exam 2
The universal claim form for physician billing is known as A. CMS-1500 B. UB-92 C. HCFA-1500 D. None of the above
A. CMS-1500
amount owed to creditors for regular operating expenses of a business are known as A. accounts payable B. Capital C. accounts receivable D. pegboarding accounts
A. accounts payable
A system used with the clinic to call into the different rooms to give messages to staff is A. an intercom (multi-line phones) B. call pick up C. voicemail D. automatic hold recall E. automatic call distribution
A. an intercom (multi-line phones)
change for a patient who pays cash is made from the A. cash drawer B. petty cash fund C. bank deposit fund D. Open account fund
A. cash drawer
The type of software program that a patient's name address phone and insurance is entered into A. database B. a spreadsheet C. graphics D. word processing
A. database
The international classification of diseases ninth revision clinical modification ( ICD-9-CM) is used for A. diagnostic coding B. procedural coding C. insurance appeals D. none of the above
A. diagnostic coding
which of the following is a way to find out what a particular procedure costs A. divide the total expenses for one month by the number of procedures performed in that month B. multiply the times the procedures was performed in that month C. subtract the total expenses from the profit you made during that month D. add the number of procedures performed then subtract the expenses
A. divide the total expenses for one month by the number of procedures perform in that month
The amount of federal unemployment tax to be paid is stated in the federal publication entitled A. federal employer tax guide B. wage tax statement C. employee tax guide D. employer federal tax return guide
A. federal employer tax guide
medisoft is an example of A. medical office management software B. telecommunications software C. power unit of a computer D. none of the above
A. medical office management software
what type of banking allows instant transfer of funds from a bank account at the time of purchase is made at a stationary store gas station etc A. point of sale banking B. pay as you go banking C. credit card purchasing D. electronic funds transfer
A. point-of-sale banking
using outdated CPT-4 coding books may result in A. rejected insurance B. higher cost to patients C. decreased payment to provid D. none of these
A. rejected insurance claims
current procedural terminology (CPT-4) applies to A. reporting medical procedures and services B. the classification of disease C. follow up of insurance claims D. point of service devices
A. reporting medical procedures and services
relative value studies such as relative value scale and resource-based relative value scales serve the purpose of A. standardizing payments with adjustments for varying geographic overhead cost B. forms basis for federal register C. providing the basis of electronic claims D. standardizing the filing of DRGs
A. standardizing payments with adjustments for varying geographic overhead cost
another name for a method of scheduling known as streaming is A. time specified B. open hours C. modified wave S. double booking
A. time specified
A check that is not considered negotiable but can be converted into a negotiable instrument or cash is also known as A. warrant B. note C. voucher D. limited check
A. warrant
most medical offices have a policy on how to handle no shows termination of this type of patient is often the review policy when the patient has been a no-show for A. 2 appointments B. 3 appointments C. 4 appointments D. 5 appointments
B. 3 appointments
The time limit to submit a claim from date of service for both Tricare/champus and champVA A. 30 days B. 60 days C. 90 days D. 120 days
B. 60 days
to access a large amount of information offline such as in office catalogs or charts one would most likely use the following A. hard drive B. CD-ROM optical disc C. diskette drive D. modem
B. CD-ROM optical disc
a telephone call or request the medical records for the past 3 months of patient Mr x be faxed to her employer and insurance company your response should be A. We will be happy to send them to you B. I will take your message and relay request to our staff C. We do not allow our medical records to leave the office D. let me give you a brief synopsis over the phone
B. I will take your message and relay your request to our staff
The type of scheduling that is based on the reality that some patients will arrive late and the others will require more or less time in the physician expects is the A. cluster B. wave C. open hours D. double booking
B. Wave
professional discounts courtesy adjustments and disallowance by insurance companies are examples of A. vouchers B. adjustments C. liabilities D. assets
B. adjustments
The process of reading through a letter underlining significant words and phrases and making notes in the margin is known as A. proofreading B. annotating C. sorting D. opening
B. annotating
A what is drawn by the bank and made payable out of the bank's account and signed by authorized bank officials A. certified check B. cashier's check C. voucher check D. limited check
B. cashier's check
A receipt for a deposit issued by the bank is known as a A. bank statement B. deposit record receipt C. deposit slip D. withdrawal slip
B. deposit record receipt
which of the following kinds of telephone calls would be referred to the doctor by the medical assistant A. scheduling appointments B. patient requesting test results C. billing inquiries D. none of the above
B. patients requesting test results
The practice of pre-certification was begun in order for third-party payers to A. keep the number of procedures and admissions below their projections for the year B. prevent unnecessary hospitalizations C. track progress of claims D. none of the above
B. prevent unnecessary hospitalizations
The national correct coding initiative ( NCCI) was implemented in 1996 to A. reduce hospitalization expenses B. reduce Medicare expenditures C. specify why Medicare denial might be anticipated D. Ensure that proper charges are posted to patient accounts
B. reduce Medicare expenditures
which of the following is used to verify accuracy of accounts receivable control records A. total the balances and some of the patient accounts with no balance do B. total the balances of all patient account records with a balance due C. compare present total to the beginning total of the accounts receivable figure of the day sheet D. when the two totals do not agree adjust them so that they do
B. total the balances of all patient account records with a balance do
international classification of diseases clinical modification (ICD-9-CM) is A. A set of codes for reporting medical services B. a financial code used to assess cost C. a classification which codes diseases injuries and operations numerically D. a super bill
C. a classification which codes diseases, injuries, and operations numerically
what is the process of recording analyzing and summarizing business transactions for the purpose of good financial management A. data entry B. bookkeeping C. accounting D. none of the above
C. accounting
cash, inventory, furniture, and equipment are types of A. Capital B. collateral C. assets D. liabilities
C. assets
a physician's business share and a medical practice (owners equality and proprietorship) is also called A. accounts payable B. accounts receivable C. Capital D. net income
C. capital
CPT 4 is a coding system that A. consists of three digit with four and five digits for further specificity B. consists of five digits C. consists of five digits plus a two digit modifier for further identification D. consists of two digits with third and fourth digits for further specificity
C. consists of five digits plus a two digit modifier for further identification
which of the following medical terms is misspelled A. atria B. metastases C. diverticulums D. epiphyses
C. diverticulums
A paperless computerized system enabling funds to be debited credited or transferred is known as A. automatic funds transfer B. bank by mail C. electronic funds transfer banking D. point of purchase banking
C. electronic funds transfer banking
The total income of a medical practice is called A. a profit and loss financial report B. what a specific employee generated for the medical practice C. gross income D. not income
C. gross income
computer backups should be stored A. near the computer B. in the refrigerator C. In a separate location D. It doesn't matter where they are stored
C. in a separate location
which of the following statements is true about scheduling a return appointment A. ask the patient when would be convenient to schedule a return appointment B. Tell the patient to call back to schedule a return appointment C. offer the patient a specific date and time D. Tell the patient you will call him / her in a few days to schedule the return appointment
C. offer the patient a specific date and time
A what is readily available for minor office expenses A. Open account B. cash change drawer C. petty cash fund D. close account
C. petty cash fund
medicare's resource-based relative value scale is based on all of the following except A. total work required for a service B. cost of physicians practice C. physicians specialty D. cost of physicians liability insurance
C. physicians specialty
A gatekeeper of a managed care plan is a term used to describe A. gynecologist B. surgeon C. primary care physician D. urologist
C. primary care physician
to assist the operator in mastering a new software program manufacturers generally include A. on-site training B. online training C. program instructions D. none of these
C. program instructions
electronic mail should not be used to A. file claims B. visit with peers C. send a sensitive information D. communicate with patients
C. send sensitive information
which of the following acts governs anyone who charges interest or agrees to more than four payments for a given service A. the fair debit collections act B. The equal credit opportunity act C. The federal truth in lending act D. The fair credit billing act
C. the federal truth in lending act
The acronyms HMO PPO and IPA refer to A. internet sites B. office machines C. types of health and medical care organizations D. accounting principles
C. types of health and medical care organizations
the complementary clothes for a general letter should be A. warm regards B. Best wishes C. very truly yours D. none of the above
C. very truly yours
which of the following would not be correct when you are conducting a telephone call with a person whose second language is English A. always speak at a normal volume B. remember to ask the person if clarification is needed C. you should assume that individuals with strong accents cannot understand you D. avoid using complicated words and speak more slowly
C. you should assume that individuals with strong accents cannot understand you
which of the following types of medical coverage allows participating doctors to have the option of deciding whether to accept patients on a case-by-case basis A. CHAMPUS/TRICARE B. CHAMPVA C. Medicare D. A&B E. A,B,C
D. A&B
activities to maintain information privacy include the following A. password assignment B. monitors should be left unattended C. password should not be keyed in while someone is watching D. All of the above
D. All of the above
insurance claims submitted electronically A. require a modem or fax machine at both origin and destination B. are processed faster C. are paid quicker D. All of the above
D. All of the above
third party payers maybe A. relatives that agree to pay medical bills for patient B. managed care plans C. insurance companies D. All of the above
D. All of the above
which of the following are posting errors A. figures in the wrong column B. a sliding number C. transposed numbers D. All of the above E. none of the above
D. All of the above
which of the following is /r helpful in changing status of insurance claims A. follow a constant routine for checking claims B. keep an insurance log that ages claims pending C. send tracer letters to insurance companies regarding delinquent claims D. All of the above
D. All of the above
which of the following rules for editing a typed medical transcription report are correct A. Make sure all grammar is correct B. Make sure all punctuation is cor C. flag any unclear word or phrases D. All of the above
D. All of the above
computer menus are controlled by A. keyboard commands B. mouse C. trackball D. All these can control computer menus
D. All these can control computer menus
If the medical assistant wishes to move paragraphs of information from one document to another what function will likely be utilized A. page formatting B. a macro C. merge operations D. a block operation
D. a block operation
The subject in a letter is placed A. after the letterhead B. between the date and inside address C. between the inside address and salutations D. after the salutation
D. after salutations
which of the following places can you purchase a money order A. bank B. financial institution C. post office D. all of the above E. none of the above
D. all of the above
when you are dealing with an elderly caller who has hearing impairment which of the following correct techniques will best assure you that you are being understood A. speak more slowly B. speak more clearly C. speak a little louder than normal D. ask the person to repeat information back to you
D. ask the person to repeat information back to you
which of the following are steps that must be taken to file a claim in small claims court A. obtain a form from the city or country clerk of the municipal or justice court B. filing the initiating papers C. Make arrangements for the plaintiff to be served D. both A and B E. both A and c
D. both A and B
examples of insurance abuse include which of the following A. excessive charges for services B. Misrepresenting the diagnosis to justify payment C. prevent duplication of benefits for the same medical expense D. both A and C
D. both A and C
The advanced beneficiary notice (ABN) should be obtained A. For every procedure performed in the office B. for every procedure ordered in the hospital C. for services that are not covered by Medicare D. for services that do not mean medical necessity requirements
D. for services that do not meet medical necessity requirements
The tax deducted from an employee's gross income based on the number of withholding exemptions and amount earned for a pay period is called A. federal tax withhold B. federal unemployment tax C. federal contribution tax D. income tax withholding
D. income tax withholding
The healthcare common procedure coding system level 2 codes are used for A. dental procedures B. physician services C. unusual services or procedures D. materials drugs and procedures not found in CPT-4
D. materials drugs and procedures not found in CPT-4
a federally funded third-party payer program originally for persons order than the age of 65 is A. Medicaid B. champva C. Tricare D. Medicare
D. medicare
The personal desktop computer generally used by medical assistant is classified as a A. supercomputer B. main frame computer C. mini computer D. micro computer
D. micro computer
which of the following order of business is conducted first at a meeting which is following Robert's rule of order, newly revised A. reports of officers boards and standing committees B. unfinished business C. new business D. reading an approval of the minutes
D. reading and approval of the minutes
step by step instructions that tell the computer hardware what to do are the A. mainframe B. online system C. help menu D. software
D. software
CMS 1500 (The centers for Medicare Medicaid services) insurance claim form previously HCFA 1500 claim form is also known as the A. carrier direct system B. electronic data interchange C. audit trail D. universal claim form
D. universal claim form
medical assistance may be responsible for arranging patient appointments outside of the medical office. which of the following may be considered an outside appointment A. consultation with other physicians B. hospital stays C. surgeries D. x-rays E. All of the above
E. All of the above
an office procedure manual would serve which of the following functions A. as a resource for new employees B. guidelines/information to personnel filling in for a long-term employee who is ill C. list titles and responsibilities for the office staff D. encourages office stuff to reflect on methods used to accomplish E. all of the above
E. all of the above
efficient scheduling depends on a understanding of A. the practice B. the physicians habits and personality C. available facilities D. all of the above
E. all of the above
which of the following acts state that if a physician agrees to extend credit to one patient the same financial statement must be extended to all patients who request it a. The equal credit opportunity act b. The equal debt act c. the federal truth and lending act d. regulation z
a. The equal credit opportunity act
an analysis of accounts receivable indicating 60 90 or 120 days delinquency is known as a. aging accounts b. adjusted accounts c. credit accounts d. cycled accounts
a. aging accounts
audit trails created by computers are reviewed periodically for a. computer security b. password usage c. saving disk space d. telecommunications
a. computer security
In addition to cash and checks larger medical practices makes up payment by means of A. credit card b. a write-off c. vouchers d. invoices
a. credit cards
trust in regard to financial obligations is known as a. credit b. faith c. bonding d. bankruptcy
a. creidt
which of the following is the largest provider of medical information to professionals and consumers A. national Liberty of medicine b. index medicus c. Medline d. grateful med
a. national Liberty of medicine
Lawrence l weed MD has developed a system of patient records called a. SOAP B. POMR C. MICR D. IDP
b. POMR
The obligation of an insurance company to protect an employer against financial loss caused by acts of employees is known as a. quantum merit b. bonding c. malpractice insurance d. fee for service
b. bonding
a depositor's check may be presented to the bank for authorization and guarantee is a. limited check b. certified check c. cashier's check d. travelers check
b. certified check
which of the following types of patient file classification uses the time frame of six months or longer A. active files b. inactive files c. closed file d. none of the above
b. inactive files
which law states that the patient of 60 days from the date the statement is mailed to complain about a billing error a. The Fair credit opportunity act b. the fair credit billing act c. the truth and lending consumer credit cost disclosure d. The equal credit opportunity act
b. the fair credit billing act
The usual time to wait before inquiring about an insurance claim is A. 2 weeks b. 2 months c. 30 days d. 15 days
c. 30 days
how long must records of employment taxes be kept A. 2 years b. 3 years c. 4 years d. 5 years
c. 4 years
business transactions on the books representing unsecured accounts receivable where credit was extended without a formal written contract are called a. cycle billing b. close accounts c. Open accounts d. written contract accounts
c. Open accounts
The printed information after the title and before the text and journal articles which facilitates evaluation of the content relevance for readers is the a. bibliography b. footnote c. abstract d. excerpt
c. abstract
The range of usual fees charged by doctors in the same locality is called A. usual fee b. fee profile c customary fee d. insurance allowance
c. customary fee
medical office management software should include A. password locations b. terminals c. database of patients d. presentation software
c. database of patients
which of the following type of check endorsement would include the word for deposit only A. blank endorsement b. full endorsement c. restrictive endorsement d. none of the above
c. restrictive endorsement
A tickler file may be used for which of the following purposes A. to purge charts at a specific time b. to run billing statements c. to file government reports d. All of the above
d. All of the above
when a medical assistant removes a folder from a file he/she should substitute in its place a. a tab b. a flag c. an in-guide d. an out guide
d. an outguide
which of the following is a legal collection included in the fair debt collection practices act A. harassment of the person b making false statements c. making threats d. calling a person at 6:00 p.m.
d. calling a person at 6:00 p.m.
advantages to an electronic patient record include all of the following except a. ability to view record activity b. simultaneous multiple user access c. easier for providers and staff to gather information d. cost
d. cost
when sending confidential patient records via fax you should a. ask that the destination acknowledge receipt b. call the destination to ensure receipt c. not ask for receipt acknowledgment d. either A or B
d. either A or B
computer viruses may be contracted via a. internet surfing b. virus protection software c. insurance carrier d. an infected disc
d. infected disk
a curriculum vitae a. list honors and awards only b. list education only c. list organizations that the physician belongs to d. is similar to a job resume
d. is similar to a job resume