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Med. Billing Test
Everything you need to study for the Medical Billing Test
| Question | Answer |
|---|---|
| Coding translates a description of a medical condition into a shorter,standardized code. A. True B. False | A. True |
| Coinsurance refers to the portion of the charges that are the patient's responsibility. A. True B. False | A. True |
| TRICARE is the government-sponsored health care plan for veterans and their families. A. True B. False | B. False |
| Medicare pays an electronic claim in about half the time it would take to pay a paper claim. A. True B. False | A. True |
| Clearinghouses format electronic claims in HIPAA standard format. A. True B. False | A. True |
| The Medisoft Program Date can be changed using an option on the Tools menu. A. True B. False | B. False |
| New procedure codes can be added to Medisoft by selecting an option on the File menu. A. True B. False | B. False |
| The Tools menu contains the Medisoft file maintenance utilities. A. True B. False | B. False |
| Medisoft can be exited by clicking the X button in the top right hand corner of the window or by selecting Exit on the Edit menu. A. True B. False | B. False |
| A patient's Social Security number is entered in the Other Information tab of the Patient/Guarantor dialog box. A. True B. False | B. False |
| Medisoft's Search feature can be used to look for information on patients,insurance carriers,procedure codes,and employers. A. True B. False | A. True |
| Data entered in the Search box must be case-specific;if searching for the last name Jones, the system will not locate the entry if JONES or jones is keyed in the Search box. A. True B. False | B. False |
| The Patient List dialog box is divided into two sections: the left side displays patient information,while the right side lists case information. A. True B. False | A. True |
| There are tabs in the Patient/Guarantor dialog box are: Name,Address and Patient Information. A. True B. False | B. False |
| Information about a patient's level of disability in a worker's compensation case is entered in the Account tab. A. True B. False | B. False |
| The person entered as Insured 1 in the Policy tab is always the patient. A. True B. False | B. False |
| In a capitated plan,physicians are paid based on how many times a patient has been treated within a set time period,usually a month. A. True B. False | B. False |
| A patient who is being treated for chronic hypertension does not need a new case for treatment of influenza. A. True B. False | B. False |
| Using data from the Patient/Guarantor dialog box,Medisoft automatically completes the Assigned Provider field in the Account tab of the Case folder. A. True B. False | A. True |
| A patient may not have more than one case per office visit. A. True B. False | B. False |
| The easiest way to create a new case for a patient is to use the Copy Case button to create a copy of an existing case. A. True B. False | A. True |
| Before transactions can be entered,the appropriate case must be selected. A. True B. False | A. True |
| When a procedure code is entered in the Transaction Entry dialog box,a dollar amount is automatically entered in the Amount box. A. True B. False | A. True |
| The Transaction Entry dialog box lists the total amount owed on the patient's account. A. True B. False | A. True |
| When a new charge is entered, Medisoft automatically enters the Windows System Date in the Date field. | B. False |
| Charges for procedures and copayments are entered in the Charges section of the Transaction Entry dialog box. A. True B. False | A. True |
| The guarantor on a patient's account is listed in the Transaction Entry dialog box. A. True B. False | A. True |
| Information needed to enter procedure charges in the Transaction Entry dialog box are found on a patient information form. A. True B. False | B. False |
| The amount of a patient's deductible is listed in the Transaction Entry dialog box. A. True B. False | A. True |
| Patient payments are always entered in the Deposit List dialog box. A. True B. False | B. False |
| Medisoft automatically applies a payment to the most recent charge transactions. A. True B. False | B. False |
| When a zero appears in the Unapplied Amount box in the Apply Payment to Charges tab,the payment has not yet been applied to a patient's transactions. A. True B. False | B. False |
| When an RA includes multiple patients, it is more efficient to enter insurance carrier payments in the Transaction Entry dialog box than the Deposit List dialog box. A. True B. False | B. False |
| Medisoft automatically saves transactions as they are entered. A. True B. False | B. False |
| Medisoft provides a reminder message when entering transactions for patients who are required to make a copayment at the time of an office visit. A. True B. False | A. True |
| Insurance payments that are applied to patient charges in the Deposit List dialog box automatically appear in a patient's Transaction Entry dialog box. A. True B. False | A. True |
| The Office Hours program can be started and run without opening Medisoft. A. True B. False | A. True |
| In Office Hours, breaks can be created for a single physician or for all physicians. A. True B. False | A. True |
| When entering a patient appointment,an option is provided to enter the reason for the visit. A. True B. False | A. True |
| Appointments can be cut, and pasted using standard Window's shortcut key combinations of Control- X, Control-C, and Control-V. A. True B. False | A. True |
| The Patient Recall list can be viewed from within Office Hours. A. True B. False | B. False |
| Insurance carriers all use the same data format for accepting electronic media claims. A. True B. False | B. False |
| A minimum dollar amount can be specified,so that patient statements are not mailed to if a balance is below a certain dollar amount. A. True B. False | A. True |
| Medisoft provides the option of displaying accounts receivable totals at the end day sheets reports. A. True B. False | A. True |
| A report can be printed from within the Preview Report window. A. True B. False | A. True |
| A patient day sheet lists the total number of patients and procedures for a given day. A. True B. False | A. True |
| Day sheets can only be created for a single day. A. True B. False | B. False |
| Day sheet reports can be created for a single provider. A. True B. False | A. True |
| Place of Service Range is an option in the Data Selection Questions box for Day Sheet reports. A. True B. False | B. False |
| When backing up data,it is necessary to specify the source path and the destination path of the data. A. True B. False | A. True |
| A report that lists charges,payments,and adjustments during a day is known as a:electronic remittance advice b:superbill c:encounter form d:day sheet | d: day sheet |
| Which of the following refers to monies coming in to the practice? a:electronic remittance b:accounts receivable c:accounts payable d:explanation of benefits | b: accounts receivable |
| Which of the following refers to diagnosis codes? a:ICD b:CPT c:HCFA d:EOB | a:ICD |
| When a new patient comes in for an office visit,he or she is asked to complete a(n) a:insurance claim form b:superbill c:patient information form d:patient's schedule of benefits | c:patient information form |
| Electronic information created or received by a health care provider that can be used to identify a person is known as a:electronic medical record (EMR)b:patient information form (PIF)c:protected health information (PHI) d:notice of privacy rules (NPR) | c: protected health information (PHI) |
| An encounter form is also known as a: superbill b: remittance advice c: patient information form d:schedule of benefits | a:superbill |
| The fixed amount paid to providers under a managed care plan is known as a:schedule of benefits b:capitation c:remittance advice d:premiums | b:capitation |
| Which of the following is not an advantage of using electronic claims instead of paper claims? a:reduced costs b:speed of transmission c:less chance of error d:increased data security | d:increased data security |
| The use of computers in the medical office has led to significant increases in productivity,primarily because computers a:process large amounts of info. more efficiently b:are less expensive than personnel c:work 24 hrs a day,7days a wk. d:reduce the #of | a: process large amounts of information more efficiently |
| The electronic claim format used to bill for a physician's services is known as a:electronic data interchange (EDI)b:ASCX12 c:837P d:CMS-1500 | c:837P |
| A document given to a patient at the conclusion of an office visit if a payment has been made is called a(n) a:remittance advice b:explantion of benefits c:encounter form d: walkout statement | d:walkout statement |
| Transactions are entered in Medisoft via the a:File menu b:Reports menu c:Tools menu d: Activities menu | d: Activities menu |
| The Medisoft menu bar contains ___ menus. a:6 b:7 c:10 d:12 | b: 7 |
| A patient's assigned provider is designated in the ___tab. a:Name,Address b:Other Information c:Provider d:Account | b: Other Information |
| Which of the following is not an acceptable chart number in Medisoft? a:SANDRO.0 b:ALLISM10 c:NYU22220 d:GREENHA0 | a:SANDRO.0 |
| The Status field in the Other Information tab of the Patient Guarantor dialog box is used to indicate whether the patient: a:has insurance coverage b:is employed or in school c:is current with payments owed d:is currently a patient of the practice | b:is employed or in school |
| Which of the following is the correct chart number for Daniel Ho? a:HODANIE0 b:HOXXXDA0 c:HO___DA0 d:DANIEHOo | a: HODANIE0 |
| Codes assigned to employers in the Address dialog box must be no more than __charachters in lenght. a:4 b:5 c:6 d:10 | b: 5 |
| The designation of an individual as a patient or guarantor is made in the following field in the Patient/Guarantor dialog box: a:Patient ID #2 b:Type c:Patient Indicator d:Status | b: Type |
| There are ____ tabs in the Case folder. a: 3 b: 4 c: 6 d:11 | d: 11 |
| The case number is located in the ____ tab of the Case folder. a:Account b:Personal c:Misc. d: Policy 1 | b: Personal |
| Up to ____ diagnoses codes can be entered in one Medisoft case. a:2 b:4 c:5 d:6 | b: 4 |
| A TRICARE sponsor is: a:an insurance carrier b:a primary care physician c:an active-duty armed services member d:a veteran | c: an active-duty armed services member |
| To create a new case for an existing patient, the ___ command is used. a:Copy Case b:Move Case c:Add Case d: New Case | a: Copy Case |
| If a patient's treatment is only authorized through a certain date, this date is entered in the ___ tab of the Case folder. a: Misc. b:Policy 1 c:Account d: Personal | c: Account |
| The abbreviation TOS stands for: a: time of service b:type of service c:treatment or service d: type of submission | b:type of service |
| If a CPT code does not appear in the drop-down list in the Procedure field, it can be added to the database quickly by pressing the ___ key and entering the new code # & description. a:Ctrl b:F8 c:F10 d:Insert | b: F8 |
| The Total field in the Charges section of the Transaction Entry dialog box is the result of multiplying the number in the Amount field by the number in the: a:Procedure field b:TOS field c:Units field d:Quantity field | c: Units field |
| New MultiLink codes can be created by selecting an option on the: a:Tools b:Lists c:Activities d:Edit | b: Lists |
| The Pay Code drop-down lists indicates: a:the type of payment made,such as cash,check etc. b:the procedure code to which the payment must be applied c: the two-digit numeric code assigned to the patient's insurance carrier d:wether or not the claim's paid | a: the type of payment made,such as cash,check,etc. |
| The Apply Payment to Charges dialog box contains information about all ____charges for a patient. a:fully paid b:covered c:completed d:unpaid | d:unpaid |
| The choices in the Payment Method field in the Deposit dialog box include cash,credit card,check and: a:electronic b:bill later c:pro bono d:mail | a: electronic |
| Payment methods that can be selected in the Deposit dialog box include check,cash,credit card, or a:ATM/debit card b:electronic c:bank draft d: cashier's check | b:electronic |
| Which of the following is not a button in the Patient Recall List dialog box? a:Edit b:Sort by c:Search d:Chart | d:chart |
| Which option in the New Break Entry dialog box lists the types of breaks already created in Medisoft? a:Name b:Resource c:Change d:Type | b:Resource |
| In Office Hours, the Go to a Date shortcut button displays options for searching for an appointment a number of days,weeks,months and ____in the future. a:hours b:six months c:nine months d:years | d:years |
| A condition that data must meet to be included in a selection is known as a:status b:list c:filter d:batch | c:filter |
| Which of the following is not an option in the Claim Status list in the List Only Claim that Match dialog box? a:Challenge b:Hold c:Denied d:Rejected | c:Denied |
| The report that can be displayed to check electronic claims before transmitting them is called a(n) a:Claim Status report b:Clearinghouse Status report c:Batch Verification report d: Audit/Edit report | c:Batch Verification report |
| If an electronic claim requires an attachment,where is this noted in Medisoft? a:Claim Management dialog box b:Diagnosis Tab of Case dialog box c:Claim dialog box d:Transaction Entry dialog box | b: Diagnosis Tab of Case dialog box |
| The Status column in the Statement Management dialog box can indicate Ready to Send,Sent,or: a:Done b:Filed c:Printed d:Complete | a: Done |
| The Type column in the Statement Management dialog box can contain either Standard or a:Electronic b:Insurance Only c:Patient Only d:Remainder | d:Remainder |
| In this type of billing system,patients statements are created and sent on a staggered basis rather than all at once. a:rotational b:flexible c:cycle d:modified | c:cycle |
| A condition that must be met in order for data to be included in a selection is called a:filter b:sort c:file pointer d:data sort | a: filter |
| Which of the following is not a category on the patient aging report? a:0-30 days b: 31-60 c:61-90 d:91-120 | d: 91-120 |
| A ____report lists the financial activity in a patient's account. a:walkout receipt b:patient day sheet c:aging report d:patient ledger | d: patient ledger |
| On a procedure day sheet report,procedures are listed in _____order. a:ascending by dollar amount b:alphabetical c:descending by dollar amount d:numerical | d:numerical |
| Medisoft provides three insurance aging reports:primary,secondary,and a:Medigap b:all c:Worker's compensation d:tertiary | d:tertiary |
| The Practice Totals section of a Practice Analysis report lists total charges,payments,adjustments and a:write-offs b:take backs c:procedures d:accounts receivable | c:procedures |
| Medisoft's file maintenance utilities are accessed via the ____menu. a:File b:Tools c:Activities d:Window | a:File |
Created by:
mannj29