for?

nonsufficient funds

Which of the following is NOT a common element of reporting and population management within EHRs?

patient's identity

in a physician owned medical practice, who is ultimately responsible for the practice?

physician

many offices and EHR systems today allow patients to access and interact with certain parts of their EHR by providing a patient ___ to the system.

portal

what are 3 typically found in an employee handbook?

dress code, telephone use, and rules and regulation of the office

You have been asked to create a report that the office manager can use to review the places of service for the service provided for a certain day. What type of report would you create?

procedure day sheet

What area of Office Hours you would use to select the appropriate provider for a patient?

provider selection box

What type of patient statements are sent electronically to a processing center, which prints and mails them?

electronic

Why is monitoring claim status necessary?

ensure prompt payment of claims

the first step in preparing the appointment book is to ___.

establish the matrix of the appointment book

an effective inventory schedule for a medical office is

every 1 to 2 weeks

What term refers to medical care that uses the latest and most accurate clinical research in making decisions about the care of patients?

evidence-based medicine

True or False: EHR systems allow medical information to be shared only in a single practice`

false

what filing system is best used by only on person at a time?

filing cabinet

Which of the following types of data is NOT stored in Medisoft?

general health care statistics

What term refers to an individual who may not be a patient of the practice but who is financially responsible for a patient account?

guarantor

What should a practice's financial policy tell patients?

how the practice handles collecting prepayment for services, how the practice handles collecting copayments and past-due balances, & how the practice handles providing charity care or using a sliding scale for patient with low incomes

what are the 5 steps in the problem solving process?

identify the problem, assessment of problem, correction, monitor, and reevaluate.

Where is the information entered into Medisoft stored?

in databases

Where are cases deleted in Medisoft?

in the Patient List dialog box

another term for naming a file is___.

indexing

What does the Description box of the Personal tab contain?

information about a patient's complaint

What type of collections are collections from insurance carriers considered to be?

business

What are the shortcuts for frequently used in Medisoft menu commands called?

buttons

navigator buttons

buttons that simplify the task of moving from one entry to another

How are commands issued in Medisoft?

by clicking options on the menus and shortcut buttons on the toolbar

How is Medisoft's built-in help feature accessed?

by selecting Medisoft Help on the Help menu

How can the Patient List dialog box be displayed?

by selecting Patients/Guarantors and Cases from the Lists menu or by clicking the corresponding shortcut button on the toolbar

How are the functions of Office Hours accessed?

by selecting a choice from one of the menus or by clicking a button on the Office Hours toolbar

When a medical practice receives an overpayment from a health plan, it

issues a refund

Explain how the entry in the Field box functions.

it controls how the list is sorted

What does the Initial Billing Date in the General tab of the Statement dialog box indicate?

the date the statement was first created

Which information is contained in office visit documentation?

the diagnosis and procedures

A practice charges a patient an estimated payment of $275 for a procedure, then receives an actual payment of $244 from their insurance carrier. Calculate the payment that needs to be made.

the practice owes the patient $31

What contains the physician's notes about a patient's condition and diagnosis?

the progress notes

Choose the correct meaning of a check mark in the Accept Assignment box in the Policy 1 tab.

the provider accepts payment directly from the insurance carrier

Healthcare cost is rising due to

the quality of healthcare an aging population new treatments all of these are correct

What does the Units field in the Transaction Entry dialog box indicate?

the quantity of the procedure or service

What part of the Patient List dialog box becomes active when the Case radio button is clicked?

the right side

In which of the following circumstances is the information in a patient ledger useful?

there is a question about a patient's account

What is the information in a record used for?

to bill for services and to document the patient's medical condition

Why is monitoring claim status necessary?

to ensure prompt payment of claims

One way to lower the cost of healthcare is

to increase the use of technology

Into how many sections is the Patient List dialog box divided?

two sections

expendable items are those that are:

used and must be restocked

What is the Non-Availability Indicator box used to specify?

whether a nonavailability (NA) statement is required

What type of program is EPSDT?

A Medicaid Program

When a new patient comes in for an office visit, he or she is asked to complete

A PATIENT INFORMATION FORM

What should be done as a safety precaution before purging data?

A backup should be performed.

Write-off

A balance that has been removed from a patient's account

Unavailable

A block of time during which a physician is ____ for appointments with patients is known as an Office Hours break.

What is meant by a "clean claim"?

A clean claim is a claim with no errors.

Electronic Health Record (EHR)

A computerized lifelong healthcare record for an individual that incorporates data from all providers who treat the individual.

A report that lists the charges, payments, and adjustment made during a day is known as

A DAY SHEET

What is a filter in medisoft and what does it allow you to do?

A condition that data must meet to be selected and narrows your search

Encounter Form

A list of the procedures and diagnosis's for a patient's visit.

An encounter form is also known as a

superbill

In what tab are vision claims and home health claims entered in the Case folder?

the EDI tab

Who can assign access rights to each level of security in Medisoft?

the administrator

which functions of the other EHR program would be most helpful to the staff who schedules appointments for patients with specialists

Ancillary Order Integration

You are working at a practice and have been asked to create claims for services performed between the 15th and the end of the month. What feature of medisoft may be used to accomplish this task?

Apply filter to the data in medisoft.

Click ____________ from the Office Hours Reports menu to view a list of all appointments for a provider for a given day.

Appointment List

Which of the following is the ERA that is mandated for use by HIPAA?

Ascx RA 835

Provider box indicate whether the provider is

Assigned

This box contains the attachment's reference number (up to seven digits, assigned by the practice). This number is required if the transmission code is anything other than AA

Attachment control number

What color is the triangle when there is additional page or pages to report?

Bright Blue

Lists

By clicking Patient Recall on the ________ menu in Medisoft, a recall list can be created and maintained.

What are the three types of transactions that are recorded in Medisoft

Charges, payments, and adjustments

A folder that contains all records pertaining to a patient

Chart

Aunique number that identifies a patient

Chart number

The starting and ending chart numbers for which claims will be created are entered

Chart numbers

what does CHEDDAR stand for?

Chief complaint, history, examination, detail of problems, drugs and dosages, assessment, and return visit

Fibromyalgia

Chronic muscle pain

What type of status may be chosen in the Sponsor Status box of the Policy 3 tab?

Civilian Active National Guard

Once the filters have been applied, only those claims that match the criteria are listed at the bottom of the main?

Claim Management dialog box

Which of the boxes in the list only claims that match the dialog box utilize the MMDDCCYY format?

Claim created box

Hold, ready to send, sent, rejected, challenge, alert, done, and pending are part of

Claim status

What is a clean claim?

Claims with all the correct information for payer processing about patients diagnosis and procedures and charges.

Claims with all the correct information necessary for payer processing

Clean claims

What signifies the beginning of the patient collection process?

Clear financial policy, effective communications with patients about their financial responsibility

A company that receives claims from a provider, prepares them for processing, and transmits them to the payers in HIPAA-compliant format

Clearinghouse

When the desired boxes have been filled in, what must be done to apply the selected filters to the claims?

Click the apply button

What is the most efficient way to edit a transaction

Click the field that needs to be changed and enter the correct information.

Save

Clicking the ____ button in Office Hours enters the information on the schedule, after the boxes in the New Appointment Entry dialog box have been completed.

What are the C's of charting?

Clients words, clarity, completeness, conciseness, chronological order, and confidentiality

What is a CLIA number?

Clinical Laboratory Improvement Act number

Collection Agency A retains 30 percent of the $6,000 it collects and Collection Agency B retains 10 percent of the $20,000 it collects. Which collection agency retains more money?

Collection Agency B

What Collection List shortcut button opens in Medisoft?

Collection List dialog box

You have been asked to review the patient accounts requiring collection and determine which need to be followed up on promptly. What dialog box would allow you to perform this task?

Collection List dialog box

An outside firm hired to collect on delinquent accounts

Collection agency

A tool for tracking activities that need to be completed as part of the collection process

Collection list

A tool for keeping track of collection letters that were sent

Collection tracer report

This makes transactions in Medisoft easy to determine the status of a charge or payment

Color coded

Recall information is organized in a ____________ format in the Patient List Recall dialog box.

Column

When more than one carrier code is entered in the primary insurance field what must be between the codes?

Commas

Assigning preliminary diagnosis and procedure codes using computer software

Computer-assisted coding

What tab in the Case dialog box would you use to record information about a patient's hospitalization?

Condition tab

A type of managed care in which a high-dedcutible, low premium insurance plan is combined with a pretax savings account to cover out-of-pocket medical expenses

Consumer-driven health plan (CDHP)

A fixed fee paid by the patient at the time of an office visit

Copayment

Which of the following options appears on the shortcut menu when the right mouse button is clicked?

Copy, Delete, Cut

Any claims that contain problems must be _________________ and ___________________ to the __________________. Where they will be checked again for errors.

Corrected, resubmitted, clearinghouse.

Clicking the ____ button instructs Medisoft to generate statements after all selections are complete in the Create Statements dialog box

Create

Practice management programs can be used to verify insurance eligibility, create and transmit insurance claims, and

Create Reports

List the shortcut buttons on the Medisoft toolbar.

Creating a new folder, previewing a report and displaying reports

The built-in custom reports, which were created in Medisoft using Report Designer, are accessed via

Custom Report List

How is the Report Designer accessed?

Custom report list

Which of the following commands is listed on the Edit menu?

Cut Copy Delete all of these are correct

What commands on the Office Hours Edit menu are used for changing an appointment?

Cut and Paste

A type of billing in which statement printing and mailing is staggered throughout the month

Cycle billing

Flexion

Decreasing the angle between two bones such as bending the neck forward or bending a limb

Amount due before benefits start

Deductible

Where are insurance payments entered in Medisoft?

Deposit Dialog Box

What does the Enter Deposits and Apply Payments button open in Medisoft?

Deposit List dialog box

Which dialog box appears when the New button is clicked in the Deposit List Dialog box?

Deposit dialog box

Insurance payments are entered in

Deposit list dialog box

Appointments that Recur

Describe the type of appointments that are entered in the Repeat box of Office Hours.

What option is clicked on the Reports menu to access the Report Designer?

Design Custom Reports and Bills

Which button displays a dialog box used to enter drug/prescriptions information for a charge

Details

What is the first step in applying a payment to a patients case in medisoft

Determine the charge in which the payment should be applied

The EDI Report area within the

Diagnosis tab

The EDI Report area within the ____________ of the case dialog box.

Diagnosis tab

The amount the provider bills and the rate specified in the contract with the payer usually

Differ

What actions would be in compliance with collections guidelines?

Discussing patient debt with with someone who is responsible for the payment

Calculate the units field if the entry in the amount field of the transaction entry dialog box is $126.00 and the entry in the total field is $504.00

Divide 504 into 126 the answer is 4

A document that specifies the amount the provider bills for provided services

Fee schedule

What term refers to an individual who may not be a patient of the practice but who is financially responsible for a patient account?

GUARANTOR

Do not call a patient before 8 am or after 9 pm, do not make threats or use profane language, do not discuss the patient's debt with anyone except the person who is responsible for payment, and do not use any form of deception or violence to collect a debt

General collection guidelines

What tab in the statement dialog box includes information about the status, billing method, and type of a statement.

General tab

equipment or exam room

Give an example of a resource that may be referenced in the Resource box in the New Appointment Entry dialog box.

Which box is used to locate a date that is a specific number of days in the future?

Go ___ Days

Which box is used when a patient needs to make an appointment several weeks in advance?

Go ___ Weeks

The most efficient way to search for a future appointment in Office Hours is to use the

Go to a Date shortcut button on the toolbar

An individual who may not be a patient of the practice, but who is financially responsible for a patient account

Guarantor

What describes a particular electronic format that providers and health plans must use to send and receive healthcare transactions?

HIPAA Electronic Transaction and Code Sets

Regulations for protecting individually identifiable information about a patient's health and payment for health care that is created or received by a health care provider

HIPAA Privacy Rule

Which of the following are rules created under HIPAA?

HIPAA Privacy Rule HIPAA Electronic Transaction and Code Set standards Final Enforcement Rule all are correct

Regulations outlining the minimum administrative, technical, and physical safeguards required to prevent unauthorized access to protected health care information

HIPAA Security Rule

The HIPAA standard transaction for electronic claims is the

HIPAA X12 837 HEALTH CARE CLAIM EQUIVALENT ENCOUNTER INFORMATION (837P) BOTH A AND B ANSWERS ARE CORRECT

X12 health care claim or equivalent encounter information (837P)

HIPAA standards format for electronic transmission of a professional claim for a provider to a health plan

What government regulation is intended to promote the use of EHRs in physician's practices and hospitals through the use of financial incentives?

HITECH Act

Recognizing that existing HIPAA laws did not provide adequate protection in an increasingly electronic healthcare environment, Congress included additional privacy and security regulations in the

HITECH Act of 2009

Which of the following is the correct chart number for Daniel Ho?

HODANIE0

Part of the American Recovery and Reinvestment Act of 2009 that provides financial incentives to physicians and hospitals to adopt EHRs and strengthens HIPAA privacy and security regulations

Health Information Technology for Economic and Clinical Health Act (HITECH)

Federal act that set forth guidelines for standardizing the electronic data interchange of administrative and financial transactions, exposing fraud and abuse in government programs, and protecting the security and privacy of health information

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Technology that is used to record, store, and manage patient health care information

Health information technology (HIT)

A managed health care system in which providers agree to offer health care to the organization's members for fixed payments

Health maintenance organization (HMO)

A plan, program, or organization that provides health benefits

Health plan

Medical necessity

Healthcare services that are reasonable, necessary, and/or appropriate, based on evidence based clinical standards of care.

Patient-centered medical home (PCMH)

A model of primary care that provides comprehensive and timely care to patients, while emphasizing teamwork and patient involvement.

Preferred provider organization (PPO)

A network of health care providers who agree to provide services to plan members at a discounted fee.

Health Information Exchange (HIE)

A network that enables the sharing of health-related information among provider organizations according to nationally recognized standards

the Search for Open Time Slot Shortcut Button

A patient calls the practice to ask if there are any appointments at the very end of the day in the next two weeks. What is the most efficient option for scheduling this appointment?

What is the primary document needed to enter charge transactions in medisoft

A patient encounter

Go _____ Years

A patient has requested to have an appointment three years in advance in order to have a checkup screening following an operation to remove some precancerous cells. What feature is used to most easily enter the appointment?

The comment tab in the claim dialog box provides what?

A place to include any specific notes or comments about the claim.

Point-of-service (POS) plan

A plan, combining features of HMO and PPO, in which members may choose from providers in a primary or secondary network.

*Flexure

A portion of a structure that is bent

Documentataion

A record of healthcare encounters between the physician and the patient, created by the provider.

tickler

A reminder to follow up on the account

If there is a balance due a walk out receipt serves as a _________of the amount owed

A reminder to the patient

Patient Aging Report

A report that lists a patient's balance by age, date, and amount of the last payment

Patient Day sheet

A summary of patient activity on a given day

Medical Documentation and billing cycle

A ten-step process that results in timely payment for medical services.

Collection list

A tool for tracking activities that need to be completed as part of the collection process.

Managed care

A type of insurance in which the carrier is responsible for the financing and delivery of health care.

Some types of report transimission codes are

AA available on request at provider site, BM by mail, EL electronically only, EM e-mail and FX by fax

If a patient's treatment is only authorized through a certain date, this date is entered in the______tab of the Case Folder

ACCOUNT

Which of the following refers to money coming into the practice?

ACCOUNTS RECEIVABLE

The Claim Management dialog box is accessed via the_______menu in Medisoft

ACTIVITIES

Payment information located on the remittance advice is entered in Medisoft through the Enter Deposits/Payments option on the

ACTIVITIES MENU

Transactions are entered in Medisoft via the

ACTIVITIES MENU

If the patient's employer does not appear on the Employer drop-down list in the other information tab, it must be entered using the

ADDRESS FEATURE

What is a series of steps designed to judge whether a claim should be paid?

ADJUDICATION

What are changes to patients' accounts?

ADJUSTMENTS

The_______section of the Transaction Entry dialog box displays account aging information for the patient and the insurance carrier

AGING, COPAY AND DEDUCTIBLE INFORMATION

The National Provider Identifier (NPI) is a ten-position identifier consisting of

ALL NUMBERS

A walkout receipt includes information on the______of a visit

ALL OF THESE ANSWERS ARE CORRECT

According to the Institute of Medicine, which of the following core functions should be included in an EHR?

ALL OF THESE ANSWERS ARE CORRECT

Medisoft's Report Designer allows users to

ALL OF THESE ANSWERS ARE CORRECT

TRICARE is the government insurance program that serves

ALL OF THESE ANSWERS ARE CORRECT

The HIPAA security standards comprise

ALL OF THESE ANSWERS ARE CORRECT

The Medisoft Reports menus choices include

ALL OF THESE ANSWERS ARE CORRECT

The patient information form contains

ALL OF THESE ANSWERS ARE CORRECT

What tools that are common in EHRs make documenting patient encounters more efficient for providers?

ALL OF THESE ANSWERS ARE CORRECT

Which of the following is a feature provided by Medisoft to assist in maintaining data files stored in a system?

ALL OF THESE ANSWERS ARE CORRECT

Which of the following reasons might cause an insurance carrier to deny a claim?

ALL OF THESE ANSWERS ARE CORRECT

Which of the following workflows might providers use?

ALL OF THESE ANSWERS ARE CORRECT

Which statements are a list of the amount of money a patient owes, organized by the amount of time the money has been owed, the procedures performed, and the dates the procedures were performed?

ALL OF THESE ANSWERS ARE CORRECT

Which type of report lists the amount of money owed to the practice organized by the amount of time the money has been owed?

ALL OF THESE ANSWERS ARE CORRECT

Within the Claim Management area of Medisoft, insurance claims are

ALL OF THESE ANSWERS ARE CORRECT

What patient information is stored in the Case dialog box?

ALL THESE ANSWERS ARE CORRECT

In the Sort By field of the Deposit List dialog box, the default is sorting payments by

AMOUNT

A TRICARE sponsor is

AN ACTIVE-DUTY ARMED SERVICES MEMBER

The Medicare Physician Fee Schedule (MPFS) is updated

ANNUALLY

Once all the necessary information is entered in the Payments, Adjustments and Comments section, the payment is applied to specific charges using the______button

APPLY

Patient accounts must be adjusted to a zero balance in the

APPLY PAYMENT/ADJUSTMENTS TO CHARGES DIALOG BOX

*Dystonia

Abnormal muscle tone

How many data elements are represented by the CMS 1500?

About 150

Security option that determines the areas of the program a user can access, and whether the user has rights to enter or edit data

Access rights

In what tab of the Case folder is a patient's referring provider listed?

Account Tab

What field in the Tickler tab specifies the action that will be taken on the overdue account?

Action Required

To access Office Hours from within Medisoft, Appointment Book is clicked on the

Activities menu

What Medisoft menu can be used to verify patient eligibility with insurance carriers?

Activities menu

Which menu in medisoft can you access the claim management box?

Activities menu

Which of the following menus you would use to enter a charge for an office visit?

Activities menu

To add a patient's employer to Medisoft, you would use Medisoft's ____________ button.

Address List

What feature must be used to enter the patient's employer if it does not appear on the Employer drop-down list in the Other Information tab?

Address feature

Series of steps that determine whether a claim should be paid

Adjudication

Claims are subjected to a series of reviews, or _________________________, before being transmitted to a payer.

Adjudications `

Which of these fields should be completed on the EDI tab if a physician is billing for hospice care?

Hospice Number

by selecting a choice from one of the menus or by clicking a button on the Office Hours toolbar

How are the functions of Office Hours accessed?

A back border surrounds the time slot

How does Office Hours indicate that a time-slot box has been selected?

Requesting Information Electronically

How is most eligibility verification performed today?

17

How many buttons are on the Office Hours toolbar?

Five (5)

How many input boxes/drop-down lists are in the Go To Date dialog box?

Which of the following refers to diagnosis codes?

ICD

If incorrect dates are used when entering data, the information in reports will be

INACCURATE

What type of report is used to compare the response time with the terms of the contract the practice has with the payer?

INSURANCE AGING REPORT

What type of report shows how long a payer has taken to respond to each claim?

INSURANCE AGING REPORT

What steps do you take when a practice receives an NSF notice form a bank?

Adjustment is made in the patient's account, and practice may charge a fee for a returned check.

The difference between the amount billed (fee schedule) and the amount paid per contract (payment schedule) is an

Adjustment that is entered in the billing area of the practice management program

Changes to patients' accounts that alter the amounts charged or paid

Adjustments

Policies and procedures designed to protect electronic health information outlined by the HIPAA Security Rule

Administrative safeguards

The information in the Condition tab is used by_________to process claims

INSURANCE CARRIERS

The______is the most important document for correct reimbursement

INSURANCE CLAIM

A report that lists the amount of money owed to the practice, organized by the amount of time the money has been owed

Aging report

What section of the Transaction Entry dialog box displays account aging information for the patient and the insurance carrier?

Aging, Copay, and Deductible Information

The status field in the other information tab of the patient/guarantor dialog box is used to indicate whether the patient

IS EMPLOYED OR IN SCHOOL

15 Minutes

Identify the default length of time for an appointment in Office Hours.

What happens when a new custom report is created?

It is added to the list of custom reports displayed on the screen

In the Office

It is generally easier to collect on overdue accounts when the patient is ________, medical practices have discovered.

What needs to be done if incorrect data has been entered on a charge transaction

It must be edited and saved

What happens after a deposit entry is saved in the Deposit dialog box?

It reappears with the new deposit listed in the deposit list

What is a collection of up-to-date technical information about Medisoft products called?

KNOWLEDGE BASE

What two ways can be used to enter the number and slashes for the date?

Key board or pop up calendar

Which of the following can be used in a chart number?

LETTERS

The patients/guarantors and cases command is selected from the__________to change information about a patient

LIST MENU

When a locate button is clicked, what is displayed?

LOCATE DIALOG BOX

What type of bills are given priority in the collections process?

Large bills

_____bills have priority over ______ ones

Large, smaller

If the letter M is entered in the Search for field and the Field box is set to Chart Number, which of the following patients could still be listed?

Alan Mitchell

The _______ section of the Medisoft Reports window displays the report directly and the subfolders in the directory.

All folders

What are the two sections of the Medisoft reports window?

All folders area and contents of all folders area

Fascia

All muscle tissue wrapped in a band of connective tissue

What is found on a procedure day sheet

All procedures, patients, place of service, credits related to the item

How is movement possible?

All skeletal muscles are connected to two bones

Where are notes about special conditions related to the patient's health recorded?

Allergies and Notes box

1-Original, 6-Corrected, 7-Replacement, and 8-Void are part of

Allowed entries (frequency type)

noncollectable account

An account that does not respond to collection efforts and is written off the practice's expected accounts receivable

Payment plan

An agreement between a patient and a practice in which the patient agrees to make regular monthly payments over a specified period of time.

indemnity plan

An insurance plan in which policy holders are reimbursed for health care costs

Clearinghouse

An organization that receives claims from a provide, checks and prepares them for processing, and transmits them to insurance carriers in a standardized format.

Collection Agency

An outside firm hired to collect on delinquent accounts.

What is a patient ledger used for and what would be found on one?

List the financial activity in each patients account

When a Locate button is clicked, what is displayed?

Locate Patient dialog box

What happens when the lookup button in the Search dialog box is clicked?

Lookup dialog box is displayed

In what section of the Apply Payment/Adjustment to Charges window contains several options that affect claims and statements?

Lower third

Most often, transactions are grouped into cases based on the_____for which a patient seeks treatment

MEDICAL CONDITION

What is established when the diagnosis and treatment of a patient are logically connected?

MEDICAL NECESSITY

What is the maximum fee a participating provider can collect for the service?

MEDICARE ALLOWED CHARGE

Medicare uses its own payment schedule, known as the

MEDICARE PHYSICIAN FEE SCHEDULE (MPFS)

Most dates are entered in Medisoft using the ____________ format.

MMDDCCYY

Most dates are entered in Medisoft using the ____format

MMDDCCYY

The way dates must be keyed in medisoft

MMDDCCYY

What report lists charges, payments, and adjustments and the total accounts receivable for the month?

MONTHLY REPORT

Recall List

Maintaining an active _____ is na important part of ensuring a consistent cash flow from year to year.

Holiday, Emergency, Seminar (all of these are correct)

Named an example of a break in a schedule.

A standard identifier for health care providers consisting of ten numbers

National Provider Identifier (NPI)

Buttons that simplify the task of moving from one entry to another

Navigator buttons

The Deposit dialog box appears when the ____________ button is clicked in the Deposit List dialog box.

New

A patient who has not received services from the same provider or a provider of the same specialty within the same practice for a period of three years

New patient

You have called a patient to set up an appointment, but the patient has declined to schedule an appointment. Determine what selection you should make in the Recall Status box of the Patient Recall dialog box.

No Appointment

What does a dimmed triangle button on the Print Preview toolbar mean?

No more pages in the direction indicated by the triangle

Ataxia

No muscular coordination

What is the default Frequency selection in the Repeat Change dialog box?

None

Another term for NSF is-

Nonsufficient funds, Bounced or Returned

Which of the following buttons displays the Transaction Documentation dialog box?

Note

How are procedures listed on a procedure day sheet

Numerical order

In this type of billing system, patient statements are printed and mailed all at once

ONCE-A-MONTH

A block of time when a physician is unavailable for appointments with patients

Office Hours break

An interactive calendar that is used to select or change dates in Office Hours

Office Hours calendar

The area of the Office Hours window that displays information about the patient who is selected in the provider's daily schedule

Office Hours patient information

Under HITECH, which government body is required to conduct audits to ensure compliance with HIPAA rules?

Office of Civil Rights (OCR)

The_____is where information about a patient's primary insurance carrier and coverage is recorded

POLICY 1 TAB

The most common type of managed care plan today is a

PREFERRED PROVIDER ORGANIZATION (PPO)

Payments made to the health plan by the policyholder for insurance coverage are called

PREMIUMS

In the Transaction Entry dialog box, walkout receipts are created via the _______button

PRINT RECEIPT

Each charge, or fee, for a visit is represented by a specific

PROCEDURE CODE

Health information that can be used to find out a person's identification is referred to as

PROTECTED HEALTH INFORMATION

The process of deleting files of patients who are no longer seen by a provider in a practice is called

PURGING DATA

The deletion of vacant slots from the database

Packing data

what is the common abbreviation for Pap Smear?

Pap

Identify the field that should be used in the Locate Patient dialog box if the user is unsure of the correct spelling or entry at the end of the word.

Partial Match at Beginning

In the payments adjustments and comments section what does blue represent

Partially applied payment

How do users maintain ability to work in certain areas of the patients EHR?

Passwords

What lists the financial activity in each patient's account, including charges, payments, and adjustments?

Patient Ledger

when there is a question about an adjustment on a patient's account, what report should be used?

Patient Ledger

A report that lists a patient's balance by age, date and amount of the last payment, and telephone number

Patient aging report

Name the two radio buttons on the upper-right side of the Patient List dialog box.

Patient and Case

Before a Chart Number has been Assigned

Patient appointments can be scheduled in Office Hours.

You have been asked to prepare a report that displays the patients who visited a facility owned by your practice. What type of report would you use?

Patient by Insurance Carrier report

Which report lists diagnosis code, chart number, patient name, age, attending provider, facility, and date of last visit?

Patient by diagnosis report

You have been asked to prepare a report that list a group of patients who were seen by a particular attending provider, what would you print?

Patient by diagnosis report

A summary of patient activity on a given day

Patient day sheet

You have asked to create a report that the office manager can use to review the adjustments made to a patients account for a certain day. What type of report would you create?

Patient day sheet

A report that lists the finanacial activity in each patient's account

Patient ledger

What is used to list the financial activity in each patients account including charges payments and adjustments?

Patient ledger

Which report would you print to find information about an adjustment that has been made to an account?

Patient ledger

A recall list can be created and maintained by clicking?

Patient recall on the Lists menu (Medisoft not office hours)

A list of the amount of money a patient owes, the procedures performed, and the dates the procedures were performed

Patient statement

What type of statements would a practice use to attempt to collect on an overdue balance from a patient?

Patient statement

The primary document needed to enter charge transactions in Medisoft is a

Patient's encounter form

The transaction entry dialog box consists of

Patient/account information, charge transactions, payment/adjustment transactions

What is on a patient by insurance carrier?

Patients provider, facility and insurance carrier

What section of the payment adjustments and comments section indicates the type of adjustment transaction

Pay/ajc code

Private or government organization that insures or pays for health care on behalf of beneficiaries

Payer

What tab in the Patient/Guarantor dialog box is used to record the method developed to pay down a patient's remaining overdue balance?

Payment Plan tab

A report that lists all payments received on a particular day, organized by provider

Payment day sheet

An agreement between a patient and a practice in which the patient agrees to make regular monthly payments over a specified period of time

Payment plan

A document that specifies the amount the payer agrees to reimburse the provider for a service

Payment schedule

What documents specifies the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement?

Payment schedule

Monies received from patients and insurance carriers

Payments

Monies received from patients and insurance carriers are considered

Payments

Define Coinsurance.

Percentage of charges that an insured person must pay for healthcare services after payment of the deductible amount.

What would you find on a referring provider report?

Percentage of total income that was generated by referring provider

Private, secure electronic files that are created, maintained, and owned by the patient

Personal health records (PHRs)

*Peroneal

Pertaining to the muscles over the fibula

Mechanisms required to protect electronic systems, equipment, and data from threats, environmental hazards, and unauthorized intrusion

Physical safeguards

What methods can be used to indicate that the payer has made a complete payment for that transaction?

Placing an asterisk next to the chart number

In Medisoft, what happens after the patient collection report is printed?

Program displays a Confirm window that asks whether to print collection letters

State laws that mandate a time period within which clean claims must be paid; if they are not, financial penalties are levied against the payer

Prompt payment laws

Entering an appointment begins with selecting?

Provider

A selection box that determines which provider's schedule is displayed in the provider's daily schedule

Provider selection box

A listing of time slots for a particular day for a specific provider that corresponds to the date selected in the calendar

Provider's daily schedule

Which of the main four areas of Office Hours contains a listing of time slots for a particular day for a specific provider?

Provider's daily schedule

What activity can be performed via Medisoft's Provider List button

Providers may be entered.

Daily

Providers' schedules are printed ________ in most medical offices.

On what menus can the options to view or print a day sheet be found in Medisoft?

Reports Menu

The clearinghouse sends ___________ to the practice on a regular basis )daily if not more often), so the practice is always aware of where each claim is in the ____________________________.

Reports and Processing cycle.

Define insurance analysis.

Reports and tracks charges, insurance payments, copayments for a specific period of time

What button initiates the process of restoring data in Medisoft?

Restore Data

Medisoft's Claim Edit feature allows claims to be ______ and ______ before they are _________

Reviewed, edited, submitted

What does SOAP stand for?

S- subjective O- objective A- assesment P- plan

When claims are transmitted electronically, the Claims Status for each claim automatically changes from Ready to Send to_____

SENT

All Providers

Schedules are created for ____ if the Provider boxes are left blank in the Data Selection dialog box for a report.

Prints a list of appointments, easily locate scheduled appointments, and simplifies the entry of repeated appointments is part of

Scheduling

This dialog box is used to select the range of data that will be included in the report

Search dialog box

Which button in the Patient Recall List dialog box is used to locate a specific patient on the recall list?

Search for

The ____________ shortcut button in Office Hours makes it easy to locate an appointment slot that meets specified requirements.

Search for Open Time Slot

Fields within the search dialog box that are used to select the data that will be included in a report

Selection boxes

Name an example of a break in a schedule.

Seminar,Holiday, Emergency

At what phrase in the Status column of the Statement Management dialog box is used to indicate the transaction has been billed but not fully paid?

Send

Adjudication

Series of steps that determine whether a claim should be paid

In TRICARE, the active-duty servuce nenber

Sponsor

Which is a disadvantage of implementing an EHR system?

Staff training requirements

Window, Toolbar, Menu Bar (all of these are correct)

The Office Hours program has its own...

All of these are correct (delete, new, edit)

The Patient Recall dialog box contains which of the following buttons?

All of these are correct (the patient's name, the day of service, the provider)

The Real-Time Eligibility Verification dialog box lists...

the appointment time that is currently selected on the schedule.

The Time box in the New Appointment Entry dialog box refers to

What is HIPAA X12 837?

The X12 837 is the HIPAA standard format for electronic transmission of a claim submitted to a carrier

Date

The ________ of the desired appointment must be chosen after a provider is selected for an appointment in Office Hours.

What are the Status buttons in the General tab of the Statement dialog box used to indicate?

The current status of the statement

Do all the boxes need to be filled in the list claims only claims that match the dialog box?

The desired boxes.

What is displayed in the amount box of the transaction tab?

The dollar cost of service

X12 837 Health Care Claim or Equivilant Encounter Information (837P)

The electronic format of the claim used by physician offices to bill for services.

True or False: identify the nature of the call and devote your full attention to the caller. You should not "multitask" while on the phone.

True

A payment plan is subject to the ____________ if the practice adds finance charges and the payments are to be made in more than four installments.

Truth in Lending Act

Pronation

Turning the plan down or backward

The designation of an individual as a patient or guarantor is made in which field in the Patient/Guarantor dialog box?

Type

An account that does not respond to collection efforts and is written off the practice's expected accounts receivable

Uncollectible account

What button is clicked to check on the results of an inquiry into the insurance eligibility of a patient?

View Eligibility Verification Results

The help menu contains entries for what?

Viewing help contents, navigating medisofts website, view medisoft

A walkout receipt is also known as a(n)

WALKOUT STATEMENT

A document listing charges and payments that is given to a patient after an office visit

Walkout statement

The New Appointment Entry Dialog Box

What Medisoft feature is used to set up repeating appointments?

Provider's Daily Schedule

What area of Office Hours would you use to review information about a patient who is scheduled for an appointment?

Provider Selection Box

What area of Office Hours would you use to select the appropriate provider for a patient?

The OK Button

What button is used to record the information entered in the Repeat Change dialog box and thereby return to the New Appointment Entry dialog box?

Appointments can be canceled and not rescheduled

What can be accomplished with the Cut command in Office Hours?

Cut and Paste

What command(s) on the Office Hours Edit menu is/are used for changing an appointment?

The New Appointment Entry Dialog Box

What dialog box is used to enter appointment information into the schedule in Office Hours?

Date From

What feature in the Go To Date dialog box indicates the current date in the appointment search?

The Appointment List with remainder Balance Report

What feature provides account balance information in Medisoft?

Appointments can be rescheduled

What happens in Office Hours when the Cut and Paste commands are used?

The Right Mouse Button

What is a shortcut for accessing Cut, Copy, and Date commands?

Appointment Book

What is clicked on the activities menu to access Office Hours from within Medisoft?

Patient's full name

What is required to enter a patient appointment in Office Hours?

None

What is the default Frequency selection in the Repeat Change dialog box?

Go to a Date Shortcut Button

What is the most efficient way to search for a future appointment in Office Hours?

The Provider and Date

What must be selected in Office Hours before patient appointments can be entered?

Print Appointment List

What shortcut button can be clicked to print a schedule in Office Hours?

The Break Entry Shortcut Button

What shortcut button is pressed in Office Hours to set up a break for the current provider?

The Frequency of the Appointments

What type of information is contained on the left side of the Repeat Change dialog box?

the date that is currently displayed on the calendar

What will be displayed in the Date box of the New Appointment Entry dialog box by default?

When the Provider is Not Available for Appointments with Patients

When should breaks be inserted into a provider's schedule?

The Program Options Dialog Box

Where can the options to set up the Office Hours program be found in Medisoft?

The Resource Box

Where in the New Break Entry dialog box would you find the different types of breaks already set up in Office Hours?

At the Front Desk When Patients Check In

Where is it useful to have account balance information available to maximize collections?

Windows Desktop

Where will the user be returned to when exiting Office Hours, if Office Hours was started directly from Windows?

Medisoft

Where will the user be returned to when exiting Office Hours, if Office Hours was started from within Medisoft?

Go ___ Months

Which box is used when a patient needs to make an appointment several months in advance?

Field (the field is used to determine the order in which patients are listed in the dialog box)

Which button in the Patient Recall List dialog box is used to determine the order in which patients are listed in the dialog box?

Search For

Which button in the Patient Recall List dialog box is used to locate a specific patient on the recall list?

Locate the appointment on the schedule; click the time-slot box to select the appointment; click Cut on the Edit menu

Which of the following is the correct method for canceling an appointment in Medisoft without rescheduling?

GO

You are searching for a future appointment for one of the patients. After a future date option has been selected in Office Hours, what button can be clicked to close the dialog box and begin the search?

Enter the Information in the Note Box

You have been asked to enter some special information about a patient's history in the New Appointment Entry dialog box. Determine how you would input this information.

Call Again

You have called a patient but were not able to reach him. Determine what selection you should make in the Recall Status box of the Patient Recall dialog box.

No Appointment

You have called a patient to set up an appointment, but the patient has declined to schedule an appointment. Determine what selection you should make in the Recall Status box of the Patient Recall dialog box.

click the Save Button

You have completed the fields in the New Appointment Entry dialog box. Determine how to enter this information on the schedule.

The Repeat Change Dialog Box

You need to set up repeating appointments, once per week for five weeks, for a patient who needs consecutive treatments. Which dialog box would you use to set up the appointments in Office Hours?

NSF check

a check that is not honored by a bank because the account was written on does not have sufficient funds to cover it

Identify a situation in which the Copy Address button in the Patient/Guarantor dialog box would be used.

a child of an established patient living at the same address joins the practice.

A company that receives electronic claims and forwards the claim to the payer is known as

a clearinghouse

filter

a condition that data must meet to be selected

Which of the following statements is a reason why an insurance carrier might deny a claim?

a diagnosis may be coded incorrectly; a procedure code may not be covered by a patient's plan; a procedure may be coded incorrectly

copaymet

a fixed fee paid by the patient at the time of an office visit

case

a grouping of transactions that share a common element

health maintenance organization (HMO)

a managed healthcare system in which providers agree t offer healthcare to the organisations members for fixed payments

Which of these conditions would likely require more than one case?

a patient has two unrelated conditions or a patient has two related conditions, but changed insurance plans in between office visits

established patient

a patient who has been seen by a provider in the practice in the same specialty or sub-specialty within three years.

new patient

a patient who has not been seen by a provider in the practice in the same specialty or sub-specialty within the same practice for a period of three years.

policy holder

a person or entity who buys an insurance plan; the insured

referring provider

a physician who recommends that a patient sees a specific other physician

progress notes

a physicians notes about a patients condition and diagnosis

point of service (POS) plan

a plan, combining features of an HOM and a PPO, in which members may choose from providers in a primary or secondary network

walkout receipt

a receipt given to the patient after a payment is made that lists the procedures, diagnosis charges, and payment

What is made every single time a physician treats a patient?

a record

What may be entered in the Rejection field in the Apply Payment/Adjustments to Charges dialog box?

a rejection message from the RA

Practice analysis report

a report that analyzes the revenues of a practice for a specified period of time.

Payment day sheet

a report that lists all payments received on a particular day, organized by provider

Procedure day sheet

a report that lists all the procedures performed on a particular day, in numerical order.

Insurance aging Report

a report that lists how long a payer has taken to respond to insurance claims

Aging Report

a report that lists the amount of money owed to the practice, organized by the amount of time the money has been owed

Patient ledger

a report that lists the financial activity in each patients account.

Day sheet

a report that provides information on practice activities for a twenty-four-hour period

How should a medical assistant respond to patients complaints?

acknowledge the patients anger

Using the Edit Case button, users may _______________ information in an existing case.

add change delete

when a correction is made in the EHR the correction is saved by

adding an addendum

What is a series of steps designed to determine whether a claim should be paid?

adjudication

What type of information is NOT found on a procedure day sheet?

adjustments for a particular patient

Which of the following statements is true about the procedure for adjusting patient accounts?

adjustments should be made for each patient who has transactions during the time period covered by the capitation payment

the first level of disease and illness prevention is___.

adopting health promoting behaviors

Mr. jones complete hos annual physical exam and wants to schedule an appointment for next years physical exam. This is called ___ scheduling.

advanced

Explain when claims are usually submitted to a secondary carrier.

after the primary carrier has paid

A communication tool that provides the patient with relevant and actionable information and instructions is the

after-visit summary.

what are two types of reports that can be generated by an EHR program?

aging and generated

All of the following information is found on the Patient tab EXCEPT:

aging information for the insurance carrier

You are working at a practice and have been asked to prepare a report that shows how much money has been owed to the practice for more than 90 days. Which of the following reports should you produce?

aging report

Why is it important to know how to change the Medisoft Program Date?

all information must be entered using the correct date to be accurate

Identify the fields that must be completed in the EDI tab.

all of the relevant fields

Which of these types of information would NOT likely be included in a personal health record (PHR)?

all of these are correct

Schedules are created for ____________, if the Provider boxes are left blank in the Data Selection dialog box for a report.

all providers

Which patients are included in the Chart drop-down list in the Transaction Entry dialog box?

all the patients in the practice

indemnity plan

also know as a fee-for-service plan; a health plan that reimburses the policyholder for a percentage of covered medical expenses

infectious waste

also known as bio hazardous waste

deductible

amount due before benefits begin

charges

amounts a provider bills for the service performed

Medisoft's built-in Help feature contains a Contents tab, a Search tab, and ________.

an Index tab

A network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients is known as

an accountable care organization

A network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients is known as

an accountable care organization.

Who may be the TRICARE sponsor?

an active-duty armed services member

What may result if an error occurs during processing by the third-party payer?

an appeal process

What type of patient conditions may be indicated by the Illness Indicator box?

an illness an injury a last menstrual period

Identify a person who may be put in the Contact box of the Address dialog box.

an individual at the place of employment

guarantor

an individual who may not be a patient of the practice but who is financially responsible for a patient account.

PHR

an individuals lifelong health record

A user is able to indicate that a payer is ____________ in the Payor Type box in the Deposit dialog box.

an insurance carrier, a patient and a capitation plan

capitated plan

an insurance plan in which prepayments made to a physician cover the physicians services to a plan member for a specified period of time.

marking incoming mail to note important points for the person receiving is called:

annotating

What can the CUT command do?

appointments can be canceled and not rescheduled

What happens in Office Hours when the Cut and Paste commands are used?

appointments can be rescheduled

Describe the type of appointments that are entered in the Repeat box of Office Hours.

appointments that recur

Which task is NOT performed by a practice management program?

assigning diagnosis codes

Which task is not performed by a practice management program?

assigning diagnosis codes

Many practices store a copy of backup data ____________ to prevent the loss of information in the event of a natural or man-made disaster at the office facility.

at a location other than the office

What is the purpose of resizing the Patient area of the Patient List dialog box?

it allows the user to view more patient information

Explain the benefit of the Search for Open Time Slot shortcut button.

it can be used to find an available time slot for a physician and a patient's appointment

Explain how the entry in the Search for box functions.

it contains the text that is to be searched on

a disadvantage of the open- hours scheduling system is that

it increases the possibility of ineffective downtime for the physician

Explain why there is a need for patient recall lists.

it is difficult for the patient and the physician to know their schedules a year in advance

Explain what happens to the content of data in the process of rebuilding indexes.

it is not checked or verified

Which of the following is an advantage of the MultiLink feature?

it is time-saving and it reduces omission errors

an advantage of patient education is that__.

it results in greater compliance with prescribed treatment programs

financial reasons for considering a postage meter

it saves trips to the post office reduces the number of different stamps calculating postage for larger items, including packages, is easier it saves money by calculating and printing the exact postage needed

Which of the following expenses is not necessarily paid on a regular, recurring basis?

legal services

What is an advantage of EHR;s

legibility of records

Which of the following can be used in a chart number?

letters

Identify the contents of an encounter form.

list of services performed and the charges for them

Compare and contrast the following to determine which represents the correct method of canceling an appointment in Medisoft without rescheduling.

locate the appointment on the schedule; click the time-slot box to select the appointment; click Cut on the Edit menu

How do you cancel an appointment?

locate the appointment on the schedule; click the time-slot box to select the appointment; click Cut on the Edit menu

What section of the Apply Payment/Adjustments to Charges window contains several options that affect claims and statements?

lower third

preferred provider organization (PPO)

managed care network of healthcare providers who agree to perform services for plan members at discounted fees

Revenue cycle management refers to

managing the activities associated with a patient encounter to ensure the provider is paid

Date-sensitive information

may not be entered into Medisoft on the same day that the event or transaction occurred

The utilization of certified EHR technology to improve quality, efficiency, and patient safety in the healthcare system is known as what?

meaningful use

prescription refills are commonly called in by this member of the office staff..

medical assistant

Transactions are usually grouped into cases based on the ______________ for which a patient seeks treatment.

medical condition

The ten-step cycle that results in the timely payment for patients' medical services is the

medical documentation and billing cycle

Where will the user be returned when exiting Office Hours, if Office Hours was started from within Medisoft?

medisoft

payments

monies recivied form patients and insurance carriers

Accounts Recievable

monies that are coming into the practice

If claims are being sent to a clearing house how many insurance carrier codes can be entered?

more than 1

How many states have enacted prompt payment laws to ensure that claims are paid in a timely manner?

most states

What causes hints to appear in Medisoft?

moving the cursor over certain fields

Which of the following is a likely result if a payer either missed additional procedures or grouped them with the primary procedure?

multiple procedures were not paid

what are the three pices of information that you must obtain when scheudling an appointment?

name, phone #,and chief complaint

examples of clinical supplies are:

needles, syringes, and lubricating jelly

Where is data saved in most medical practices?

network drive

a patient who does not call to cancel an appointment but does not come to the appointment is called__.

no show

You are completing the Personal tab for a patient but do not know what their status is as a student. How should you fill out the Student Status box?

none of these are correct; leave it blank

Collecting payments is ____________ when patients understand the charges and the practice's financial policy in advance.

not usually problematic

What data is obtained from a prospective patient when scheduling an appointment?

obtain basic patient data and enter patient data in Medisoft dialog boxes

Which of the following is clicked in the Data Selection Questions window to send a report to its selected destination?

ok

if you receive payment from a patient by mail after the office visit, you should record it___.

on the patient's ledger card and the current day's daily log

Where do hints appear in Medisoft?

on the status bar at the bottom of the screen

About how often should files be rebuilt in Medisoft to keep them working efficiently?

once per month

In this type of billing system, patient statements are printed and mailed all at once.

once-a-month

You are working at a practice that prefers to handle all of its monthly billing at one time, so that it can focus on providing services the rest of the month. What type of billing the practice should use?

once-a-month billing

which schedule allows patients to arrive at their own convenience with the understanding that they will be seen on the first- come first serve basis?

open hours scheduling

what are the four steps involved in processing mail?

open, record, annotate, and distribute

a marker that is made of stiff material, used as a placeholder when someone takes a file out of the filing system is called a ___?

out guide

If the amount in the Unapplied box of the Payment, Adjustments, and Comments section is yellow, the practice

owes the patient a refund for the procedure

Name the term that refers to the deletion of vacant slots from the database.

packing data

What should be done when more space is needed on the hard disk and there are vacant slots to be deleted?

packing data

an example of a patient symptom includes all of the following:

pain, nausea, headache, and tingling sensation

During which type of teaching do you describe a technique to the patient, demonstrate it, and then ask the patient to repeat the demonstration?

participatory

which type of teaching should you use to demonstrate cleaning and dressing a wound?

participatory

Many medical offices assign _____ to individuals who have access to computer data as a security measure.

passwords

Many medical offices assign ________________________ to individuals who have access to computer data as a security measure.

passwords

a patients personal health record is owned by the?

patient

What does the signature on the Patient Information Form indicate?

patient accepts responsibility for payment of charges not paid by health plan

What type of report lists a patient's balance by age, date and amount of the last payment, and telephone number?

patient aging report

important information about a patients medical history and present condition is found in the__.

patient chart

Which of the following types of help is NOT available in Medisoft?

patient education

a patients illness and reason for this visit to the physician are found in the:

patient medical history

What type of statement would a practice use to attempt to collect on an overdue balance from a patient?

patient statements

Which statements are a list of the amount of money a patient owes, organized by the amount of time the money has been owed, the procedures performed, and the dates the procedures were performed?

patient statements

the purpose of having a patient sign and informed consent form is ti ensure that the ___/

patient understands the treatment offered and the possible outcomes

The information required to complete the eleven tabs in The Case Dialog Box comes from documentation found where?

patient's medical record or chart

If a breach of unsecured health information occurs, HITECH requires healthcare providers, health plans, and other entities covered by HIPAA to notify

patients the federal government the media all are correct

the person to whom the check is written to is the __.

payee

What type of information may be entered in the Field Value box at the top of the Locate Patient dialog box?

payment date or amount, assigned provider, birth date

What type of day sheet lists all payments received on a particular day, organized by provider?

payment day sheet

Which of the following documents specify the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement?

payment schedule

capitantion

payment to a provider that covers each plan members health care services for certain period of time

another term for write-it-once system is___ system.

peg board

coinsurance

percentage of charges that an insured person must pay for health care services after payment of the deductible amount

The patient information form contains

personal information employment information medical insurance information all are correct

electronic prescriptions can be printed at the medical office and given to the patient of transmitted directly to the ___.

pharmacy

During check-in, it is also common practice to photocopy the patient's insurance identification card and a

photo ID

The HIPAA security standards comprise

physical safeguards administrative safeguards technical safeguards all are correct

You have been asked to mark a case as closed. Demonstrate a way that you could indicate this in Medisoft.

place a check mark in the Case Closed box on the Personal tab

Only ____________ amounts are contained in the Take Back field in the Apply Payment/Adjustments to Charges dialog box.

positive

money from the petty cash find should be used for purchases such as ___.

postage due fees and holiday decorations

an accountable care organization

practice management program

the medical assistant cannot handle phone calls from patients requesting ___ renewals, unless the physician has indicated approval in the patients record

prescription

payer

private or government organization that insures or pays for healthcare on behalf of beneficiaries

what does POMR stand for?

problem oriented medical record

Each charge, or fee, for a visit is represented by a specific

procedure code

Which type of data stored in Medisoft contains the data that are needed to create charges?

procedure codes

Which type of data stored in Medisoft contains the data that is needed to create charges?

procedure codes

According to the Institute of Medicine, which of the following core functions should NOT necessarily be included in an EHR?

procedure coding management

Charges may be denied by insurance carriers for a number of reasons for example

procedure may not be covered by the patient's plan, procedure or diagnosis may be coded incorrectly

Which information does a health plan need to pay a claim?

procedures the provider performed while the patient was in the office the date of the office visit the location of the office visit all are correct

Electronic statements are sent electronically to a _______, which ______ and __________ them

processing center, prints, mails

one of the most important telephone skills is saying words correctly, which is called___?

pronunciation

Health information that can be used to find out a person's identification is referred to as

protected health information

To begin the process of entering an appointment in Office Hours, select the ____________ for whom the appointment is being scheduled.

provider

What Medisoft database stores provider identification numbers?

provider data

What activity can be performed via Medisoft's Provider List button?

providers may be entered

the three domains of learning are the cognitive domain, the affective domain, and the ___ domain.

psych-motor

Which of the following features is provided by Medisoft to assist in maintaining data files stored in a system?

purge data recalculate balances rebuild indexes all of these are correct

Name the process of deleting files of patients who are no longer seen by a provider in a practice

purging data

Reminding patients about preventive care screenings is an example of which advantage of EHRs?

quality

Name the process of updating patient accounts to reflect the most recent changes made to the data.

recalculating balance

Name the process of updating patient accounts to reflect the most recent changes made to the data.

recalculating balances

A practice management program (PMP) is a software program that

records patients' payments and prints receipts processes the financial transactions that result from patients' appointments calculates charges for office visits all of these are correct

What color is assigned to a patient enrolled in Blue Cross/Shield in Medisoft in the example in Figure 4-4?

red

What type of information is located in the Account tab?

referral source patient's assigned provider authorized number of visits

Managing the activities associated with a patient's encounter to ensure that the provider receives full payment for services is known as

revenue cycle management.

What report can be used by practices to determine whether billing charges can be applied to a patient account?

billing/payment status report

an endorsement that consists simply of the payee's signature is a ___.

blank endorsement

which color family for the reception area would be best if the goal is to produce a calming effect?

blues

Which of the following is another term for NSF checks?

bounced checks or returned checks

Which term refers to the acquisition, access, use, or disclosure of unsecured PHI in a manner not permitted under the HIPAA Privacy Rule, thus compromising the security or privacy of the PHI?

breach

Single payments to multiple providers involved in an episode of care, creating a sense of shared accountability among providers, are known as

bundled payments.

How is the Office Hours program closed?

by clicking the Exit button on the Office Hours toolbar or by clicking Exit on the Office Hours File menu

Explain how you could print a sheet of information about the patient and case from the Case dialog box.

by clicking the Face Sheet button

How can EHRs increase patient safety?

by eliminating medication and physician order errors due to illegible handwriting

How can a practice write off any payments that Medicare or Medicaid beneficiaries are responsible for without the action being considered fraudulent?

by following a rigid set of steps to verify the patient's financial situation

When new patients register, they should be given copies of the financial policy along with the HIPAA policies. The policy should tell patients how the practice handles

collecting copayments and past-due balances, setting up financial arrangements for unpaid balance, providing charity care, collecting payments for services not covered by insurance, collecting prepayment for services, and accepting cash, checks, money orders, and credit cards

adjustments

changes to patients accounts that alter the amounts charged or paid

Read the following choices. Which one represents the correct work flow after a patient encounter has taken place?

charge transactions are entered; charge transactions are checked for accuracy; transaction data are saved; a walkout receipt is printed for the patient

What three transactions are recorded in medisoft

charges, payments, adjustments

what is the first thing that should be done when a shipment of supplies arrives at the medical office?

check the shipment against the order form and packing slip

Copayments are routinely collected during

check-in or checkout

editing

checking a document for factual, accuracy, logical flow, conciseness, clarity, and tone

proofreading

checking a document for grammatical, spelling and formatting errors

crossover claim

claims that are processed by medicare and then transferred to medicaid, or to a payer that provides supplemental insurance benefits to medicare beneficiares

clean claims

claims with all the correct information necessary for payer processing

which of the following is the most appropriate choice of music for a medical office?

classical

Which of the following is an outside firm hired to collect on delinquent accounts?

collection agency

Common features used for the purpose of collection efforts include

collection lists, aging reports, & collection reports

What does a PMP require to create and transmit healthcare claims?

collection of information from various databases and create a claim file

What is used to keep track of collection letters that were sent?

collection tracer report

what represents the method of starting Office Hours without entering Medisoft first.

click Start > All Programs; then click Medisoft on the Programs submenu; then click Office Hours on the Medisoft submenu

Which of the following explains how to display the Insurance tab in the Transaction Entry dialog box?

click on the tab title

How is Medisoft exited?

clicking Exit on the File menu or clicking the Exit button on the toolbar

You have completed the fields in the New Appointment Entry dialog box. Determine how to enter this information on the schedule.

clicking the Save button enters the information on the schedule

the appointment scheduling system that groups similar appointments together during the day or week is ___.

cluster scheduling

The process of translating a description of a diagnosis or procedure into a standardized code is known as

coding

a variation of shelf filing kept on rolling shelves that slide along permanent tracks on the floor are called___.

compactable files

what are the five C's of effective communication?

completeness, clarity, conciseness, cohesiveness, and courtesy

Electronic data interchange involves sending information from computer to

computer

to maintain patient ___ never discuss a patients records, forward them to another office, fax them or show them to anyone but the physician unless you have written consent form the patient.

confidentiality

a patient with diabetes whose blood sugar falls too low may experience____.

confusion

a special bank check that allows the depositor to withdraw funds from her account only is called___.

counter

which type of check would state " pay to the order of myself only"?

counter

Practice management programs can be used to verify insurance eligibility, create and transmit insurance claims, and

create reports.

Which of the following is NOT a standard report format offered by Medisoft?

customer satisfaction reports

What type of information is stored in the Condition tab?

data about a patient's illness,data about a patient's disability, data about a patient's accident

Which of the following is a method of patient support commonly offered by electronic health records (EHRs)?

data from home monitoring and testing patient education family and informal caregiver education all of these are correct

The S in SOAP documentation is :

data that comes directly from the patient

The O in SOAP documentation is

data that comes from examination results and from the physician

What is a collection of related bits of information?

database

According to the Institute of Medicine, which of the following core functions should be included in an EHR?

decision support order management population reporting and management all are correct

decreasing medical errors will help___ healthcare cost.

decrease

Medisoft always asks for confirmation before

deleting data

Medisoft always asks for confirmation before _____________.

deleting data

The Patient list can be restored to its default setting by ____________.

deleting the entry in the Search for box

What type of data is primarily stored in the Patient/Guarantor dialog box?

demographic information

In order to be eligible for financial incentives through the HITECH ACT, what practice are providers required to do?

demonstrate meaningful use of electronic health records

In order to be eligible for financial incentives through the HITECH Act, what are healthcare providers required to do?

demonstrate meaningful use of electronic health records

A patient with ___ requires extra consideration when scheduling and should not be scheduled for late morning appointments?

diabetes

what are two tools that can be used when editing and proofreading?

dictionary, thesaurus, and a medical dictionary

to calculate the unit price of an item

divide the total purchase price by the number of items

Every time a patient is treated by a healthcare provider, a record is made of the encounter. This record is known as

documentation

recording information in the medical record is called

documentation

the term non compliant means the patient

does not follow medial advice

Choose the method you would use to open a patient case as quickly as possible.

double click on the line associated with a case

Enter appointments in Office Hours by

double clicking a time slot on the schedule or clicking the Appointment Entry shortcut button

Eliminating the need to search for a misplaced or lost patient chart is an example of which advantage of EHRs?

efficiency

when managing office supplies the goal is to achieve

efficiency

The choices cash, credit card, check, and ____________ are all included in the Payment Method field in the Deposit dialog box.

electronic

An RA that is sent in ____________, is an electronic remittance advice (ERA).

electronic format

Which records offer a broad focus on a patient's total health experience over the lifespan, rather than the documentation of episodes of illness or injury?

electronic health records (EHRs)

Which of these are computerized records of one physician's encounters with a patient over time?

electronic medical records (EMRs)

The use of computers and handheld devices to transmit prescriptions to pharmacies in digital format is called

electronic prescribing

What method of filing a claim has replaced paper claim forms?

electronic transmission

How is most eligibility verification performed today?

electronically

A(n) ______ is a list of procedures and diagnoses for a patient's visit.

encounter form

Information about a patient's medical procedures that is needed to create an insurance claim is found on the

encounter form.

HIPAA was designed to

ensure the security and privacy of health information

HIPAA was designed to

ensure the security and privacy of health information.

What billing tasks may be performed via the Activities menu?

entering charges entering deposits writing off small balance activities all of these are correct

To change patient information, follow a process similar to that of

entering information for a new patient

What tools that are common in EHRs make documenting patient encounters more efficient for providers?

entering notes by typing on a computer using voice recognition software choosing clinical words, phrases, and symptoms from templates all are correct

What does the Export button in the Deposit List dialog box do?

exports the data in either Quicken or QuickBooks program formats

What type of preoperative teaching supplies details about the surgical procedure?

factual

True or False: EMR systems are created to allow information to be shared by more than one healthcare system.

false

True or False: Medical records are not legal documents/

false

True or False: you should answer the phone promptly by the third or fourth ring.

false

a symptom is something that is felt by the patient that cannot be seen.

false

true or false: SOMR charting is arranged by illness. There is ocumentation for each illness.

false

true or false: a sign is subjective external factors

false

true or false: blood, urine, and other bodily fluids do not require special do not require special cleaners with an enzyme that breaks down organic waste.

false

true or false: narcotics do not have to be stored securely and separately.

false

true or false: people from different countries or cultures are considered to have special needs.

false

The provider's fees for services are listed on the medical practice's

fee schedule

A model of physician reimbursement in which payment is provided for specific, individual services provided to a patient is known as

fee-for-service.

what are four pieces of office equipment that you may find in a medical office?

file folders, staples, paper clips, and fax machine

what type of filing system allows several people to retrieve and return files at one time?

filing shelves

The ____________ carrier to whom claims are submitted is the primary insurance carrier.

first

How many options for choosing a future date are there in the Go To Date dialog box?

five

After a claim file has been transmitted, a PMP does what?

follow up on the status and send an electronic message to health plan

to be a good leader,you must first be a good __

follower

multilink codes

groups of procedure code entries that relate to a single activity

Most Medical practices

have a regular schedule for sending statements to patients

The steps used to change the Medisoft Program Date in Windows XP compared to Windows Vista and Windows 7

have some similarities

What term refers to the computer hardware, software, and networks that are used to record, store, and manage patient healthcare information?

health information technology (HIT)

What is a disadvantage of using an electronic scheduler?

if the computer is down, the day's schedule is not accessible

when may a medical assistant authorize a pharmacy to refill a prescription?

if the physician has authorized in the patients hart that refills are approved

communication problems that lead to medical errors include all of the following except___?

improper telephone etiquette

sponsor

in TRICARE, the active-duty service member

files kept in boxes or tubs must be stored___.

in a secure room

How are entries in the List window listed if Social Security Number is selected in the Field box?

in numerical order by Social Security number, from lowest to highest

In order to edit a transaction, where must the user click?

in the field that needs to be changed

Payer should be notified ____________ that payment has not been received if a clean claim is not paid within the allotted time frame, according to applicable prompt payment laws.

in writing

The information in reports will be ________ if incorrect dates are used when entering data.

inaccurate

EHRs are most frequently praised for providing

increased patient safety greater efficiency improved quality of care all are correct

What is displayed on the right side of the Patient List dialog box?

information about cases

What is displayed on the left side of the Patient List dialog box?

information about patients

What type of information does the Patient/Account Information section of the Transaction Entry dialog box contain?

information about the patient's insurance coverage information about the patient information about the patient's account

what are the 5 steps in the filing process?

inspecting, indexing, coding, sorting, and storing

The appropriate codes for the ____________ are selected from the Payment Code, Adjustment Code, Withhold Code, Deductible Code, and Take Back Code boxes.

insurance carrier

What Medisoft database stores information on each carrier's electronic claim submission requirements

insurance carriers

What Medisoft database stores information on each carrier's electronic claim submission requirements?

insurance carriers

Who uses the information in the Condition tab to process claims?

insurance carriers

A patient information form contains information such as name, address, employer, and

insurance coverage information.

You are checking in an existing patient who hasn't been to the office for some time. Which documents should you photocopy and/or scan and add to the patient's chart?

insurance identification card

Whether the patient ____________ is indicated in the Status field in the Other Information tab of the Patient/Guarantor dialog box.

is employed or in school

the___ list specifies who is responsible for various types of calls in the medical office.

routing

Alerting physicians when medication deemed unsafe has been pulled from the market is an example of which advantage of EHRs?

safety

Clicking the __ button in Office Hours enters the information on the schedule, after the boxes in the New Appointment Entry dialog box have been completed.

save

pronunciation is

saying words correctly

the second level of disease prevention is___.

screening

Information is resorted by the ____________ when a selection is made in the Field box.

selected criteria

Explain how a drop-down list may be used to enter data in Medisoft.

selections may be made from the list of choices in a drop-down list

How many major types of data are stored in Medisoft?

six

what does SOMR stand for ?

source oriented medical record

What are the buttons at the bottom of the Transactions tab used to do?

split transactions, remove transactions from the statement, & add transactions to the statement

What type of statement a practice would use to look at a full, comprehensive list of transactions?

standard statements

What governs the maximum amount of the fee a practice can charge for NSF checks?

state laws

What document lists all services performed, along with the charges for each service?

statement

Data can be purged for ____________ in Medisoft.

statements appointments recalls all of these are correct

The Patient Collection report lists patients with overdue accounts for which ____________ are listed in the patient collection report.

statements have been mailed

In the Edit Appointment dialog box in Office Hours, a patient can be checked in by making a selection from the list of ________ options.

status

th final step in the filing process is ___.

storing

dentify the daily work that Medisoft can perform in the medical practice.

submit insurance claims to payers schedule appointments monitor collections activities all of these are correct

vital supplies

supplies that are absolutely essential for the practice to function

periodic supplies

supplies that require ordering only occasionally

The automated processes used to protect data and control access to data are

technical safeguards

Which of the following is the ERA that is mandated for use by HIPAA?

the ASC X12 835 Remittance Advice Transaction and the 835

What button in the Deposit List dialog box is used to apply payments to specific charge transactions?

the Apply button

What provides account balance information in Medisoft?

the Appointment List with Remainder Balance report

What feature is designed to protect data files from unauthorized access by logging a user off after detecting no activity for a specified number of minutes?

the Auto Log Off feature

What radio button must be clicked for the Edit Case button to be displayed?

the Case radio button

You have been asked to include some notes on patient statements to be printed. Where would you input such notes in the Case dialog box?

the Comment tab

What data for a walkout receipt is selected in the Data Selection Questions window?

the Date From Range

You are entering payment details in the Deposit dialog box and need to enter some specific details about the payment. What box would be used to enter this information?

the Description/Bank No. box

What government regulation is intended to promote the use of EHRs in physician practices and hospitals through the use of financial incentives?

the HITECH Act

If a patient requires lab tests performed by an outside lab, where can this information be recorded?

the Miscellaneous tab

What Medisoft feature is used to set up repeating appointments?

the New Appointment Entry dialog box

What dialog box is used to enter appointment information into the schedule in Office Hours?

the New Appointment Entry dialog box

What button is used to record the information entered in the Repeat Change dialog box and thereby return to the New Appointment Entry dialog box?

the OK button

Which button appears on the upper-right side of the Patient List dialog box?

the Patient radio button and the Case radio button

Compare and contrast the features of the Policy 3 tab to that of the Policy 1 and Policy 2 tabs.

the Policy 3 tab does not contain the Crossover Claim box or the Capitated Plan box

Where can the options to set up the Office Hours program be found in Medisoft?

the Program Options dialog box

Where are appointments that recur on a regular basis entered in the New Appointment Entry dialog box?

the Repeat box

What part of the New Break Entry dialog box offers the different types of breaks already set up in Office Hours?

the Resource box

Which of the following fields are completed using the MMDDCCYY format?

the Retirement Date box of the Other Information tab and the Birth Date box of the Name, Address tab

You need to indicate that a patient is an Active member of the armed forces in Medisoft. Where would you make this distinction?

the Sponsor Status box

The increasing number of treatments available for medical conditions, combined with ______________, is contributing to rising healthcare costs.

the aging population

What does the entry in the Amount field of the Payments, Adjustments, and Comments section indicate?

the amount of the payment received

To what does the Length box in the New Appointment Entry dialog box refer?

the amount of time an appointment will take

Which information is listed on a statement?

the amount paid by the health plan and the remaining balance owed the by the patient

To what does the Time box in the New Appointment Entry dialog box refer?

the appointment time that is currently selected on the schedule

What information can be entered in the Field Value Box at the top of the Locate Patient dialog box?

the birth date, the payment date or amount, the assigned provider

Using Copy Case, what fields almost always require editing?

the case description and the referring provider

Explain what happens when an option other than None is selected on the left side of the Repeat Change dialog box.

the center section of the dialog box changes and displays additional options for setting up the appointments

A statement needs to be sent to a child who was brought to the practice by her mother, but has insurance coverage under her father's plan. Who is the appropriate person to whom a patient statement should be sent?

the child's father

What is selected if the responsible party type is Insurance in the Responsible Party field of the Tickler Tab in the Tickler Item dialog box?

the code for the insurance carrier

What is listed in the Insurance 1 box under the Policy 1 tab?

the code number and name of the insurance carrier

What are the Status buttons in the General tab of the Statement dialog box used to indicate?

the current status of the statement

What is the schedule created using the Appointment List option on the Office Hours Reports menu based on?

the data specified in the Data Selection dialog box

The Estimated Date of Birth box in the Condition tab records

the date a pregnant woman's baby is due

The remittance advice provides details about each patient transaction, including

the date of service the services provided the patient identification number all are correct

The A in SOAP documentation includes

the diagnosis or impression of the patients problem

Choose the correct meaning of a check mark in the Accept Assignment box in the Policy 1 tab?

the provider accepts payment directly from the insurance carrier

What must be selected in Office Hours before patient appointments can be entered?

the provider and date

What is the amount a physician is reimbursed for a service based upon?

the provider's agreement with the third-party payer and the patient's insurance benefits

Which of the following components should NOT be addressed in a practice's financial policy?

the salaries of the practice's employees

What steps should be used to change information already entered in Medisoft?

the steps originally used to enter the data

What must the report selected in the Open Report dialog box match?

the type of statement selected in the Statement Type field of the Create Statements dialog box

Which of the following is a common factor that practices use to determine their preferences for how payments are entered?

their billing procedures

A patient who has not received services from the same provider or a provider of the same specialty within the same practice for a period of ____________ is known as a new patient.

three years

How is all data entered into Medisoft?

through the menus on the menu bar and the buttons on the toolbar

the aapoinment scheduling system that assumes a steady stream of patients all day ling at regular, specified intervals is___.

time specified scheduling

when labeling medical records for an alphabetic filing system, which of the following sequences should you use?

title, last name, first name, middle name

Which of the following is the purpose of a collection tracer report?

to keep track of collection letters that were sent

Explain the purpose of backing up data

to prevent the loss of information

Explain the purpose of backing up data.

to prevent the loss of information

Explain the purpose of the Auto Log Off feature

to protect data files from unauthorized access

Explain the purpose of the Auto Log Off feature.

to protect data files from unauthorized access

Why does a medical insurance specialist need to learn about electronic health records?

to understand the role of electronic health records in the billing cycle.

if you misplace a patient record, you should__ your steps from the last known location of the record.

trace

What can the audit function be used to do?

track changes made in Medisoft and track who made the changes

Where are the two different areas where payments are entered in medisoft

transaction entry dialog box and the deposit list dialog box

transforming spoken words into accurate for is called

transcription

which checks are preprinted and might be used by a physician to pay for out- of- town expenses?

traveler's

if you are in doubt about whether a situation is a medical emergency....

treat it like an emergency

medical necessity

treatment provided by a -physician to a patient for the purpose of preventing, diagnosis, or treating an illness, injury, or its symptoms in a manner that is appropriate an dis provided in accordance with generally accepted standards of medical practice

true or false: before writing a letter, you should consider the type of person to whom you are writing.

true

true or false: it is medical assistants's responsibility to oversee the flow of supplies used, bought, and selecting vendors.

true

How many different methods of changing the date in the program are available in Medisoft?

two

How many different types of help does Medisoft offer?

two

Information about all ____________ charges for a patient is contained in the Apply Payment to Charges dialog box.

unpaid

Explain how to open the appointment scheduler in Medisoft.

use the Appointment Book feature via the Activities menu

You need to transfer patient information from one field to another in Medisoft. What is the most efficient way of performing this task?

use the Cut and Paste commands to move the information to a new location

What are Medisoft users assigned once security has been set up in Medisoft?

user names and passwords

How can Medisoft users avoid the inconvenience of exiting and restarting Medisoft if they need to use a different program on the computer?

using the Minimize button to make Medisoft temporarily inactive

files that feature pullout drawers that contain a metal bar equipped to handle letter size or legal size documentation are called___.

vertical files

For what type of claims is the Prescription Date field required?

vision and hearing claims

business checks with stubs are ___ checks.

voucher

Which of the following is another name for a walkout receipt?

walkout statement

Identify a situation in which the Insurance Type Code field must be completed.

when sending Medicare secondary claims

When will a patient statement be created if a check mark appears in the Print Statement Now box?

when the current insurance payment is saved

When should breaks be inserted into a provider's schedule?

when the provider is not available for appointments with patients

What steps are taken to change the default date in medisoft when entering patients

• Set program date command on the file menu can be clicked • The date button in the lower-right corner of the screen can be clicked • The information that is already in the date box can be keyed over with the desired date

A list of the procedures and charges for a patient's visit

Encounter form

Double-clicking a Time Slot on the Schedule or Clicking the Appointment Entry Shortcut Button

Enter appointments in Office Hours by

it checks for missing data and obvious ____________ such as ________________performed on a date ____________________ than the patient's insurance coverage was in effect.

Errors, Procedures, Earlier

Medisoft locates the future date and displays the calendar schedule for that date.

Explain what happens after the Go button is clicked in the Go To Date dialog box after appropriate selections have been made.

The center section of the dialog box changes and displays additional options for setting up the appointments.

Explain what happens when an option other than None is selected on the left side of the Repeat Change dialog box.

Paper document from a payer that shows how the amount of a benefit was determined

Explanation of benefits (EOB)

Which dialog box allows you to export the report file preview the report on screen send the report directly to the printer

Export, report to file, preview report on screen, send to printer

Press the ____________ key to quickly add a CPT code to the database if it does not appear in the drop-down list in the Procedure field.

F8

*Myelography

Process of recording the spinal cord

What button serves as a shortcut for entering data in Medisoft?

F8 function key

An audit/edit report is sent from the clearinghouse to the practice before the basic edit can be completed

FALSE

An edit trail is a report that shows who has accessed information and when

FALSE

Medisoft does not offer any shortcuts to make searching easier

FALSE

A_______is a document that specifies the amount a provider bills for provided services

FEE SCHEDULE

The provider's fees for services are listed on the medical practice's

FEE SCHEDULE

Medisoft's file maintenance utilities are accessed via the ______menu

FILE

The set program date command is found on the

FILE MENU

In Medisoft, a_________is a condition that data must meet to be selected

FILTER

The primary insurance carrier is the______ carrier to whom claims are submitted

FIRST

Up to____diagnoses codes can be entered in one Medisoft case

FOUR

Payments that have been_____are not colored and appear white

FULLY APPLIED

Which button should be clicked to save transactions?

Save Transactions or Update All

EHRs allow two or more people to work with a patient's record at the same time

TRUE

HIPAA stands for the Health Insurance Portability and Accountability Act of 1996

TRUE

Medisoft's search feature can be used to look for information on patients, insurance carriers, procedure codes and employers

TRUE

Once created, a chart number cannot be edited

TRUE

The HIPAA Privacy Rule protects individually identifiable health information

TRUE

The accounting cycle is the flow of financial transactions in a business

TRUE

How many different methods of changing the date in the program are available in Medisoft?

TWO

Payments are entered in________different areas of the Medisoft program

TWO

The abbreviation TOS stands for

TYPE OF SERVICE

If the correct patient is highlighted in the Chart drop-down list, pressing what button selects the patient and closes the drop-down list?

Tab

What key is used to move between text boxes within a dialog box?

Tab Key

What key is used to move between text boxes within a dialog box?

Tab key

This field contains only positive adjustment amounts

Take back

Automated processes used to protect data and control access to data

Technical safeguards

Health information technology (HIT)

Technology that is used to record, store, and mange patient healthcare information

Where can a calculator tool be found in Medisoft?

Tools menu

When looking at the Transaction Entry dialog box, in what section does the Patient/Account Information appear?

Top Third

What is listed in the Practice Totals section of a practice analysis report

Total charges, total payments, procedures and adjustments

Where are patient payments that are made at the time of an office visit entered?

Transaction Entry dialog box

Diagnosis, Date from, Document, Procedure, Amount, and add are part of

Transaction Tab

Which tab in the statement dialog box lists the transactions placed on the statement?

Transaction Tab

Used to specify the starting and ending dates for which claims will be created

Transaction dates

Patient's payments are entered in

Transaction entry dialog box

Which tab in the Statement dialog box lists the transactions placed on the statement?

Transactions tab

When a report is selected, which of the following options does not appear in the Print Report Where dialog box?

Transmit the report to an insurance carrier

Deciding how to emergent a patient;s problem is and how it may be best handled is a procedure known as?

Triage

A Medicare patient receives services valued at $780 according to a provider's usual fee, but the MPFS allowed charge is only $700. Assuming the deductible has been met, what is the required patient payment?

$140

A practice has received two payments, one for $137 from the payer, and the other for $25 from the patient. What amount will appear in the Unapplied box if neither of these payments have been applied?

$162

You need to setup a payment plan for a patient who owes a total of $840 and wants to pay off their balance in four months. Calculate their monthly payment, assuming there are no finance charges and no fees.

$210

A patient in a managed care plan receives services valued at $245 according to a provider's usual fee, but the allowed charge is only $220. The patient has a required copayment of $20. What is the adjustment that must be made by the practice?

$25

In the Apply Payment/Adjustments to Charges dialog box, $320.00 is entered in the Charge field and $295.00 is entered in the Allowed field. What amount will automatically be entered in the Adjustment field?

$25.00

A practice has agreed to a capitated plan with an insurance carrier under which they cover twenty patients and receive a $3,000 per month reimbursement payment. What payment will the practice receive if it only treats ten patients in a month?

$3,000

A procedure on the Medicare nonparticipating fee schedule is priced at $320. How much can the nonparticipating provider charge for the procedure under the Medicare limiting charge?

$368

A patient in an indemnity plan receives services valued at $240 according to providers usual fee and the allowed charge. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

$48

A patient in an indemnity plan receives services valued at $430 according to a provider's usual fee, but the allowed charge is only $380. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

$76

Define payments

Monies received from patients and insurance carriers

During preregistration, it is important to obtain the patient's name and contact information, the reason for the visit, and

whether the patient is new to the practice.

Depending on ____________, the command buttons at the bottom of the Patient List dialog box will vary.

which side of the window is active

What must be in place in a medical office to provide medical care to patients and collect payment for these services?

workflow

What character always comes last in a chart number?

zero

A second deposit is entered with a ____________ in order to adjust the patient accounts of those covered by a capitated plan.

zero amount

Define POS codes

(Point Of Service) 22 outpatient hospital, 11 office, 21 inpatient hospital, 23 hospital emergency room

Define TOS

(Type Of Service)

A new patient has arrived at the practice for an appointment. What documents should they be issued?

*all of the above*

In creating a patient ledger report in Medisoft, the user can select from which options?

*all of the above*

What should a practices financial policy tell patients?

*all of the above*

What statements is a reason why an insurance carrier might deny a claim?

*all of the above*

What is entered using the center section of the Repeat Change dialog box?

-the day of the week on which appointments should be scheduled -when the repeating appointments should stop -how often appointments should be scheduled

Which of the following choices represents a valid date in MMDDCCYY format?

08242016

Which claim form allows for more data to be included?

837P

medical errors in the united stated are calculated to be the__ leading cause of patient death/

8th

How many radio buttons are there in the Open Report dialog box to control the list of reports displayed in the dialog box.

11

The Place of Service code for services performed in a provider's office is

11

The open report dialog box contains how many radio buttons?

11

Which of the following Place of Service codes indicate the encounter took place in a provider's office?

11

What is the maximum number of diagnoses codes that can be entered in one Medisoft case under the default settings?

12

How many options does Medisoft provide for conducting searches?

2

Which of the following Place of Service code is for a patient encounter that took place in a hospital emergency room?

23

A day sheet covers what time period?

24 hours

How many buttons are there on the Medisoft toolbar

26

the typical amount of time for a complete physical exam is___.

30 to 60 minutes

Codes assigned to employers in the Address dialog cannot be over ____________ characters in length.

5

How many options for choosing a future date are there in the Go To Date dialog box?

5

Providers who do not participate in the Medicare program may accept assignment on a claim-by-claim basis are paid

5% less

The Auto Log Off field can be set for up to

59 minutes

The Auto Log Off field can be set for up to

59 minutes.

patient education brochures should not exceed the __ reading level.

6th

A patient in an indemnity plan receives services valued at $430 according to a providers usual fee, but the allowed charge is only $380. How much does the patient pay coinsurance if the insurer reimburses 80 percent of the allowed charges?

76

How many menus does Medisoft contain?

8

Someone other than the patient's regular physician who provides treatment to the patient

Attending

A report that traces who has accessed electronic information, when information was accessed, and whether any information was changed

Audit trail

Feature of Medisoft that automatically logs a user out of the program after a period of inactivity

Auto log off

Some types of report type codes are

B2 Prescription, PN Physician therapy notes, RB radiology films, and RR Radiology reports

The extra copy of data files made at a specific point in time is known as

BACKUP DATA

The ten-step cycle that results in the timely payment for patients' medical services is the

BILLING CYCLE

NSF checks are also called

BOUNCED CHECKS RETURNED CHECKS BOTH A AND B ANSWERS ARE CORRECT

what is the standard abbreviation for blood pressure?

BP

Which term refers to the acquisition, access, use or disclosure of unsecured PHI in a manner not permitted under the HIPAA Privacy Rule, thus compromising the security or privacy of the PHI?

BREACH

How can a custom report be printed in Medisoft?

BY DOUBLE CLICKING THE REPORT TITLE BY HIGHLIGHTING THE TITLE OF THE REPORT.......... BOTH A AND B ANSWERS ARE CORRECT

What button initiates the process of backing up data in Medisoft?

Back Up Data Now

A copy of data files made at a specific point in time that can be used to restore data

Backup data

What does a patient aging list report?

Balance by age, date and amount of the last payment, and telephone number

In what kind of plan are payments made to the physician from a managed care company for patients who select the physician as their primary care provider, regardless of whether the patients visit the physician or not?

CAPITATED PLAN

Under_______a flat fee is paid to the physician no matter how many times a patient receives treatment, up to the maximum number of treatments allowed per year

CAPITATED PLAN

What are the amounts a provider bills for the services performed?

CHARGES

Copayments are routinely collected during

CHECK-IN

What are claims with all the information necessary for payer processing called?

CLEAN CLAIMS

If claims are being sent to a_______, more than one insurance carrier code can be entered in the Primary Insurance box

CLEARINGHOUSE

Medisoft is exited by

CLICKING EXIT ON THE FILE MENU CLICKING THE CLOSE BOX BOTH A AND B ANSWERS ARE CORRECT

The______is the paper claim approved by the NUCC

CMS-1500

The mandated paper insurance claim form

CMS-1500 (08/05)

Information in the patient window is

COLOR-CODED

The______is used to enter case notes

COMMENT TAB

What is the first step in processing a remittance advice?

COMPARE THE RA TO THE ORIGINAL INSURANCE CLAIM

Any claims prepared for submission to an insurance carrier must be selected and then reviewed for

COMPLETENESS ACCURACY BOTH A AND B ANSWERS ARE CORRECT

Electronic data interchange involves sending information from computer to

COMPUTER

If a patient is being treated for injuries related to an automobile accident, information about the accident must be entered in the______tab of the Case folder

CONDITION

After claims are created in medisoft what can be done with them?

Can be printed mailed and transmitted electronically.

What is the negative effect of rejected claims?

Can cost the practice twice as much as clean claims and result in reduced cash flow.

The Patient Recall dialog box contains which of the following buttons?

Cancel, Help, Recall list

An insurance plan in which prepayments made to a physician cover the physician's services to a plan member for a specified period of time

Capitated plan

What should be selected in the Payor Type field in the Deposit dialog box when entering capitation payments?

Capitation

Payments made to physicians on a regular basis for providing services to patients in a managed care plan

Capitation payments

Where can you find the batch number in the carrier tab?

Carrier tab 1

A grouping of transactions that share a common element

Case

What task can be done from the claim management box?

Changed, printer or submitted electronically existing claims can be reviewed.

A practice sends a patient a bill which lists the amounts they must pay for the services they received. This is an example of which one of the following choices:

Charges

Amounts a provider bills for the services performed

Charges

What are the amounts a provider bills for the services performed?

Charges

In the payment adjustment and comments section of the transaction entry dialog box what does white indicate

Charges have been paid or are fully applied

Define adjustments

Charges to patients accounts that alter the amounts charged or paid

What is an example of transaction details?

Charges, payments, adjustments

The______button removes a case from the system if the case has no open transactions

DELETE CASE

Medisoft will ask for a confirmation before

DELETING DATA

The data stored in the Patient/Guarantor dialog box is primarily

DEMOGRAPHIC INFORMATION

Every time a patient is treated by a health care provider, a record is made of the encounter. This record is known as

DOCUMENTATION

This account alert abbreviations mean the patient is delinquent on his or her payment plan

DP

Providers' schedules are printed ____________ in most medical offices.

Daily

In what window is the data for the walkout receipt selected?

Data Selection Questions

A collection of related bits of information

Database

A report that provides information on practice activities for a twenty-four-hour period

Day sheet

What date would be keyed 12022016 in MMDDCCYY format?

December 2, 2016

Which of the following is the method used for making selections in the Search dialog box?

Does not change from report to report

Which of the following categories on a patient day sheet report may not be filtered

Dollar amount

What box on the Comment tab is used to record information about necessary special handling of a patient's electronic claims?

EDI Notes box

This is where you can put extra information for procedures and diagnoses that might be required by the patient's insurance carriers to process the electronic claim

EDI note box

What tab is used to enter information for electronic claims specific to the case?

EDI tab

Information in an existing case is modified by selecting the case and clicking the____button at the bottom of the Patient List dialog box

EDIT CASE

Health information and data elements, results management, order management, decision support, electronic communication and connectivity, patient support, administrative support, and population reporting and management is part of

EHR core functions

The choices in the Payment Method field in the Deposit dialog box include cash, credit card, check and

ELECTRONIC

What type of patient statements are sent electronically to a processing center, which prints and mails them?

ELECTRONIC

Which records offer a broad focus on a patient's total health experience over the lifespan, rather than the documentation of episodes of illness or injury?

ELECTRONIC HEALTH RECORDS (EHRs)

Which of these are computerized records of one physician's encounters with a patient over time?

ELECTRONIC MEDICAL RECORDS (EMRs)

The use of computers and handheld devices to transmit prescriptions to pharmacies in digital format is called

ELECTRONIC PRESCRIBING

HIPAA was designed to

ENSURE THE SECURITY AND PRIVACY OF HEALTH INFORMATION

What type of patient has been seen by a provider in the practice in the same specialty within three years?

ESTABLISHED PATIENT

What type of patient has received services from a physician within the last three years?

ESTABLISHED PATIENT

What does a claim summary report list?

Each claim included in the claims title

What button is clicked to modify information in an existing case?

Edit Case

You have been asked to create some patient notes using Medisoft's built-in word processor. What button you would click to begin this process?

Edit Patient Notes in Final Draft

Improve the overall efficiency of the workflow in the physician practice, speed the delivery of diagnostic test results, allow two or more people to work with a patient's record at the same time, eliminated the need to search for a misplaced or lost chart, permit physicians to review a summary of the patient's health information at a glance, eliminate the need to manually enter diagnosis and procedure codes, reduce time it takes to refill prescription, organize all information in one place, and enable physicians to receive payment for services more quickly is part of

Efficiency

Created and maintained by multiple providers and facilities

Electronic Health record (EHR)

The exchange of routine business transactions from one computer to another using publicly available communications protocols

Electronic data interchange (EDI)

The electronic routing of funds between banks

Electronic funds transfer (EFT)

A computerized lifelong health care record for an individual that incorporates data from providers who treat the individual

Electronic health record (EHR)

The computerized records of one physician's encounters with a patient over time

Electronic medical records (EMRs)

an electronic document that lists patients, dates of service, charges, and the amount paid or denied by the insurance carrier

Electronic remittance advice (ERA)

a function of the EHR programs that allow you to make appointments for the Patients is the___.

Electronic scheduler

What type of patient statements are sent electronically to a processing center, which then prints and mails them?

Electronic statement

What button in the Case folder displays an option to verify eligibility for the patient and case?

Eligibility button

Which button in the Patient Recall List dialog box is used to determine the order in which patients are listed in the dialog box?

Field

What could happen if an error occurs during claims processing by the third-party payer?

Field process may be started

What dialog box contains Medisoft's four features that assist in maintaining stored data files?

File Maintenance dialog box

What Medisoft menu is used to create a new practice in the program?

File menu

What would you use in the menu to create a new folder?

File menu

Where can the Set Program Date command be found in Medisoft?

File menu

A condition that data must meet to be selected

Filiter

This explains how the medical practice handles financial matters

Financial policy

Dorsiflexion

Flexion at the ankle moving the foot upward

Plantar flexion

Flexion at the ankle pointing toes toward the ground

This field is used with some insurance carriers when sending claims electronically.

Frequency type

Within Medisoft and Directly from Windows

From where can Office Hours be started?

Where can aging information for the carrier be found

In the insurance tab

Calendar

In which of the main four areas of Office Hours can dates be selected or changed?

Provider Selection Box

In which of the main four areas of Office Hours is the provider selected?

Payers should be notified _____ that payment has not been received if a clean claim is not paid within the allotted time frame, according to applicable prompt payment laws

In writing

Extension

Increasing the angle between two bones; return from flexion

*Tendinitis

Inflammation of a tendon

Fascitis

Inflammation of the fascia

In a claim dialog box what information can NOT be edited?

Information in the top section

If the claim was sent more than once, this box automatically displays the

Initial billing date

A report that lists how long a payer has taken to respond to insurance claims

Insurance aging report

What type of Medisoft report Tracks charges, insurance payments received during a specific period, and copayment applied to accounts that include those procedures?

Insurance analysis

What report tracks charges, insurance payments received during a specific period with co pays applied to accounts?

Insurance analysis report

How can claims be sorted?

Insurance carrier, billing method, and claim status

In some instances they dispute claims

Insurance carriers

What is the first step in entering a charge transaction in medisoft

It begins by clicking the new button located below the list of individual charges.

In what column of the statement management dialog box is used to indicate the format for a statement?

Media

What column of the Statement Management is used to indicate the format for a statement?

Media

What type of claims may require a Service Authorization Exception Code?

Medicaid Claims

What type of claims may require a Service Authorization Exception Code?

Medicaid claims

Preregister patients, establish financial responsibility, check in patients, check out patients, review coding compliance, check billing compliance, prepare and transmit claims, monitor payer adjudication, generate patient statements, and follow up payments and collections is part of?

Medical billing cycle

treatment provided by a physician to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and is provided in accordance with generally accepted standards of medical practice

Medical necessity

A chronological record of a patient's medical history and care that includes information that the patient provides, as well as the physician's assessment, diagnosis, and treatment plan

Medical record

Medicare uses its own payment schedule, known as

Medicare Physician Fee Schedule (MPFS)

What is the name of the payment schedule used by Medicare?

Medicare Physician Fee Schedule (MPFS)

What name is given to the date the Medisoft program uses to record when a transaction occurred?

Medisoft Program Date

Medisoft comes with a built in perogram called________?

Medisoft Report Designer

Explain how Medisoft's Help menu can provide useful information.

Medisoft's Help Menu can be used to access Medisoft's built-in help feature.

File, edit, activities, lists, reports, tools, window, and help are part of

Menu bar

A clearinghouse acts as a __________________ between the practice and the _______________.

Middleman and the payer

In what tab of the Case folder can a patient's referral date be entered?

Miscellaneous

a __ __ is a kind of certificate of guaranteed payment that can be purchased from banks, post offices, and some convenience store.

Money order

What tab in the Patient/Guarantor dialog box contains basic patient information?

Name, Address tab

What does the navigator button allow you to do?

Move from one entry to another.

Abduction

Movement away from the midline of the body, usually involving the upper or lower limbs

Inversion

Movement of the sole of the foot inward, toward the midline

Adduction

Movement toward the midline of the body, usually involving the upper or lower limbs

The Go To Date Dialog Box

Mr. Brown needs to return for a checkup in three weeks. What dialog box is used to schedule his appointment?

Go ___ Days

Mrs. Franks needs to return to the office in 20 days. Which box should you use to search for the future appointment?

Schedule an appointment using data you collected and entered in Medisoft

Ms. Putman, a new patient, called your office to schedule an appointment. Which of the following describes best what you should do?

Groups of procedure code entries that relate to a single activity

MultiLink codes

Where are data saved in most medical practices?

NETWORK DRIVE

When the_______button is clicked in the Deposit List dialog box, the Deposit dialog box appears

NEW

Under the HIPAA Administrative Simplification legislation, each healthcare provider was assigned a unique identification number known as

NPI.

A check that is not honored by a bank because the account it was written on does not have sufficient funds to cover it

NSF check

All of these are correct.

Name a sorting option in the Field box of the Patient Recall List dialog box.

A new billing specialist in the office tells you it is less costly to submit electronic claims directly to insurance carriers without using a clearinghouse. Why do you think offices use clearinghouses? What are the benefits?

Offices use clearinghouses for several reasons, including the "scrubbing" of claims before they are transmitted to an individual carrier to ensure claims are clean. Also, in an office that conducts business with a large number of insurance carriers, it would be time-consuming to learn the transmission requirements of each carrier.

When the ________ button is clicked in the data selection questions window, the report is sent to its selected destination

Ok

A type of billing in which statements are mailed to all patients at the same time each month

Once-a-month billing

What tab in the Patient/Guarantor dialog box contains information about a patient's employment?

Other Information tab

What information does the patient tab contain

Outstanding balance days 30, 60, 90 days

What Medisoft Report features provides access to ____ additional reports

Over 100

In the patients account tab what does yellow indicate

Over payment

Hyperextension

Overextending the joint beyond the anatomical position

Strain

Overstretching or tearing a muscle, commonly called a pulled muscle

The deletion of vacant slots from the database is known as

PACKING DATA

What type of patient statements are printed and mailed by the practice?

PAPER

The chart is a folder that contains all records pertaining to a

PATIENT

What type of report lists a patient's balance by age, date and amount of the last payment, and telephone number?

PATIENT AGING REPORT

The_____report lists patients sorted by provider or facility, and then by their insurance carrier

PATIENT BY INSURANCE CARRIER

Which of these is accessed through the patient list dialog box?

PATIENT INFORMATION

Payments are color-coded to indicate______status

PAYMENT

A_____is a document that specifies the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement

PAYMENT SCHEDULE

Payments are entered in the______section of the Transaction Entry dialog box

PAYMENTS, ADJUSTMENTS AND COMMENTS

During check-in, it is also common practice to photocopy the patient's insurance identification card and a

PHOTO ID

What part of the Case dialog box is used to record information about a patient's primary insurance carrier and coverage?

Policy 1 tab

A person or entity who buys and insurance plan; the insured

Policyholder

What do medical practices frequently use to monitor collection activities?

Practice Management Software

Can also be used for profit analysis. The summary at the end of the report breaks down the information into total charges, total payments and copayments, and total adjustments

Practice analysis

A report that analyzes the revenue of a practice for a specified period of time

Practice analysis report

A software program that automates many of the administrative and financial tasks in a medical practice

Practice management program (PMP)

Managed care network of health care providers who agree to perform services for plan members at discounted fees

Preferred provider organization (PPO)

The periodic amount of money the insured pays to a health plan for insurance coverage

Premium

Patient's name, patient's contact, patient's reason for visit, and patient is new or established is part of?

Preregister information

The carrier code for the insurance company

Primary insurance

The first carrier to whom claims are submitted

Primary insurance carrier

What shortcut button can be clicked to print a schedule in Office Hours?

Print Appointment List

Payer

Private of government organization that insures or pays for health care

Define premiums.

Private or government organization that insures or pays for healthcare on behalf of beneficiaries

Claims that are clean, ______________, are sent on to the payer

Problem free

Which of the following data fields cannot be found in the Patient window?

Procedure Code

A report that lists all the procedures performed on a particular day, in numerical order

Procedure day sheet

What is included in a patient day sheet

Procedures, charges, receipts, adjustments, balances, summary of charges, payments and adustments

The process of deleting files of patients who are no longer seen by a provider in a practice

Purging data

Patients are contacted with reminders about preventive care, Patients suffering from chronic diseases are able to monitor their conditions at home and report results via the internet, and health care consumers can review data about the quality and performance of providers and facilities when deciding on where to obtain health care is part of

Quality

In which of the following circumstances is the information in a patient ledger useful?

Question about a patient account

Patient ledger is especially useful when?

Question about a patient's account

What process checks and verifies data and corrects any internal problems with the data?

REBUILDING INDEXES

The process of updating balances to reflect the most recent changes made to the data is referred to as

RECALCULATING BALANCES

What is a physician who recommends that a patient see a specific other physician called?

REFERRING PROVIDER

The Type column in the Statement Management dialog box can contain either Standard or

REMAINDER

Which button in the Claim Management dialog box reprints a claim that has already been printed?

REPRINT CLAIM

The process of retrieving data from backup storage devices is referred to as

RESTORING DATA

What step in reviewing a remittance advise comes after comparing the RA to the original insurance claim?

REVIEW THE PAYMENT AMOUNT AGAINST THE EXPECTED AMOUNT

When a claim is sent electronically, an attachment that needs to accompany the claim, such as

Radiology films

What pop-ups does the previous claim button provide?

Reactivates the claim that was most recently active.

The claim status for each claim would automatically change from _____ to ______ once claims are sent.

Ready to send, Sent

The process of updating balances to reflect the most recent changes made to the data

Recalculating balances

Column

Recall information is organized in a ____ format in the Patient List Recall dialog box.

the federal law involves medical identity theft is:

Red Flag Rule

This box is used to record the report type code--a two-digit code that indicates the type of report being attached

Report type code

Which statements show all charges regardless of whether the insurance has paid on the transactions?

STANDARD STATEMENTS

What document list all services performed, along with the charges for each service?

STATEMENT

An encounter form is also known as a

SUPERBILL

Medication and physician order errors due to illegible handwriting are eliminated, providers receive instant electronic alerts about patient allergies and possible drug interactions, physicians receive alerts when medications deemed unsafe, medical records are stored at a secure off-site location, they are not lost in the event of a natural disaster, and information is communicated in a timely manner in the event of bio terrorism or widespread outbreak of disease is part of

Safety

Clicking the ____________ button in Office Hours enters the information on the schedule, after the boxes in the New Appointment Entry dialog box have been completed.

Save

In most dialog boxes in Medisoft, entered information is saved by clicking the ____________ button.

Save

Statements that show all charges regardless of whether the insurance has paid on the trasactions

Standard statements

What are the reports in Medisoft

Standard, Medisoft, and Design custom reports and bills

Prompt payment laws

State laws that mandate a time period within which clean claims must be paid; if they are not, financial penalties are levied against the payer

What is the reason that guarantors rather than patients are listed in the Statement Management dialog box?

Statements are created for those financially responsible for the account

What field in the General tab of the Statement dialog box shows how many times a statement has been sent or printed?

Submission count

Define patient sheet

Summary of patient activity on a given day

subjective or internal conditions felt by the patient are___.

Symptoms

Clicking the button displays the Patient/Guarantor dialog box, where changes can be made

THE EDIT BUTTON

Which of the following would likely be a reason to set up a new case for a patient?

THE PATIENT CHANGES INSURANCE CARRIERS THE PATIENT HAS DEVELOPED A NEW MEDICAL CONDITION BOTH A AND B ANSWERS ARE CORRECT

Where are the electronic data in the remittance advice automatically posted through the process of autoposting?

THE PRACTICE MANAGEMENT PROGRAM

Which of the following uses diagnosis and procedure code information as well as administrative and financial information to generate health care claims?

THE PRACTICE MANAGEMENT PROGRAM (PMP)

What contains the physician's notes about a patient's condition and diagnosis?

THE RECORD OF TREATMENT AND PROGRESS

How many cases is a patient allowed to have per office visit in Medisoft?

THERE IS NO SET LIMIT

A new patient is a patient who has not received services from the same provider or a provider of the same specialty within the same practice for a period of

THREE YEARS

Where can a calculator tool be found in Medisoft?

TOOLS MENU

Patient payments made at the time of an office visit are entered in the

TRANSACTION ENTRY DIALOG BOX

The insurance program that provides coverage for dependents of active-duty services members is known as

TRICARE

A clearinghouse is a company that collects electronic insurance claims from medical practices and forwards the claim to the appropriate health plans

TRUE

A collection process is often started when patient payments are later than permitted under the practice's financial policy

TRUE

A major advantage of computerized scheduling is the ability to easily locate scheduled appointments

TRUE

A monthly report summarizes the financial activity of the entire month

TRUE

A remittance advice (RA) is similar to an explanation of benefits (EOB)

TRUE

A statement lists all services performed, along with the charges for each service

TRUE

A walkout statement lists the procedures performed, the charges for the procedures, and the amount paid by the patient

TRUE

An option for finding information in Medisoft is to use the Locate buttons

TRUE

Chart numbers cannot contain special characters such as a hyphen or semicolon

TRUE

If claims were not created and transmitted, what would the consequence be?

The practice would not receive payment from insurance companies.

What happens when the new button is clicked in the transaction entry dialog box

The program automatically enters the current date

timely filing

The requirement that claims must be submitted to payers within a specific number of days from the date of service

What must the report selected in the Open Report dialog box match?

The statement selected in the statement type field of the create statements dialog box

A reminder to follow up on an account

Tickler

Why would you use a practice analysis report?

To analyze the revenue of a practice

Provider

To begin the process of entering an appointment in Office Hours, select the _____ for whom the appointment is being scheduled.

Why is it important to verify a patient's insurance before the office visit?

To determine the proper payment plan.

Why is it necessary to collect estimated payments from patients during check-in?

To gaurentee payment for service.

What is the purpose of a collection tracer report?

To keep track of collection letters that were sent

What is the location box used for?

To sort by location such as all procedures done at a hospital

Under the menu bar is

Toolbar buttons

Delete, Copy, Cut (All of these are correct)

Which of the following options appears on the shortcut menu when the right mouse button is clicked?

Recall

Which of the following options is not available in the Status box of the Patient Recall List dialog box?

Patient Information

Which of the main four areas of Office Hours contains a listing of time slots for a particular day for a specific provider?

From left to right, the choices in the window Display buttons are ______?

Whole page, page width and percentage

The office Hours program has it's own

Window, menu bar, toolbar

A balance that has been removed from a patient's account

Write-off

What do you call a balance that has been removed from a patient's account?

Write-off

Electronic health records are used to record data such as physicians' reports of examinations, surgical procedures, tests results, and

X-rays.

In most physician practices, the claim format is the HIPAA-standard

X12-837 Health Care Claim

If the patient's account has a positive balance because the patient overpaid, the overpayment is color-coded_____in the Transaction Entry dialog box

YELLOW

If the patient's account has a positive balance because the patient overpaid, what color would the overpayment be coded in the Transaction Entry dialog box?

Yellow

Collection tracer report

a tool for keeping track of collection letters that were sent

manage care

a type of insurance in which the carrier is responsible for both the financing and the delivery of health care

high-deductible health plan with saving option (HDHP/SO)

a type of managed care insurance in which a high-deductible plan is combined with a pretax savings account to cover out of pocket medical expenses

The techniques used to manipulate data in Medisoft are similar to those used in

a word-processing program

You are working at a practice and realize that a claim has been denied from a payer. What you should expect to receive from the payer?

a written explanation of the claim denial

What determines which areas of the program a particular user can access and whether that user can only view data or has rights to enter or edit data?

access rights

What determines which areas of the program a particular user can access, and whether that user can only view data or has rights to enter or edit data?

access rights

What is a copy of data files made at a specific point in time known as?

backup data

You are working at a medical practice that has just purchased and installed Medisoft. What must be done before the practice may begin using the program?

basic information about the practice and the practice's patients must be entered in the computer

Patient appointments can be scheduled in Office Hours __________ the patient information is entered in Medisoft

before

Which of the following is the last possible step in processing a remittance advice?

bill the patient's secondary health care plan if appropriate

What type of information do practices sometimes enter in the Case Billing Code box in the Account tab to classify and sort patients?

billing cycle, insurance carrier, diagnosis

many copiers are now capable of multiple tasks. Which of the following is NOT one of these tasks?

calculations

when answering the telephone, you should always be courteous, ___, and pleasant.

calm

In what kind of plan are payments made to the physician from a managed care company for patients who select the physician as their primary care provider, regardless of whether the patients visit the physician or not?

capitated plan

What term is used to describe a grouping of transactions that share a common element?

case

Which of the following items in the Case dialog box can NOT be changed?

case number

What is the movement of monies into or out of a business?

cash flow

a ___ check is a check issued on bank paper and signed by a bank representative.

cashiers

What button is clicked in the New Appointment Entry dialog box to display the Repeat Change dialog box?

change

triage

refers to the screening and sorting of emergency incidents

the third level of disease prevention is___.

rehabilitation

Which of the following is a likely result if a clerical error is made on a claim?

reimbursement is denied and made at a reduced rate

When a balance is due after an encounter, a walkout receipt may serve as a

reminder to the patient

appointment___ can take various forms, but all help patients keep track of their appointments.

reminders

Where are appointments that recur on a regular basis entered in the New Appointment Entry dialog box?

repeat box

Name the process of retrieving data from backup storage devices.

restoring data

You are starting the Medisoft program and need to access data that has previously been saved to the computer. What process you should follow to retrieve the necessary data?

restoring data

A steady flow of income into a practice is known as what?

revenue

Who determines a practice's backup schedule?

the practice itself

primary insurance carrier

the first carrier to whom claims are submited

What part of the Patient List dialog box becomes active when the Patient radio button is clicked?

the left side

CMS-1500

the mandated paper insurance claim form

To whom does the Date Last Seen box in the Miscellaneous tab refer?

the outside primary care provider

Which of the following is a reason that a payer may use to deny a claim?

the patient care services provided not covered under the payer-provider contract, patient care services were not medically necessary, & the payer does not have the funds to cover the services provided

Identify a situation which would generally require a check mark to be placed in the Case Closed box of the Personal tab.

the patient has changed insurance carriers,the patient is no longer a patient at the practice, the patient has recovered completely from a condition

To what does the Status box in the Personal tab refer?

the patient's employment status

Which of the following documents is needed by the practice in order to enter charge transactions?

the patient's encounter form

What appears in the time slot corresponding to the appointment time after the New Appointment Entry dialog box is saved?

the patient's name

Which of the following information should be collected from new patients during preregistration?

the patient's name the patient's contact information the patient's reason for the visit all are correct

What is indicated by a payment that is not colored and appears white in the Payments, Adjustments, and Comments section of the Transaction Entry dialog box?

the payment has been fully applied

You are working at a practice and have entered a patient's status in the Worker's Compensation-Return to Work Indicator as Limited, in accordance with physician instructions. What other information do you need to enter as a direct result?

the percent of disability

premiums

the periodic amount of money the insured pays to a health plan for insurance coverage

Who might assign diagnosis and procedure codes in a medical practice?

the physician the medical coder the medical insurance specialist all are correct

To what does the Facility box in the Account tab refer?

the place where a patient is receiving treatment

The P section of SOAP documentation is

the plan of action