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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
