115 MA final
If a patient has been waiting longer than ________ minutes past his or her appointment time, the medical assistant should offer to reschedule the appointment.
15
Breast reduction
19318
If your office is on the West Coast, what time is the latest time to call the East Coast?
2PM
The billing provider's NPI number is placed in block:
33a
The insured's name is found in block:
4
Pelvimetry, with or without placental localization
74710
Liver function study with hepatobiliary agents, with serial images
78220
Serum folic acid
82746
Triglycerides
84478
Which of the following account aging categories requires a final demand letter before the account is turned over to a collection agency?
90-120 days
New patient office visit, expanded problem-focused history and examination, straightforward decision making
99202
New patient office visit, comprehensive history, examination, and moderate-complexity decision making
99204
Hospital discharge day management, 45 minutes
99239
Subsequent nursing facility care, comprehensive interval history and examination, high-complexity medical decisions
99310
Assets = liabilities + proprietorship ____?
Accounting Equation
Determining the journal and the ledger are in balance ____?
Accounts Receivable Trial Balance
Codes with a plus sign are additional codes that must be used with which of the following?
Category I codes
What is the first thing the medical assistant should do when a check is returned unpaid by the bank?
Contact the person who wrote the check.
The type of electronic record of health-related information about an individual that can be created, gathered, managed, and consulted only by authorized clinicians and staff in a single healthcare organization is a(n):
EMR
the person who signs their name on the back of a check to transfer title _____?
Endorser
__________ are indented under the main term and must be included in the diagnostic statement.
Essential modifiers
Which of the following is not an advantage of a numeric filing system?
Filing activity is greatest when the system is initiated.
The medical assistant should consider which of the following when selecting filing equipment?
Fire protection Confidentiality requirements Cost of space and equipment
Medigap polices cover which of the following?
Medicare co-insurance Services not covered under Medicare Medicare deductible
The abbreviation that is the equivalent of "unspecified" is __________.
NOS
Asset is able to be transferred legally from one owner to another ___?
Negotiable
Which patients should be personally escorted to examination and treatment areas and given detailed instructions about what they are to do?
New patients Established patients Consultations
Which type of scheduling system is often used in an urgent care setting?
Open office hours
Which of the following is typically documented in the explanation of benefits (EOB)?
Patient's deductible and co-insurance
Patient care approached from a holistic approach defines:
Patient-centered medical home
Which of the following expenses would be paid by Medicare Part B?
Physician's office visits
When a patient calls in complaining about the care he or she received or the fee charged, which of the following should be avoided?
Placing blame for the error
Which of the following is the correct ICD-10-CM code for this diagnostic statement; lower abdominal pain, right lower quadrant?
R10.31
Request for payment ____?
Statement
Health records should never be left in the examination room to be picked up and read by a patient. When using an EHR, it is important to remember to log out of the computer when you are ready to leave the room.
The first statement is false; the second is true.
Employee group plans usually provide greater benefits at lower premiums because of the large pool of people from whom premiums are collected. However, these employee group health insurance plans offer limited benefits, and healthcare access is limited to healthcare providers that are contracted with them.
The first statement is true; the second is false.
How long are records of telephone messages retained?
The same period that the statute of limitations runs for medical professional liability cases
Medical facilities should keep records on minors for how long?
Until the minor reaches the age of majority, plus the statute of limitations
Which of the following types of communication tools is best for two-way communication?
cell phone
A(n) __________ claim has been completed accurately and completely.
clean
Active listening involves:
confirming what the speaker has said. being present in the moment. focusing solely on the conversation.
A set dollar amount that the patient must pay for each office visit is the definition of:
copayment
Determining the cause of a condition, illness, disease, injury, or congenital defect describes which of the following terms?
diagnosis
Meeting the stipulated requirements to participate in the healthcare plan is the definition of:
eligibility
A signature on the back of a check whereby the rights of the check are transferred to another party is called a(n) __________.
endorsement
A document sent by the insurance company to the provider and the patient explaining the allowed charge, the amount reimbursed for services, and the patient's financial responsibilities is:
explanation of benefits.
Banking by mail is never done now that the use of the internet is so prevalent.
false
Charge capture relates to charges for missed appointments.
false
Downcoding can increase reimbursements.
false
Glass partitions should never be used in today's medical offices.
false
If a late patient is scheduled as the last patient of the day and does not show up before the office closes, the medical assistant is obligated to wait until the patient arrives.
false
In the physician's office, the accounts payable is the amount of money that all patients owe the physician.
false
Subjective information is that which the provider observes during the physical examination of the patient.
false
The "code first" notation can usually be ignored.
false
The medical assistant should never give patients an estimate of what the cost of their visit will be, even on the initial visit.
false
A list of the fixed fees for services is a:
fee schedule
In some managed care plans referrals to a specialist must be approved by the:
gatekeeper
The signs and symptoms of a disease are its __________.
manifestations
Services and/or supplies used to treat the patient's diagnosis meet the accepted standard of medical practice is the definition of:
medical necessity.
Services that are needed to improve the patient's current health are considered:
medically necessary.
For offices with a no cash policy, which type of payment is typically recommended for patients without a bank account?
money order
Something that is legally transferable to another party is said to be __________.
negotiable
The first step in filing a claim with a third-party is:
obtain accurate billing information from the patient.
An incidental disclosure:
occurs as a result of another use or disclosure that is permitted. cannot reasonably be prevented. is limited in nature.
Which part of Medicare covers inpatient hospital charges?
part A
The provider who enters into a contract with an insurance company and agrees to certain rules and regulations is called a ______ provider.
participating
The person named on a check as the recipient of the funds ____?
payee
The person who writes the check to another ___?
payor
A matrix in the schedule:
prevents booking of patients during meetings and hospital rounds.
An approved list of physicians, hospitals, and other providers is a(n):
provider network.
The __________ uncovers any errors that may exist in the checkbook or, on rare occasions, the bank statement.
reconciliation
When an account is opened at a bank, the depositor will be required to complete a(n) __________ card.
signature
If the medical assistant is allowed to sign checks on the physician's business account, he or she must sign a document at the bank called a:
signature card
Burns are coded by:
site and degree and the body surface involved.
When answering a telephone for a healthcare practice, which of the following practices helps create a positive impression on the caller?
smile
A bank employee who waits on customers ____?
teller
Pitch is:
the depth of a tone or sound.
The health insurance model that offers the most flexibility for patients is:
traditional health insurance.
Electronic data interchange is:
transferring data back and forth between two or more entities.
A process required by some insurance carriers in which the provider obtains permission to perform certain procedures or services or refers a patient to a specialist is called a preauthorization.
true
Insurance information should be collected on the first visit.
true
Nearly all of the provider's income is derived from the insurance payments received for services rendered.
true
Numeric filing provides extra confidentiality to medical records.
true
Placing and receiving personal calls should be avoided during business hours.
true
The guidelines for medical confidentiality apply equally to telephone conversations; therefore, take care that no one overhears sensitive information.
true
The semicolon indicates that modifying terms and descriptions follow.
true
The three basic filing methods are alphabetic, numeric, and alphanumeric.
true
When documents are added to a patient's paper record, the most recent information should be placed on top.
true
What is the best way to decide whether patients need special assistance in disrobing?
Ask all patients if you can be of assistance.
Which of the following is not a disadvantage of managed care?
Authorized services usually are covered.
Which of the following are common types of filing equipment found in a medical office?
Automated files Rotary circular files Lateral files
A financial statement for a specific date that shows total assets, liabilities and business capital ____?
Balance Sheet
Abuse is knowingly and willfully executing or attempting to execute a scheme to defraud any healthcare benefit program. Fraud is an unintended action that results in an overpayment to the healthcare provider.
Both statements are false.
A legal party who signs a negotiable instrument ____?
Maker
Which of the following letters in the ICD-10-CM is reserved by the World Health Organization to assign new diseases with uncertain etiology?
U
The International Classification of Diseases was established by:
World Health Organization.
Which of the following is the correct ICD-10-CM code for this diagnostic statement; encounter for positive pregnancy test?
Z32.01
The advantages of using the color-coding filing system are the following:
a misfiled record is easily spotted even from a distance. the use of color visually restricts the area of search for a specific record. you can use either the alphabetic or numeric color-coding system.
To settle or determine judicially is the definition of:
adjudicate
The principal advantage of using the wave method when designing the scheduling process is that it:
allows flexibility to accommodate the unpredictable.
Which of the following should be removed from the reception area as quickly as possible?
angry patient
Which of the following calls is considered urgent, but not an emergency?
animal bite
Medical assistants have the trust of the physician and practice that employs them. A medical assistant must:
be responsible and knowledgeable to ensure that no fraud takes place in coding. adhere to ethical standards concerning assigning and reporting codes clearly. be responsible and knowledgeable to ensure that no fraud takes place in claim submission.
Which of the following types of communication tools can be used to record verbal messages?
voice call
A type of insurance that protects workers from loss of wages after an industrial accident that happened on the job is called:
workers' compensation.