Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Final Review
Business Practices
| Question | Answer |
|---|---|
| Physicians generally prefer not to discuss _______ with their patients. | financial matters |
| It is important to discuss ________ in a private area of the office so they can feel free to talk about any financial issues. | fees |
| a questionable _________ may indicate difficulty in paying bills | employment record |
| The Fair Debt Collections Practices Act states that telephone calls for collect activities should be placed | after 8AM & before 9PM |
| Financial transactions involve________ | many types of monies i.e.: credit, debit, check, cash, etc. |
| If the payee name is written incorrectly you must | endorse twice. once with name as it appears and one a second time with the correct name |
| On a check if the written-out amount differs from the numeric amount which one does the bank pay? | the written-out amount |
| A check is ______________ | non-negotiable |
| Federal law _______ a business to convert a paper check into an electronic check | allows |
| Capital is a persons' ownership share plus operating profit which is also known as _________ | net worth |
| An individual pt ledger contains a record of all fees charged | from all their dates of service |
| The petty cash fund should be used for | small purchases only |
| Double entry accounting is more advanced than single entry in that | the books must balance |
| The Medicare/ Medicaid insurance claim form is the | CMS-1500 |
| An industrial injury or work related illness is a __________________ event arising from one's employment | unforeseeable |
| The _________ is the individual who contracts for and is covered by an insurance company | insured |
| ______________ can be submitted by paper or electronically | health insurance claims |
| A fiscal intermediary is an agency that conducts health care quality audits | False |
| The CPT, ICD and HCPCS codes are examples of HIPAA compliant standard codes | false |
| ICD9CM and ICD10CM codes are used to report services provided to pts | false |
| A ________________ does not break the skin | closed fracture |
| A _________ is a minimally invasive procedure that is an example of a surgical approach | laparoscopy |
| A __________ shadows the doctor and writes down everything | scribe |
| The amount of time a physician spends with the pt does not influence the billing code | false |
| There is one basic type of hypertension and on diagnostic code used to describe it | false |
| A report that shows accts receiveable 60, 90, 120 days | aging analysis |
| Service used by a medical practice to prep and send monthly statements | billing servie |
| plastic card similar to a credit/ debit card | smart card |
| Regular withdrawal and transfer of funds | automatic funds transfer |
| Many banks do not accept | third party checks |
| After hours deposit feature deposits the money into the account | the next morning |
| When reconciling a bank statement and the balance and checkbook don't agree you divide the difference by ____ to find the transposition | 9 |
| In manual bookkeeping the copies of the ledger can be used as | pt statements |
| most medical practices require the MOA to have | bookkeeping skills |
| Overpayment received results in a | refund adjustment |
| Illness/ injury preventing all major duties of occupation | total disability |
| Hospital ins benefits under Medicare Program | Part A |
| Procedure ins cos use to avoid duplicate payments due to benefits provided by more than one policy | coordination of benefits |
| claim that is complete but content is illogical or incorrect | invalid claim |
| Medicare services in office | Part B |
| To supplement Medicare the Dept of Defense offers | TRICARE for life |
| A medicare pts signature on an advance beneficiary notice must be obtained | for all services medicare does not deem medically necessary |
| Medicare statement summarizing disposition of claim | Medicare Summary Notice |
| How often are diagnostic and procedural codebooks updated? | every year |
| The coding system to document services and supplies provided to pts | HCPCS Level I & II |
| CPT modifier that indicates that the services required were substantially greater than expected | -22 |
| Similar service provided in a hospital by more than one physician on same day | concurrent care |
| CPT -- E/M section | office and hospital visits |
| Amniocentesis would be found in which subsection | maternity care & delivery |
| When frequent tests are grouped together in Pathology section | panels |
| Bookkeeping that requires equal debits & credits | double-entry |
| To carry forward the balance of an individual ledger | extend |
| Monies owed by a business | liability |
| pt acct to which new charges can be made | open acct |
| to record financial transactions | post |
| checks received from ins cos | accts receiveable |
| small cash fund | petty cash |
| simplest bookkeeping system | single-entry |
| journal in which all daily fees and payments are recorded | general ledger |
| determination of payment for an ins claim | adjudication |
| ins policy designed to cover medical expenses resulting from injury or catastrophe | major medical |
| cost sharing in which and insured pt pays a designated amt at the time of service | copayment |
| hazards, perils or conditions ins co wont pay | exclusions |
| the spouse or children of primary insured | dependents |
| cost sharing in which an insured pt assumes a percentage of the cost of covered services | coinsurance |
| period of time after the onset of a disability for which no benefits will be paid | elimination pd |
| illness or injury that prevents an individual from performing all the functions of a regular job indefinietely | permanent disability |
| illness or injury that prevents an individual from performing one or more functions of a regular job | partial disability |
| private ins companies or govt funded health plans | third party payers |
| payment made periodically to keep an ins policy in force | premium |
| illness or injury that prevents an individual from performing the major duties of his or her specific occupation | total disability |
| obtaining advance approval from an ins co for a service to be performed | prior authorization |
| physician charge profiles determine these rates | usual, customary & reasonable |
| illness or injury that prevents an individual from performing the major duties of his or her occupation for a limited period of time | temporary disability |
| anything that was treated before the policy was issued | pre-existing condition |
| __________ accounting has been popular but replaced with computerized systems | pegboard |
| The _______________ fee is the amt normally charged for a given professional service by an individual physician | usual |
Created by:
Megpalace
Popular Medical sets