exam 1
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each of the black spaces below before clicking
on it to display the answer.
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What does the abbreviation MSHP designate? | show 🗑
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show | multiskilled health care practitioners
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Administrative medical office responsibilities include | show 🗑
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show | works for the consumer, helps patients file insurance claims (Both A and B)
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What is “cash flow” in a medical practice? | show 🗑
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show | Diagnostic and procedure coding must be reviewed for its correctness and completeness
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Which level of education is generally required for one who seeks employment as an insurance coder? | show 🗑
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show | American Health Information Management Assoiciation (AHIMA)
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The amount of money an insurance billing specialist earns is dependent on which of the following factors? | show 🗑
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show | Holding patients' medical information in confidence, collecting monies, being a reliable resource for coworkers.
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show | Consideration for others
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show | Standards of conduct
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show | Code of Hammurabi
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What is the name of the modern code of ethics that the American Medical Association (AMA) adopted in 1980? | show 🗑
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What should you do if you discover that a patient of your physician employer is under the care of another physician for the same ailment? | show 🗑
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show | Unethical
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Which code of ethics is most appropriate for an insurance billing specialist who handles medical records? | show 🗑
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show | diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements (All of the above)
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show | Advertising, billing, accounting, (All of the above)
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The Internet Healthcare Coalition has developed | show 🗑
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Reporting incorrect information to government funded programs is | show 🗑
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show | (anatomy, diagnostic coding, computer technology, all of the above)
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The doctrine stating that physicians are legally responsible for both their own conduct and that of their employees is known as | show 🗑
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show | health information specialists, coders, insurance billing specialists (All of the above)
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Why are multiskilled health practitioners (MSHPs) in demand? | show 🗑
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show | everything that is heard about a patient, everything that is read about a patient, everything that is seen regarding a patient (all of the above)
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show | have the physician return the telephone call
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Nonprivileged information about a patient consists of the patient’s | show 🗑
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show | gunshot wound cases
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show | gunshot wounds, child abuse, extremely contagious diseases (all of the above)
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When an insurance billing specialist bills for a physician and completes a Medicare claim form with information that does not reflect the true situation, | show 🗑
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show | The employee and the employer could be brought into litigation by the state or federal government.
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To bill Medicare beneficiaries at a higher rate than other patients is considered | show 🗑
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Electronic media refers to | show 🗑
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show | privacy and security rules
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show | Use care in the choice of words when leaving the message.
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A uniform lexicon system used for managing patient electronic health records, information, indexing, and billing laboratory problems is called | show 🗑
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show | HIPAA Title II Administrative Simplification
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show | The insurance industry is among the world's largest businesses
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show | civil law
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When does the physician/patient contract begin? | show 🗑
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Most physician/patient contracts are | show 🗑
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When a patient carries private medical insurance, the contract for treatment exists between | show 🗑
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An emancipated minor is | show 🗑
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show | physician and the insurance company
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In health insurance, the insured is also known as | show 🗑
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The insured is always | show 🗑
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show | prevent duplication or overlapping of payments for the same medical expense.
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show | coordination of benefits statement.
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When a medical facility is sent correct reimbursement from an insurance company for professional services, the site receives | show 🗑
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If a child has health insurance coverage from two parents, according to the birthday law | show 🗑
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show | plan of the person who has coverage longer is the primary payer
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Conditions that existed and were treated before the health insurance policy was issued are called | show 🗑
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An attachment to an insurance policy that excludes certain illnesses or disabilities that would otherwise be covered is referred to as a/an | show 🗑
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What is the correct term used to determine if a procedure is covered and medically necessary? | show 🗑
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Mrs. Thompsett leaves her place of employment. She is eligible to transfer her medical insurance coverage from a group to an individual contract. This is known as | show 🗑
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show | Benefits would increase
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Mr. Ott was laid off from his job. He is protected by Consolidated Omnibus Budget Reconciliation Act (COBRA), which requires his employer to | show 🗑
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What is the minimum number of employees a company must have to meet the criteria of the COBRA for continued medical benefits if an employee is laid off from a company? | show 🗑
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The act created to protect workers and their families so that they can get and maintain health insurance if they change or lose their jobs is called the | show 🗑
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An organization of physicians, sponsored by a state or local medical association, concerned with the development and delivery of medical services and the cost of health care is known as a/an | show 🗑
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A type of managed care organization created by the 1982 Tax Equity and Fiscal Responsibility Act (TEFRA) that allows for enrollment of Medicare beneficiaries into managed care plans is a/an | show 🗑
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show | Maternal and Child Health Programs (MCHP).
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show | patient information form
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show | patient information form
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Assignment of benefits is | show 🗑
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show | patient service slip
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show | superbill
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A daily record sheet used to record daily business transactions is called a/an | show 🗑
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show | in batches, grouping claims of patients who have the same type of insurance
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An insurance claims register facilitates | show 🗑
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show | be sent a monthly statements indicating the insurance company has been billed
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