MA FINAL EXAM STUDY GUIDE
QUESTIONS WITH ACCURATE ANSWERS
__________________ involves saying words correctly correct answer
pronunciation
a diagnoses code of M25.9 has been entered on the claim form.
what system is used to assign that code? correct answer ICD-10-
CM
a disadvantage of VoIP telecommunication is that: correct answer
emergency services through 911 may not be available
a method used to gauge the effectiveness of the ambulatory care
setting's billing practices: correct answer collection ratio
a provider's fee profile is: correct answer a continuous record of
usual charges made for specific services
a statement summarizing how the insurance carrier determined
reimbursement for services by the patient is called a(n)? correct
answer explanation of benefits (EOB)
a telephone call concerning a complaint about medical service
should be routed to the: correct answer clinical medical assistant
advantages of using a fax machine include: correct answer all of
the above
after-hours telephone messages are usually directed to: correct
answer a voice mail system or answering system
an individual who recieves medicare is referees to as a(n): correct
answer beneficiary
an itemized statement of the assets, liabilities, and owner's equity
of a medical facility as of a specified date: correct answer balance
sheet
, an MCO will contract with an insurance carrier to take care of the
medical needs of an enrolled group for a fixed fee per enrollee for
a fixed period. This payment system is called? correct answer
capitation
before transferring a call to the appropriate party, guideline to
follow is: correct answer get the caller's name, number, and any
pertinent information
below are guidelines to scheduling. Which one is correct? correct
answer if a referral patient calls, it is best to obtain information
from the referring provider's office to determine the urgency of
the appointment
codes that represent durable medical equipment may be found in:
correct answer HCPCS
CPT modifier 22 is used to describe services that are: correct
answer unusual
deliberately billing a higher rate that what was performed to
obtain greater reimbursement is called: correct answer up coding
examples of operator-assisted calls include: correct answer all of
the above (conference calls, international calls, collect calls)
for an insurance claim pending more than 45 days, you should do
what? correct answer check on the processing status of the claim
with the carrier
guidelines of the Health Insurance Portability and Accountability
Act (HIPAA) for telephone communication include: correct answer
all of the above
guidelines that ensure successful transfer calls include: correct
answer following your phone system's procedure for transferring
the call
HCPCS stands for: correct answer healthcare common procedure
QUESTIONS WITH ACCURATE ANSWERS
__________________ involves saying words correctly correct answer
pronunciation
a diagnoses code of M25.9 has been entered on the claim form.
what system is used to assign that code? correct answer ICD-10-
CM
a disadvantage of VoIP telecommunication is that: correct answer
emergency services through 911 may not be available
a method used to gauge the effectiveness of the ambulatory care
setting's billing practices: correct answer collection ratio
a provider's fee profile is: correct answer a continuous record of
usual charges made for specific services
a statement summarizing how the insurance carrier determined
reimbursement for services by the patient is called a(n)? correct
answer explanation of benefits (EOB)
a telephone call concerning a complaint about medical service
should be routed to the: correct answer clinical medical assistant
advantages of using a fax machine include: correct answer all of
the above
after-hours telephone messages are usually directed to: correct
answer a voice mail system or answering system
an individual who recieves medicare is referees to as a(n): correct
answer beneficiary
an itemized statement of the assets, liabilities, and owner's equity
of a medical facility as of a specified date: correct answer balance
sheet
, an MCO will contract with an insurance carrier to take care of the
medical needs of an enrolled group for a fixed fee per enrollee for
a fixed period. This payment system is called? correct answer
capitation
before transferring a call to the appropriate party, guideline to
follow is: correct answer get the caller's name, number, and any
pertinent information
below are guidelines to scheduling. Which one is correct? correct
answer if a referral patient calls, it is best to obtain information
from the referring provider's office to determine the urgency of
the appointment
codes that represent durable medical equipment may be found in:
correct answer HCPCS
CPT modifier 22 is used to describe services that are: correct
answer unusual
deliberately billing a higher rate that what was performed to
obtain greater reimbursement is called: correct answer up coding
examples of operator-assisted calls include: correct answer all of
the above (conference calls, international calls, collect calls)
for an insurance claim pending more than 45 days, you should do
what? correct answer check on the processing status of the claim
with the carrier
guidelines of the Health Insurance Portability and Accountability
Act (HIPAA) for telephone communication include: correct answer
all of the above
guidelines that ensure successful transfer calls include: correct
answer following your phone system's procedure for transferring
the call
HCPCS stands for: correct answer healthcare common procedure
