FINAL REVIEW

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.

Help!

Question

Answer

T/F - The first step in the flow of information in a medical office is when the patient calls to schedule an appointment.

True

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T/F - After logging into The Medical Manager software, press ENTER to accept the system's preformatted date.

True

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T/F - To save information in The Medical Manager the PROCESS function can be used by clicking on the green checkmark or by pressing the F1 key.

True

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T/F - Worker's compensation is a government insurance plan.

False

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T/F - The guarantor is financially responsible for the patient's acount.

True

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A printed list with the most common procedures, treatments, and diagnoses used in the medical office is called a/an?

Encounter form

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When a medical office "accepts assignment" of benefits, payment is sent directly to the?

Doctor

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Overbooking refers to what?

Double scheduling

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The menu that allows the user to input procedure codes, diagnosis codes, and health insurance plans is?

Support Files Maintenance Menu

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T/F - The best way to exit a screen in The Medical Manager is to press the ESCAPE key on the keyboard.

True

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A job requiring special knowledge and sometimes long and intensive academic preparation is called what?

A specialist

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T/F - A respiratory technician performs cardiac tests.

False

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T/F - A partnership can raise money by issuing stock.

False

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A professional should exhibit the following traits, with the exception of: (Commitment, Education, Self-centeredness, Autonomy of judgment)

Self-centeredness

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T/F - A single specialty medical office can be a group practice.

True

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Which of the following will affect an appointment schedule? (Pharmaceutical reps, Hospital emergencies requiring the physician, Patients arriving at the office late, All of the above)

All of the above

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Which if the following professionals are not directly involved in patient care? (Nurse anesthetist, Medical records technician, Clinical social worker, Physician’s assistant)

Medical records technician

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The reason for using patient room “flags” is to identify: (Which patient is in which room, What the patient is being seen for, Whether the patient is ready to be seen by the physician, All of the above)

All of the above

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T/F - a Gerontologist does not render care to children.

True

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A physician who treats only women is called?

Gynecologist

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Name one advantage of a partnership.

Sharing everything

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Which abbreviation does not indicate a place in a building?

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Which of the following is not an advantage of incorporation? (Limited liability, unlimited life span, High taxes, All of the above)

High taxes

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Which of the following is the correct addressing abbreviation of the state of Montana? (MO, MA, MT, MN)

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A physician who treats conditions of the eye is called a (an)?

Ophthalmologist

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Which type of physician does not remove lesion from a patient’s skin?

Allergist

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Many patients do not understand their insurance coverage?

True

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Which of the following describes a Professional Corporation?

Publicly disclose its finances

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T/F - A partnership has a legal and business status that is independent of its shareholders.

False

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T/F - All telephone messages should be kept in a message book or journal.

True

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T/F - Each physician in a partnership is not liable for the other partner’s actions and conducts.

False

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T/F - Patients are not required to sign for a release of medical records.

False

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T/F - It is acceptable for employees to answer the phone and immediately place patients on hold before finding out who it is and why they are calling?

False

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Which physician specialty is usually based at a hospital? (Anesthesiologist, Chiropractor, Rheumatologist, Psychiatrist)

Anesthesiologist

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Which of the following words means “change”? (Adept, Adapt, Affect, Effect)

Adapt

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Which of the following words is defined as “influencing:? (Affect (verb), Effect, Affect (noun), Accept))

Affect (verb)

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Which of the following is not an abbreviation for a state in the northeastern? (RI, MA, VI, NH)

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Which type of physician does not treat conditions related to the heart? (Cardiologist, Urologist, Internist, Family Practitioner)

Urologist

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Which type of simple household item can you use as a gauge, based on the inside diameter, to see if a child’s toy is a possible choking hazard? (Liquid measuring cup, Toilet tissue roll, Dry measuring cup, Tissue box)

Toilet tissue roll

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Which of the following is not the best way to help patients spend their time while waiting in the reception area? (Providing a TV, Providing medical pamphlets, Providing magazines, Providing food and beverages)

Providing food and beverages

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Which type of Medicare covers physician services? (Part A, Part B, Part C, Part D)

Part B

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Which of the following describes omissions of E&M categories on superbills? (Unbundling, Code parking, Code steering, Upcoding)

Code steering

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T/F - Billing cycles are generally divided by alphabet.

True

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T/F - CPT codes describe services and procedures.

True

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T/F - A required length of time to keep medical records is determined by the facility?

False

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T/F - Numeric filing (terminal or middle) allows for adding new files without the hassle of moving all existing files.

True

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Which of the following forms is used to request a medical record for a patient? (Records request form, Carrier request form, Consultation request form, Medical benefits form)

Records request form

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CMS 1500 form is used for which of the following? (Submitting a claim, providing the patient with a receipt, Providing a copy of the date of services, None of the above)

Submitting a claim

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Name an advantage to a computerized medical record.

Less space, on site storage, time saver, flags people for recall

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Failure to do what a reasonable prudent person would do under the same circumstances is:

Negligence

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What is the length of time to keep x-ray films?

5 to 10 years after patient is no longer active

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Which of the following is not a necessary component of a patient registration form?(

Neighbor’s name

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Which of the following describes when an employer is responsible for the actions of his/her employee? (Reasonable prudence,Respondeat superior, Negligence, All of the above)

Respondeat superior

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Make all corrections by drawing a straight line through the incorrect data and writing the correct data above, with ______ and __________.

date and initials

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T/F - Medicaid has certain guidelines that must be met to qualify.

True

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Which of the following pays cost of services performed by physician or outpatient service? (Major medical, Medical, Surgical, Hospitalization)

Medical

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T/F - Most HMOs require a minimum payment at the time of service.

True

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T/F - Overpayments made to practice must be returned to the payer within 6 months of payment.

False

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T/F - when billing for Medicare services, block 24c, “Type of Service,” does not need to be completed.

False

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T/F - When a billing mistake is made, it shouldn’t be admitted.

False

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An Advance Beneficiary Notice must contain which of the following? (Service or procedure that may not be covered, Why the practice believes it won’t be covered, Signature of patient, All of the above)

All of the above

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Which of the following best describes V codes? (Diagnosis, Vaccinations, Procedures, Poisoning)

Vaccinations

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Which of the following best describes an Explanation of Benefits? (Services denied, Amount actually paid, Reason for denial, All of the above)

All of the above

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Which of the following is not a legal guideline for collections? (Misrepresenting your identity is wrong, Do use official letterhead, Leave a message that states the purpose of the call, Accusing the patient of fraudulent behavior is fraudulent)

Leave a message that states the purpose of the call

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Computerized medical records may contain: Operative report, Physician orders, Laboratory results, All of the above)

All of the above

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Which of the following is not an advantage of using an electronic medical record? (Less storage space,Down time for training, Ease in analysis reporting, Flagging patients for recall)

Down time for training

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T/F - Color coding can shorten the length of time spent training new employees?

True

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T/F - An EOB is provided by a third party carrier.

True

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A patient’s description of problem, complaints etc. is an example of which of the following is part of SOAP note format? (A, S, P, O)

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T/F - Duplicate claim submission is an example of fraud.

True

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T/F - HIPAA stands for Health Insurance Physicians Acts and Accountability.

False

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T/F - Abuse is when Medicare reimburses a practice for services or supplies for which the providers are not entitled to compensation.

True

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Which of the following categories of E&M codes must have all three components? (Initial hospital care, All consults except follow-up consults, New office patients, All of the above)

All of the above

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Which of the following are fraud alerts from The Office of Inspector General to warn physicians of suspected fraudulent practices? (Home health, Joint venture arrangements, Prescription drug marketing prices, All of the above)

All of the above

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The practice of omitting certain codes on a superbill is called?

Code steering

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Which of the following describes the duties of The Office of Inspector General? Investigates suspected fraud/abuse to determine if administrative, civil, or criminal; Audits CMS programs, Identify Medicare/Medicaid policy weaknesses & recommends changes)

All of the above

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Which of the following are not components that drive E&M code section? (Medical Decision making, History, Past History, Examination)

Past History

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What is the proper way for a medical office to deal with credit balances?

Submit to patient/client within three months

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How is new patient defined?

Any person who has not been seen in the office for more than three years

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Which of the following is not a level of history? (Expanded problem focused, Detailed, Problem focused, Low level)

Low level

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T/F - A physician’s is allowed to extend professional courtesy to hospital employees and fellow physicians.

False

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T/F - Medical decision making is measured by the number of possible diagnoses and / or the number of management options that must be considered.

True

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Define medical necessity.

Healthcare services or products that a prudent physician would provide to a patient for the purpose of preventing, diagnosing, or treating illness, injury, disease, or their symptoms

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A patients description of problem, complaints etc. is an example of which of the following progress note formats? (CHEDDAR, Progress Notes, SOAP, None of the above)

SOAP

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T/F - An operative report must document pre and post diagnosis.

True

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T/F - A computer cannot operate without software.

True

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T/F - Monitors are available in various sizes.

True

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Which of the following should not be included in the design of a patient encounter form? (Patient demographics, Place of employment, Diagnosis codes, Account balance)

Place of employment

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Which of the following is used to move the cursor of a computer? (CRT< Processor, Athlon, Mouse)

Mouse

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T/F - A network is where computers go to talk with each other.

True

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T/F - E&M codes should be printed on a patient encounter form.

False

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T/F - The pegboard system provides a “running balance” on patient accounts.

True

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T/F - Debits and credits in assets are recorded as; credits are increases in assets and debits are decreases in assets.

False

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Which of the following is a biometric computer security defense? (Firewalls, Iris scans, Passwords, All of the above)

Iris scans

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Which of the following reasons is why accuracy of documentation has suffered? (Lack of interest, Clicking being easier for physician, Pressure to go home early, Confusion of what format to use)

Clicking being easier for physician

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Which of the following are not benefits of computers in the medical office? (Versatility, Convenience, Training, Efficiency)

Training

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Which of the following time-consuming task are computer suited for? (Insurance form generation, electronic claims submission, Coding, All of the above)

All of the above

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Which of the following is an example of a computer generated report? (Billing report, Master insurance file, Analysis of procedures, All of the above)

All of the above

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Which is not part of computer hardware? (Monitor, Mouse, Processor, E-mail)

E-mail

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T/F - Prescriptions can be printed and medications tracked with a medical office computer?

True

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An example of a fixed cost is.

Rent payment

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What is more than adequate for a Petty Cash balance?

$75 to $100

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The employee’s Withholding Allowance Certificate is the:

W-4

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Assets must equal the claims on assets, this concept of balancing relies on which of the following accounts equations? (Liabilities = Assets + expenses, Expenses = Assets + Liabilities, OE = Liabilities + Assets,Assets=Liabilities + Owner's Equity)

Assets=Liabilities + Owner's Equity

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The “write-it-once” is a bookkeeping system also known as:

Pegboard

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Give an example of a current asset and a non-current asset.

Current – stocks, cash, debtors. Non-current – land, building

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Collection Ratio calculates the percentage of outstanding debt collected. Which of the following is the goal of an adjusted collection ratio? (90,80%, 85%, 75%)

90%

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What is the purpose to identify past due accounts.

Overdue patient accounts by the length of time they are unpaid

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In cost analysis, give an example of a variable cost aspect.

Clinical supplies, utility bills, laboratory supplies

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Name the first three basic steps of accounting:

Recording, Classifying, and Summarizing

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Which of the following is used to record the charges, adjustments, and payments for the patient? (Bookkeeping card, Ledger, Financial statement, credit card)

Ledger

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Name one advantage to keeping a budget:

Establish benchmark for group

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The bank charges a fee for each check written on the account, plus a monthly service fee. Which checking account is this?

Regular checking account

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A disadvantage of the pegboard system is:(Accuracy, Greater internal controls, None of the above, easier to use than single entry system, All of the above)

None of the above

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If the Assets of the office are $75,000 and the Owner’s equity is $10,000, what is the total Current Liabilities?

$65,000

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Which of the following is the amount of money earned before taxes? (Gross pay, Net pay, Unemployment tax, Withholding tax)

Gross pay

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T/F - A disadvantage of the single-entry system it is difficult to find errors.

True

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T/F - Bookkeeping is the process of managing the accounts for a business.

True

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An interest-bearing checking account allows which of the following; (Allow the office to write as many checks as necessary, Pay a small interest on the balance, Added incentives, All of the above)

All of the above

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TT/F - he best way to exit a screen in The Medical Manager is to press the ESCAPE key on the keyboard.

True

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T/F - The first step in the flow of information in a medical office is when the patient calls to schedule an appointment.

True

🗑

T/F - After logging into The Medical Manager software, press ENTER to accept the system’s preformatted date.

True

🗑

T/F - The guarantor is financially responsible for the patient’s account.

True

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T/F - To save information in The Medical Manager software, the PROCESS function can be used by clicking on the green checkmark on the toolbar or by pressing the F1 key.

True

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Biweekly payroll checks are issued which of the following time of year? (52 times per year, 12 times per year, 26 times per year, 24 times per year)

26 times per year

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Which checking account(s) generally require that a certain minimum balance be kept in the account at all times: (regular Account,Interest-Bearing Account, Money Market Account All of the above)

Interest-Bearing Account and Money Market Account

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Give the definition of an asset.

Anything owned outright by the individual

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What is the procedure of accepting checks with corrections on them.

Do not accept check

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Which of the following summarizes all earnings and deductions from the year? (Form W-02, Form W-4, Form W-2, Form W-6)

Form W-2

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Which of the following is a payroll record item maintained for each employee? (Deductions for Social Security, federal, state, and city taxes; Amount of gross pay, Social security number of the employee, All of the above)

All of the above

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All of the above

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Which of the following are mandated taxes paid by employees? (Federal income tax, Medicare, Social Security Tax, All of the above)

All of the above

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The process used by medical insurance plans to validate that a procedure or service was needed is;

Medical necessity

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Overbooking refers to;

Double scheduling

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All of the following insurance plans are governmental plans EXCEPT: (Medicare, Medicaid, TRICARE, workers compensation)

workers compensation

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Diagnosis codes are known as:

ICD-9-CM codes

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The health insurance that is to billed first is the _______ insurance.

primary

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How many dependents are attached to Claire League’s account?

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Edward E Edwards has which type of insurance? (Medicare, Group health plan, Workers compensation, Disability)

Group health plan

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A printed list with the most common procedures, treatments, and diagnoses used in the medical office is called a/an;

Encounter form

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When a medical office “accepts assignment” of benefits, payment is sent directly to the;

Doctor

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Portia Edwards’ relationship to Andrea Edwards is;

daughter

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Pressing the ENTER key in The Medical Manager will automatically fill in many data fields, this is known as;

Auto-populate

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Moving quickly between menus is called;

Direct chaining

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Patients attached to the guarantor’s account are called;

dependents

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The acronym PCP stands for;

primary care physician

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A collection of files stored in a safe location is called a;

backup file

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Wayne Dudley has which type of insurance? (Workers compensation, Group plan, Government plan, Liability)

Group plan

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A health insurance program whose goal is to keep medical costs down and ensure that the patient receives quality medical care is called;

managed care

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____ codes are used to identify services, procedures, and treatments

CPT

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The Update Patient is located on Menu

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The account number 14.1 us assigned to

Gene A. Evans

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The guarantor for the Edwards family is

Portia Edwards

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The fixed monthly amount a PCP is paid per patient regardless of whether or not the patient is seen is called?

capitation

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A name, address, telephone number, and health insurance information together are called _______ data

demographic

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Additional information regarding the patient’s work, school, or volunteer work is called

extended information

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T/F - the encounter form shows procedures, charges, and diagnoses.

True

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T/F - Procedure Entry is located on Menu 2 in The Medical Manager.

False

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T/F - The term superbill is a synonym for encounter form

True

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T/F - Tax withholding is based on a percentage of the employee’s total gross income.

True

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T/F - The POS (place of service) code indicates that address of the insurance company.

False

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T/F - When printing a report, the option ( C ) represents “Computer”.

False

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T/F - The File Maintenance Menu is Menu 2.

False

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T/F - The employer has an obligation to match employee’s payment for social Security and Medicare.

True

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T/F - Changing a dependent’s date of birth is performed in the Edit Ailment screen.

False

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T/F - Posting refers to entering charges, payments, and adjustments.

True

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T/F - The user will key in “C” to change data while editing an account.

False

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The _______ form shows procedures, charges, and diagnoses.

encounter

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What is Alice Spivey’s diagnosis code for date of service 04/16/008?

V20.2

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Who is the insured for Alice Spivey’s insurance plan number 5.2?

William Spivey

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The _______________ screen gives information about an illness

Ailment Detail

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Which screen will display the date Timothy Davis may return to work?

Ailment Detail

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What is the ICD-9 code for Thomas Williams’s 04/21/08 visit?

487.0

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A claim status of Unbilled means the claim;

has yet to be submitted

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Dr. James Monroe’s NPI number is;

1234568NPI

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Pressing the ________ key retrieves the highlighted item

enter

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Sharon Carlson’s voucher number is

1051

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The letter D represents ________ and _______ in Unit 4

delete dependent

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Scheduling two patients in the same slot is known as:

Double-booking

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The Payment Entry screen can display up to _____ procedures

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The process in which Medicare automatically bills a secondary medical insurer is called a:

crossover claim

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The “Pending insurance billing” status code is:

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T/F - The standard health insurance claim form is known as the CMS-1500 claim form.

True

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T/F - The Appointments Toolbar contains shortcut buttons that can be used during appointment scheduling.

True

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T/F - Printing an Insurance Billing Worksheet allows the medical biller to correct any mistakes before claims are submitted to the insurance carriers.

True

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T/F - Account aging identifies how long a balance is overdue.

True

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What are the credentials listed for doctor number 4 in the practice?

RPT (from main menu – 7, 3, 5)

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The length of an acute appointment time slot is _____ minutes

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The report that lists the day’s activity is the:

Daily Report

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e Appointment Reason Code 10 represents:

Annual Check-up

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A Batch ______ is the sum of all postings processed in a group

Total

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The ____________ Report provides an insight into the practice’s account receivable.

Financial Summary

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The “Patient responsibility, never billed to insurance” status code is?

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Which of the following is usually NOT listed on patient statements? (Insurance payments, Balance forward, Charges,Health insurance ID# )

Health insurance ID#

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Voiding an item can only be performed in the _________________ screen

Void Procedure

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A claim with no obvious errors is called a/an?

clean claim

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_______ allows the user to move through the scheduling calendar.

(J)ump

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T/F - Keying /APT will directly chain to enter an appointment.

False (/APP)

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T/F - The Daily List of Appointments displays each staff member’s schedule.

True

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T/F - The Rsn# field represents the reason for the patient’s appointment.

True

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T/F - Adjustments made on a charge will increase the amount of the charge.

False

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T/F - Reason code 5 represents an annual checkup.

False

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The Appointments/Recall Menu is menu number:(Where you land)

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