Medical Insurance and Billing

In order to work competently as a medical claims specialist in a physician's office, one needs  _______. a.  to learn to do medical transcription b.  to know procedural anddiagnostic coding  c.  to take the Hippocratic oath   d. certification as a medical assistant

In addition to medical data, the medical record may include ____.    a.  personal data  b.  financial data  c.  social data   d.  all answers are correct

Medical ethics will typically address standards of _____. a. law  b. courtesy  c. safety  d. conduct

Everything that a medical claims specialist learns about a patient's condition must remain  _____. a. accurate  b.  confidential c.  historical  d. inclusive

Which of the following skills would NOT be required for accurate filing of claims?  a.  computer programming  b.  medical terminology  c. basic mathematics  d.  keyboarding

All fo the following are expected as part of a professional image EXCEPT _____. a.  conservative business attire  b.  clean, well groomed hair  c.  clean hands and nails  d.  a strong pleasant fragrance

If an error is made in a patient's chart, what should be done to the incorrect information prior to adding the correct information nearby?a.  white it out   b.  scratch it out  c.  draw a single line through it  d. erase it

Which of the following is NOT typical knowledge expected of an insurance billing specialist?a.  how to prevent fraudulent claims  b.  what constitutes  abuse when processing insurance claims  c.  how
to respond to a subpoena of records  d.  how to repair a fax machine

A legally enforceable document composed by an insurance company describing an agreement is a(n)  ___________.a. application b.  policy  c. health plan  d.  eligibility verification form

The patient-physician contract begins when the ______. a.  physician schedule permits  b.  patient receives a physicial exam  c.  physician completes the medical record  d.  physician agrees to treat the patient

Scanners for directly reading claims into a computer's memory are called ______. a.  directscanning devices  b.  bar codes c.  electronic readers  d.  OCRdevices

When a fax is used to transmit medical records, the patient must sign a ______. a. release b.  contract  c. letter d. record

Who should interpret records and laboratory tests to the patient? a.  the physician  b.  the medical billing specialist  c.  the medical assistant  d. the nurse

According to income tax regulations, accounting records should be kept for _____. a.  10 years  b.  1 year  c.  4 years  d.  6 months

A writ requiring the appearance of a person at a trial or other proceeding is a _____. a  subpoena  duces tecum  b. subpoena  c.  pleading  d. witness

Precautions for use of a physician's signature stamp include all but which one of the following? a.  it should be available to all employees  b.  it should be kept in a locked location  c.  only bonded staff memebers should have access  d.  there should be just one stamp per physician

An insurance billing specialist should be able to do all but which of the following?  a. define  commmon insurance terms  b.  advise patients which insurance companies offer the best insurance  c.  handle insurance claims to minimize rejection by carriers   d.  ask appropriate questions to complete a patient record

When physicians evaluate other physicians, this process is called ______.  a. peer review  b.  physician evaluation  c.  utilization review  d. certification evaluation

The following are names of parts of a computer EXCEPT  _____.  a.  hard disk  b.  monitor  c.  CPU  d.  transcriber 

ROM and RAM refer to a computer's  _______. a.  speed  b.  memory  c.  disk  d. brand

A transmission device for sending electronic data is called a  _______. a.  hard drive  b.  keyboard  c.  modem  d.  word processor

Which of the following IS NOT an area of expected expertise for the medical billing specialist?a.  ICD-9coding  b.  CPT coding c.  Counseling  d. claims processing

The following should be considered when selecting and setting up a computer system EXCEPT __________.a. electrical modifications  b.  cost c.  decor  d. storage  capacity

Medical ethics has to do with ______.a.  consideration for others  b.  customs in the medical profession  c.  conduct,  courtesy  and manners  d.  making right and wrong decisions

Computer data regarding patient medical records is considered ______. a.  confidential  b.  efficient  c.  transient  d.  accurate

A destructive computer program that attaches itself to other programs is called a(n)  ______. a.  revision  b.  update  c.  malignancy  d.  virus

Backing-up refers to ____. a. saving data b.  working cautiously  c. ergonomic furniture  d.  extra staff

A 1099 form is used to report income to the ____. a. IRS  b. Social Security Administration  c.  AMA  d. State Department of Revenue

Computer memory can be measured in ____.a. bytes b. wattage  c.  volts d.  amperes

A self-employed billing specialist will need all of the following for successful start-up  EXCEPT which one? a.  sufficient funds for a tleast 6 months  b.  casual atttitude toward customers  c. full-time commitment to the job  d.  dedication to doing things right

A self-employed claims processor might expect to invest in a new ______ for business. a. computer b.  home  c. car  d.  wardrobe

Self-employed insurance billing specialists can deduct all but which one of the following expenses from their income taxes?  a. Business travel expenses  b. Subscriptions to professional magazines  c.  Social entertaining d.  Depreciation of office equipment

If a self-employed insurance specialist plans to use a business name, he or she must ______. a.  purchase a sign  b.  file a DBA form  c.  purchase business cards  d.  purchase a business vehicle

Brains of a computer which control memory and processing functions are called the ______. a. CPU  b.  CRT  c. CD-ROM  d. LCD

Intentional misrepresentation of facts in order to deceive or mislead others is _______. a. abuse  b.  a misdemeanor  c.  fraud  d.  embezzlement 

A separate part of a computer keyboard that handles numerical functions only is a(n)  ____. a.  keypad  b.  hot key  c.  alternate key  d. function key

Storage in a computer is called ______.    a.  a disk  b.  chips  c.  capacity  d.  memory

A list of items displayed on a computer screen from which the operator can choose a function is termed a _____. a.  window  b.  menu  c.  directory  d.  hard drive

Memory that allows data to be stored and retrieved by specification is called ______. a.  ROM  b.  retrievable memory  c.  byte  d. RAM