test/quizes

Help!

Question

Answer

Putting oneself in another person's situation describes the quality of

empathy

🗑

Making a point in a straightforward manner shows the quality of

assertiveness

🗑

To use time and other resources to avoid waste and complete work in a timely manner

efficiency

🗑

Healthful habits, good grooming. and appropriate dress on the fob exhibits the quality of

professional image

🗑

Appearing on time for an appointment shows the quality of

punctuality

🗑

Greeting patients in the medical office is an example of which type of work

records management

🗑

The most common place of employment for an administrative medical assistant is

a physician practice

🗑

The quality that is involved in performing tasks with complete correctness is

accuracy

🗑

Three personal, attributes needed by an administrative medical assistant are

genuine liking of people, cheerfulness, and empathy

🗑

The profession of medical assisting has

ethical standards

🗑

The following is a not legal requirement for physicians

obtain recovery for all patients

🗑

The following is a legal responsibility of physicians

perform to the best of their ability

🗑

A physician who wishes to end a relationship with a patient must

notify the patient of this decision and give the patient a reasonable amount of time to find another physician

🗑

Making false statements to patients about the benefits of a particular drug is and example of

fraud

🗑

Safeguards against litigation include

exercising complete confidentiality, not discussing a patient's condition, and obtaining proper authorizations for release

🗑

The following term describes a computer designed to store massive databases

mainframe

🗑

The following terms describes a mid-level computer that is not as expensive as a mainframe, while offering many similar features

minicomputer

🗑

Monitors and printers are examples of

output devices

🗑

A program used to display moving images on the screen if no input is received for a period of time is called a

screen saver

🗑

What type of software is used to periodically search for the presence of programs intended to destroy data

virus checker

🗑

To determine whose condition requires immediate medical attention,assistants use a process called

triage

🗑

What steps should be completed before placing an outgoing call

gather the necessary information, outline the question to ask, and have important papers at hand

🗑

The files of medical records for patients who are currently seeing the physician are called

active files

🗑

Files of patients who terminated their relationship with physician are called

closed files

🗑

The correct order of the steps in filing is

inspecting, indexing, coding, sorting, and storing

🗑

The proper order for indexing individual names is

surname, given name, middle name

🗑

Hyphenated names are indexed as

one unit

🗑

The traditional method of paying physicians, in which payment is made after services are provided, is

fee-for-service

🗑

The HCPCS codes are used for

Medicare claims

🗑

The abbreviation PPO stands for

preferred provider organization

🗑

The abbreviation PCP stands for

primary care physician

🗑

A provider is a

physician or other health care professional

🗑

Fee-for-service payments are made in which type of insurance plan

indemnity

🗑

The RBRVS scale is used in which program

Medicare

🗑

Reference that contains diagnosis codes

ICD

🗑

The insured may be

the person who owns an insurance policy, the spouse of the person who owns an insurance policy, the dependent of the person who owns an insurance policy

🗑

Capitation payments are made in what type of insurance plan

managed care

🗑

Which type of ICD code is used for factors that affect health status when there is no diagnosis or disease, such as for annual exams

V codes

🗑

The administrative medical assistant calculates the total due for a patient visit based on the

patient encounter form

🗑

Billing software generates what daily report to show all charges, payments, and adjustments for that day

day sheet

🗑

The process of comparing the balance on the practice's monthly bank statement with the checkbook balance is called the

bank reconciliation

🗑

When charges for services are recorded as income when the payment is received, rather than when the bill is sent out, what accounting method is being used

cash

🗑

Salaries paid to employees are

direct earnings

🗑

Benefits and amounts paid to employees for other than salaries are

indirect earnings

🗑

When the employer and employee pay the FICA amount, what percentage is paid by the employer

50 percent

🗑

A document that outlines a meeting's location,time,date, and topics is

an agenda

🗑

A document that lists the daily schedule for a traveler is

an itinerary

🗑

A document that is official record of a meeting is

meeting minutes

🗑

Office management tasks include

making travel arrangements, editorial research projects, policy and procedures manual, and patient information materials

🗑

A description of the services offered by the practice is found in the

patient information brochure

🗑

The RBRVS fees are usually_____than UCR fees

lower

🗑

Under RBRVS, the nationally uniform relative value is based on

the provider's work,practice cosr, and malpractice insurance costs

🗑

The purpose of the GPCI is to account for

regional differences in costs

🗑

What is the main methods payers use to pay provider

allowed charges, contracted fee schedule, and capitation

🗑

If a provider's charge is higher than the allowed amount, the provider's reimbursement is based on

the amount allowed

🗑

If the provider's charge is lower than the allowed amount, the reimbursement is based on

the amount billed

🗑

The medicare allowed charge for a procedure is $150, and a PAR provider's usual charge is $200. What amount must the provider write off?

$50

🗑

The Medicare allowed charge is $240 and the PAR provider's usual charge is $600. What amount does the patient pay?

$48

🗑

The deductibles, coinsurance, and copayments patients pay are called their

out-of-pocket expenses

🗑

If a nonparticipating provider's usual fee is $600, the allowed amount is $300, and balance billing is permitted, what amount is written off?

🗑

A physician practice that uses a billing service to send its claims is the

pay-to-provider

🗑

On a HIPPA claim, which of these is assigned to a claim by the sender

claim control number

🗑

The provider who provides the procedure on a claim if other than the pay-to-provider is called the

rendering provider

🗑

A physician's state license number is an example of a(n)

secondary identification number

🗑

The payer's processing of claims is called

adjudication

🗑

A payer's automated claim edits may result in claim denial because of

lack of eligibility for a reported service, lack of medical necessity, lack of required preauthorization

🗑

When a claim is pulled by a payer for a manual review, the provider may be asked to submit

clinical documentation

🗑

If a provider has accepted assignment, the payer sends the RA to

the provider

🗑

If the provider has not accepted assignment, the payer sends the payment to

the patient

🗑

The advantages of EFT for practices is

funds are available immediately and the transfer is less costly than check deposits

🗑

What document is used by the medical insurance specialist to update the patient billing program with the payer's payments and the amount due from the patient?

🗑

Which HIPAA transactions is used by medical offices to ask payers about the status of submitted claims

276

🗑

Which of these HIPAA transactions is sent by a payer to answer a question about a submitted claim?

277

🗑

Which of these HIPAA transactions is sent by a payer to explain a claim payment?

835

🗑

The federal law that protects companies which set up employee health and pension plans is know as

ERISA

🗑

The health insurance program for federal government employees is

FEHBP

🗑

Eligible members of a capitated plan are listed on the

monthly enrollment list

🗑

The terms of an insurance contract can be modified in a

rider

🗑

Stop-loss provisions protect providers against

extreme financial loss

🗑

Which section of a manged care participation contract covers balance-billing rules?

compensation and billing guidelines

🗑

A plan pays 50 percent of the provider's usual charge and requires the copayment of $5 to be applied toward the provider's payment.What does the plan pay the provider when the usual charge is $200?

$95

🗑

What percentage of the fee on the Medicare Fee Schedule is the limiting charge?

115 percent

🗑

Anyone over age 65 who receives Social Security benefits is automatically

enrolled in Medicare Part A and eligible for Medicare Part B

🗑

A report that lists charges, payments, and adjustments during a day is known as a

day sheet

🗑

Monies coming into the practice are

accounts receivable

🗑

Diagnosis codes are

ICD

🗑

When a new patient comes in for an office visit, he or she is asked to complete a(n)

patient information form

🗑

Electronic information created or received by a health care provider that can be used to identify a person is

protected health information (PHI)

🗑

An encounter form is also known as a

superbill

🗑

The fixed amount paid to providers under a managed care plan is known as

capitation

🗑

The following is not an advantage of using electronic claims instead of paper claims

increased data security

🗑

The use of computers in the medical office has led to significant increases in productivity, primarily because computers

process large amounts of information more efficiently

🗑

The electronic claim format used to bill for a physician's services is known as

837P

🗑

A document given to a patient at the conclusion of an office visit if a payment has been made is called a(n)

walkout statement

🗑

Transactions are entered in Medisoft via the

Activities menu

🗑

The Medisoft menu bar contains______menus

🗑

A patient's assigned provider is designated in the ______ tab

Other information

🗑

The following is not an acceptable chart number in Medisoft

SANDRO.0

🗑

The status field in the Other information tab of the Patient Guarantor dialog box is used to indicate whether the patient

is employed or in school

🗑

The following is the correct chart number for Daniel HO?

HODANIE0

🗑

Codes assigned to employers in the Address dialog box must be no more than____characters in length

five

🗑

The designation of an individual as a patient or guarantor is made in the following field in the Patient/Guarantor dialog box

Type

🗑

There are___tabs in the case folder

eleven

🗑

The case number is located in the____tab of the Case folder

Personal

🗑

Up to_____diagnoses codes can be entered in one Medisoft case,

four

🗑

A TRICARE sponsor is

an active-duty armed services member

🗑

To create a new case for an existing patient, the______command is used

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

Account

🗑

The abbreviation TOS stands for

type of service

🗑

If a CPT code does not appear in the drop-down list n the Procedure field, it can be added to the database quickly by pressing the____key and entering the new code number and description

🗑

The total field in the Carges section of the Transaction Entry dialog box is the result of multiplying the number in the Amount field by the number in the

Units field

🗑

New Multilink codes can be created by selecting an option on the

lists

🗑

The Pay code drop-down list indicates

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

unpaid

🗑

The choices in the Payment Method field in the Deposit dialog box include cash, credit card, check, and

electronic

🗑

Payment methods that can be selected in the Deposit dialog box include check, cash, credit card, or

electronic

🗑

The following are buttons in the Patient Recall List dialog box

Edit, Sort by, and Search

🗑

In the New Break Entry dialog box_____lists the types of breaks already created in Medisoft

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

years

🗑

A condition that data must meet to be included in a selection is known as a

filter

🗑

The following is not an option in the Claim Status list in the List Only Claims that Match dialog box

Denied

🗑

The report that can be displayed to check electronic claims before transmitting them is called a(n)

Batch Verification report

🗑

If an electronic claim requires an attachment, where is this noted in Medisoft

Diagnosis Tab of Case dialog box

🗑

The Status column in the Statement Management dialog box can indicate Ready to Send,Sent,or

Done

🗑

The Type column in the Statement Management dialog box can contain either Standard or

Remainder

🗑

In this type of billing system, patients statements are created and sent on a staggered basis rather than all at once

cycle

🗑

A condition that must be met n order for data to be included in a selection is called a

filter

🗑

the following is not a category on the patient aging report

91-120

🗑

A______report lists the financial activity in a patient's account

patient ledger

🗑

On a procedure day sheet report, procedures are listed in___order

numerical

🗑

Medisoft provides three insurance aging reports: primary,secondary,and

tertiary

🗑

The Practice Totals section of a Practice Analysis report lists total charges, payments, adjustments, and

procedures

🗑

Medisoft's file maintenance utilities are accessed via the____menu

File

🗑

In the United States, rising medical costs are due to

increased spending on drugs,increased use of alternative treatments and advances in technology

🗑

A capitated rate is called a

prospective payment

🗑

Under a capitated rate for each plan member, the following the provider share with the third-party payer

risk

🗑

Patients who enroll in an HMO may use the services of

only HMO network providers

🗑

Patients who enroll in a point-of-service type of HMO may use the services of

HMO network or out-of-network providers

🗑

The four models of health maintenance organizations are

staff,group,IPA,and POS

🗑

The following characteristics is most important when medical insurance specialists work with patients' records and handle finances

honesty and integrity

🗑

When medical insurance specialists work with patient billing programs, they need

computer skills

🗑

The title of Certified Coding Specialist (CCS) and Certified Coding Specialist-Physician based (CCS-P) is awarded by

AHIMA's Society for Clinical Coding

🗑

The statement that "coding professionals should not change codes, so that meanings are misinterpreted" is an example of

professional ethics

🗑

The employment forecast for well-trained medical insurance and coding specialists is

increasing opportunities

🗑

The following is the correct order for documentation

CC, history and exam, diagnosis, and treatment

🗑

The following represents the correct format for recording dates on patient information and claims forms

MM/DD/YY

🗑

The following claims-processing steps is the payer's decision about paying claims made

adjudication

🗑

Libel is what type of information

written

🗑

A court order to appear, testify, and bring specified documents or items is a

subpoena duces tecum

🗑

Information about a patient must be kept confidential because

it is the physician's duty to do so and the information is potentially harmful to the patient

🗑

The cross-reference See in the ICD-9-CM means that the coder

must refer to the term that follows

🗑

The term Blackfan-Diamond anemia is an example of a(n)

eponym

🗑

How many codes does the entry Cataract,myotonic 359.2[366.43] in the ICD-9-CM's Alphabetic index require

two codes

🗑

A condition that arises because of an injury or illness in the patient's medical history is called a(n)

late effect

🗑

An adverse effect is the result of

unintentional poisoning

🗑

What is the main term in the diagnostic statement "localized salmonella infection,unspecifeid"?

salmonella

🗑

The diagnostic statement is "patient has found a mass in the upper quadrant of the left breast; carcinoma is suspected and an immediate workup is scheduled." What main term is coded?

mass

🗑

In the diagnostic statement "tuberculous rheumatism," which is the main term?

tuberculous or rheumatism

🗑

In CPT-4, what procedure is bundled with the arthroscopy in the following entry? 29860 Arthroscopy, hip, diagnostic with or without synovial biopsy

a synovial biopsy

🗑

Durable medical equipment (DME) such as wheelchairs covered by the Medicare program are reported using

HCPCS codes

🗑

Under CPT-4's definition, after a referral, who takes responsibility for the patient's care?

the physician to whom the patient is referred

🗑

Routine annual physical examinations are reported using CPT-4's

Preventive Medicine Services codes

🗑

What is required of the physician in order to report the professional component of a CPT-4 code from the Radiology section?

reading the radiological examination and writing a report of interpretation

🗑

If a payer judges that too high a code level has been assigned by a practice for a reported service, the payer may

downcode the reported procedure code

🗑

What type of audit is performed internally before claims are reported?

prospective audit

🗑

What document is received before a retrospective audit of a claim is performed?

explanation of benefits from the payer

🗑

Which member of the medical practice is ultimately responsible for proper documentation and correct coding?

physician

🗑

Some possible consequences of inaccurate coding and incorrect billing in a medical practice are

denied claims and reduced payments, prison sentences, and fines

🗑

A provider billing the Medicare program for a cosmetic procedure intended to enhance the patient's appearance is a possible situation of

downcoding

🗑

Which is not a characterisitic of correctly linked codes?

the procedure codes have correct modifiers

🗑

An important part of a compliance plan is a commitment to keep both physicians and medical office staff current by providing

ongoing training

🗑

A medical practice's signature log shows the legal name, credentials, and signature of each person who

makes entries in patient medical records

🗑

The statement,"All entries in the medical record must contain the author's identification" is from the NCQA's

Documentation Guidelines

🗑

In urinalysis, bilirubin in the urine may indicate disease of the

Liver

🗑

A renogram is used to study the function of the

Kidney

🗑

The artificial maintenance of kidney function is

Dialysis

🗑

Cystitis is an inflammation of the

bladder

🗑

Kidney failure may result in

uremia

🗑

A diuretic can reduce

edema

🗑

Lactation occurs

after birth

🗑

A Pap smear can detect

cervical cancer

🗑

Excessive menstrual bleeding is

menorrhagia

🗑

A sexually transmitted disease is

gonorrhea, syphilis, and chlamydia

🗑

Sperm are produced in the

testes

🗑

Impotence is

the inability to maintain an erection

🗑

Tests for prostate cancer include a

urethrogram, PSA, and DRE

🗑

The solid part of blood contains

red blood cells, white blood cells, and platelets

🗑

One type of plasma protein is

fibrinogen

🗑

Eosinophils stain is

bright red

🗑

A type of bleeding disorder is

thrombocytopenia

🗑

Genetic characteristics provide

natural immunity

🗑

Metastasis means

a disease has spread

🗑

A lymphadenectomy is the

removal of a lymph node

🗑

The alimentary canal includes the

esophagus

🗑

The taste buds are contained in the

papillae

🗑

The liver secretes

bile

🗑

Antiemetics relieve or prevent

regurgitation

🗑

Calcitonin is secreted by

thyroid cells

🗑

Acromegaly is an abnormality of the

pituitary glands

🗑

Symptoms of diabetes include

polydipsia and polyuria

🗑

The cornea

has no blood supply and is transparent

🗑

Hearing can be damaged at or above

130dB

🗑

The urinary is also known as the renal or

excretory system

🗑

The inner portion of the kidney is the

medulla

🗑

Painful urination is

dysuria

🗑

Pus in the urine is

Pyuria

🗑

The 40 weeks of fetal development are known as

gestation

🗑

Cryptorchism is a birth defect in which one or more of the testicles has failed to

descend

🗑

The cells in blood that destroy foreign substances are

Leukocytes

🗑

The fluid that circulates through the lymph system is

lymph

🗑

Hormones released by the hypothalamus have either a releasing or a(n)

inhibiting factor

🗑

The inner portion of each adrenal gland is the adrenal

medulla

🗑

The pancreas helps maintain proper levels of blood

glucose

🗑

Hypoadrenalism is also known as

Addison's disease

🗑

The nervous tissue in the retina is called the

neuroretina

🗑

Taste buds are contained within

papillae

🗑

Deviation of one eye outward is

exotropia

🗑

The cell includes the

cell membrane, nucleus, and cytoplasm

🗑

Tendons are type of

connective tissue

🗑

The middle layer of skin is called the

corium and dermis

🗑

alopecia may result from

chemotherapy, heredity, and disease

🗑

Exocrine glands

secrete outward

🗑

A test for tuberculosis is the

Mantoux test

🗑

A type of secondary lesion is a(n)

crust

🗑

A type of vascular lesion is a(n)

ecchymosis

🗑

German measles is a rashed caused by

rubella

🗑

Chicken pox is a rash caused by

varicella

🗑

A type of vascular disorder is

rosacea

🗑

Herpes viruses can cause

cold sores, fever blisters, and shingles

🗑

The overproduction of sebum can cause

seborrhea

🗑

A graft that uses skin from one's own body is a(n)

autograft

🗑

Red blood cells start to develop in

bone marrow

🗑

The spinal column includes the

lumbar vertebrae

🗑

The bones of the extremities include the

femur, tibia, and patella

🗑

The mandible is a bone that forms the

jaw

🗑

A type of bone operation is a(n)

osteoplasty

🗑

Compression fractures usually occur in the

spine

🗑

A type of musculoskeletal injury is a(n)

sprain

🗑

The cardiovascular system includes

coronary circulation, pulmonary circulation, and systemic cirulatior

🗑

A myocardial infarction is also known as a(n)

heart attack

🗑

A type of surgery on blood vessels is an

endarterectomy, arteriotomy, and angioplasty

🗑

The outer covering of the heart is the

pericardium

🗑

Fatty substances are also known as

lipids

🗑

Diuretics are used to treat

hypertension and edema

🗑

The point at which the trachea divides is known as the

mediastinum

🗑

Most of the thoracic cavity is occupied by the

lungs

🗑

Tapping over the lung area to see if the lungs are clear is called

percussion

🗑

Hiccuping is also known as

singultus

🗑

Abnormally fast breathing is

tachypnea

🗑

Asthma can be caused by

anxiety, allergy and infection

🗑

Pneumonia is a general term for infection of the

alveoli

🗑

A part of a neuron is a(n)

dendrite, cell body and axon

🗑

Amino acids are neurotransmitters that

excite brain activity

🗑

A type of neuroglia that is a phagocyte is a(n)

microglia

🗑

A symptom of Alzheimer's disease is

amnesia, apraxia, and agnosia

🗑

A neurological symptom is

paralysis

🗑

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.

To hide a column, click on the column name.

To hide the entire table, click on the "Hide All" button.

You may also shuffle the rows of the table by clicking on the "Shuffle" button.

Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

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

Created by: mfenton142