Page 1 of 224
dt dt dt
, Chapter 01: Role of an Insurance Billing Specialist MULTI
dt dt dt dt dt dt dt dt
PLE CHOICE dt
1. The primary goal of an insurance billing specialist is:
dt dt dt dt dt dt dt dt
a. to manage the health care organization’s billing office
dt dt dt dt dt dt dt
b. to ensure the cash flow of a health care organization through revenue cycle management
dt dt dt dt dt dt dt dt dt dt dt dt dt
c. to send bills to patients for services they receive
dt dt dt dt dt dt dt dt
d. to post payments received from patients and insurance carriers
dt dt dt dt dt dt dt dt dt
CORRECT ANSWER: B dt dt DIF: Moderate OBJ: 2 d t
2. Facility billing includes charging for medical services provided by:
dt dt dt dt dt dt dt dt
a. physicians
b. laboratory services dt
c. ambulance services dt
d. ambulatory surgical centers dt dt
CORRECT ANSWER: D dt dt DIF: Easy OBJ: 2 d t
3. A claims assistance professional
dt dt dt
a. works for the consumer.
dt dt dt
b. works for the health care organization.
dt dt dt dt dt
c. works for an insurance company.
dt dt dt dt
d. works for the federal government.
dt dt dt dt
CORRECT ANSWER: A dt dt DIF: Easy OBJ: 2 d t
4. What is ―cash flow‖ in a medical practice?
dt dt dt dt dt dt dt
a. The actual money available to a medical practice
dt dt dt dt dt dt dt
b. The amount of money received by a medical practice in 1 day
dt dt dt dt dt dt dt dt dt dt dt
Page 2 of 224 dt dt dt
,c. The amount of money received by a medical practice in 1 month
dt dt dt dt dt dt dt dt dt dt dt
d. The amount of outstanding money on the accounts receivable
dt dt dt dt dt dt dt dt dt
CORRECT ANSWER: A dt dt DIF: Moderate OBJ: 2 d t
5. Which level of education is generally required for one who seeks employment as an insurance coder?
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. College diploma dt
b. High school diploma
dt dt
c. Completion of an accredited program for coding certification
dt dt dt dt dt dt dt
d. No specific level of education is required CORR
dt dt dt dt dt dt dt
ECT ANSWER: C
dt dt DIF: Easy OBJ: 4 dt
6. The amount of money an insurance billing specialist earns is dependent on which of the following f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
actors?
a. Knowledge
b. Experience
c. Size of employing institution
dt dt dt
d. All are correct
dt dt
CORRECT ANSWER: D dt dt DIF: Moderate OBJ: 5 d t
7. A self-employed medical insurance biller who does independent contracting is responsible for
dt dt dt dt dt dt dt dt dt dt dt
a. advertising.
b. billing.
c. accounting.
d. All are correct.
dt dt
CORRECT ANSWER: D dt dt DIF: Hard OBJ: 2 d t
Page 3 of 224 dt dt dt
, 8. Medical etiquette refers to
dt dt dt
a. consideration for others. dt dt
b. moral principles or practices.
dt dt dt
c. laws.
d. the Oath of Hippocrates.
dt dt dt
CORRECT ANSWER: A dt dt DIF: Moderate OBJ: 9 d t
9. The process of shortening words and using abbreviations that do not follow standard grammar, spelling a
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nd punctuation when writing electronic mail communications is referred to as:
dt dt dt dt dt dt dt dt dt dt
a. emoticons
b. abbreviations
c. text speak dt
d. short text dt
CORRECT ANSWER: C dt dt DIF: Easy OBJ: 9 d t
10. Professional ethics include dt dt
a. state laws. dt
b. federal laws. dt
c. standards of conduct. dt dt
d. civil torts. dt
CORRECT ANSWER: C dt dt DIF: Moderate OBJ: 9 d t
11. The earliest written code of ethical principles for the medical profession is the
dt dt dt dt dt dt dt dt dt dt dt dt
a. Oath of Hippocrates.
dt dt
b. Socratic oath. dt
c. Code of Hammurabi. dt dt
d. Medicolegal oath. dt
Page 4 of 224
dt dt dt
dt dt dt
, Chapter 01: Role of an Insurance Billing Specialist MULTI
dt dt dt dt dt dt dt dt
PLE CHOICE dt
1. The primary goal of an insurance billing specialist is:
dt dt dt dt dt dt dt dt
a. to manage the health care organization’s billing office
dt dt dt dt dt dt dt
b. to ensure the cash flow of a health care organization through revenue cycle management
dt dt dt dt dt dt dt dt dt dt dt dt dt
c. to send bills to patients for services they receive
dt dt dt dt dt dt dt dt
d. to post payments received from patients and insurance carriers
dt dt dt dt dt dt dt dt dt
CORRECT ANSWER: B dt dt DIF: Moderate OBJ: 2 d t
2. Facility billing includes charging for medical services provided by:
dt dt dt dt dt dt dt dt
a. physicians
b. laboratory services dt
c. ambulance services dt
d. ambulatory surgical centers dt dt
CORRECT ANSWER: D dt dt DIF: Easy OBJ: 2 d t
3. A claims assistance professional
dt dt dt
a. works for the consumer.
dt dt dt
b. works for the health care organization.
dt dt dt dt dt
c. works for an insurance company.
dt dt dt dt
d. works for the federal government.
dt dt dt dt
CORRECT ANSWER: A dt dt DIF: Easy OBJ: 2 d t
4. What is ―cash flow‖ in a medical practice?
dt dt dt dt dt dt dt
a. The actual money available to a medical practice
dt dt dt dt dt dt dt
b. The amount of money received by a medical practice in 1 day
dt dt dt dt dt dt dt dt dt dt dt
Page 2 of 224 dt dt dt
,c. The amount of money received by a medical practice in 1 month
dt dt dt dt dt dt dt dt dt dt dt
d. The amount of outstanding money on the accounts receivable
dt dt dt dt dt dt dt dt dt
CORRECT ANSWER: A dt dt DIF: Moderate OBJ: 2 d t
5. Which level of education is generally required for one who seeks employment as an insurance coder?
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
a. College diploma dt
b. High school diploma
dt dt
c. Completion of an accredited program for coding certification
dt dt dt dt dt dt dt
d. No specific level of education is required CORR
dt dt dt dt dt dt dt
ECT ANSWER: C
dt dt DIF: Easy OBJ: 4 dt
6. The amount of money an insurance billing specialist earns is dependent on which of the following f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
actors?
a. Knowledge
b. Experience
c. Size of employing institution
dt dt dt
d. All are correct
dt dt
CORRECT ANSWER: D dt dt DIF: Moderate OBJ: 5 d t
7. A self-employed medical insurance biller who does independent contracting is responsible for
dt dt dt dt dt dt dt dt dt dt dt
a. advertising.
b. billing.
c. accounting.
d. All are correct.
dt dt
CORRECT ANSWER: D dt dt DIF: Hard OBJ: 2 d t
Page 3 of 224 dt dt dt
, 8. Medical etiquette refers to
dt dt dt
a. consideration for others. dt dt
b. moral principles or practices.
dt dt dt
c. laws.
d. the Oath of Hippocrates.
dt dt dt
CORRECT ANSWER: A dt dt DIF: Moderate OBJ: 9 d t
9. The process of shortening words and using abbreviations that do not follow standard grammar, spelling a
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
nd punctuation when writing electronic mail communications is referred to as:
dt dt dt dt dt dt dt dt dt dt
a. emoticons
b. abbreviations
c. text speak dt
d. short text dt
CORRECT ANSWER: C dt dt DIF: Easy OBJ: 9 d t
10. Professional ethics include dt dt
a. state laws. dt
b. federal laws. dt
c. standards of conduct. dt dt
d. civil torts. dt
CORRECT ANSWER: C dt dt DIF: Moderate OBJ: 9 d t
11. The earliest written code of ethical principles for the medical profession is the
dt dt dt dt dt dt dt dt dt dt dt dt
a. Oath of Hippocrates.
dt dt
b. Socratic oath. dt
c. Code of Hammurabi. dt dt
d. Medicolegal oath. dt
Page 4 of 224
dt dt dt