Test Bank For Fordney’s Medical Insurance and Billing 16th Edition, 16E, Linda M. Smith, 9780323795357

TEST BANK Fordney's Medical Insurance and Billing 16/E Linda Smith
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Chapter 01: Role of an Insurance Billing Specialist
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Smith: Fordney’s Medical Insurance and Billing, 16th Edition
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MULTIPLEaCHOICE

1. Theaprimaryagoalaofaanainsuranceabillingaspecialistais:
a. toamanageatheahealthacareaorganization’sabillingaoffice
b. toaensureatheacashaflowaofaaahealthacareaorganizationathrougharevenueacycleam
anagement
c. toasendabillsatoapatientsaforaservicesatheyareceive
d. toapostapaymentsareceivedafromapatientsaandainsuranceacarriers
ANS:a B DIF: Moderate OBJ:a 2

2. Facilityabillingaincludesachargingaforamedicalaservicesaprovidedaby:
a. physicians
b. laboratoryaservices
c. ambulanceaservices
d. ambulatoryasurgicalacenters
ANS:a D DIF: Easy OBJ:a 2

3. Aaclaimsaassistanceaprofessional
a. worksaforatheaconsumer.
b. worksaforatheahealthacareaorganization.
c. worksaforaanainsuranceacompany.
d. worksaforatheafederalagovernment.
ANS:a A DIF: Easy OBJ:a 2

4. Whataisa“cashaflow”ainaaamedicalapractice?
a. Theaactualamoneyaavailableatoaaamedicalapractice
b. Theaamountaofamoneyareceivedabyaaamedicalapracticeaina1aday
c. Theaamountaofamoneyareceivedabyaaamedicalapracticeaina1amonth
d. Theaamountaofaoutstandingamoneyaonatheaaccountsareceivable
ANS:a A DIF: Moderate OBJ:a 2

5. Whichalevelaofaeducationaisagenerallyarequiredaforaoneawhoaseeksaemploymentaasaanainsuranceaco
der?
a. Collegeadiploma
b. Highaschooladiploma
c. Completionaofaanaaccreditedaprogramaforacodingacertification
d. Noaspecificalevelaofaeducationaisarequired

ANS:a C DIF: Easy OBJ:a 4

6. Theaamountaofamoneyaanainsuranceabillingaspecialistaearnsaisadependentaonawhichaofatheafo
llowingafactors?
a. Knowledge
b. Experience

, c. Sizeaofaemployingainstitution
d. Allaareacorrect
ANS:a D DIF: Moderate OBJ:a 5

7. Aaself-employedamedicalainsuranceabillerawhoadoesaindependentacontractingaisaresponsibleafor
a. advertising.
b. billing.
c. accounting.
d. Allaareacorrect.

ANS:a D DIF: Hard OBJ:a 2

8. Medicalaetiquettearefersato
a. considerationaforaothers.
b. moralaprinciplesaorapractices.
c. laws.
d. theaOathaofaHippocrates.
ANS:a A DIF: Moderate OBJ:a 9

9. Theaprocessaofashorteningawordsaandausingaabbreviationsathatadoanotafollowastandardagrammar
,aspellingaandapunctuationawhenawritingaelectronicamailacommunicationsaisareferredatoaas:
a. emoticons
b. abbreviations
c. textaspeak
d. shortatext
ANS:a C DIF: Easy OBJ:a 9

10. Professionalaethicsainclude
a. statealaws.
b. federalalaws.
c. standardsaofaconduct.
d. civilatorts.
ANS:a C DIF: Moderate OBJ:a 9

11. Theaearliestawrittenacodeaofaethicalaprinciplesaforatheamedicalaprofessionaisathe
a. OathaofaHippocrates.
b. Socraticaoath.
c. CodeaofaHammurabi.
d. Medicolegalaoath.
ANS:a C DIF: Easy OBJ:a 9

12. WhataisatheanameaofatheamodernacodeaofaethicsathatatheaAmericanaMedicalaAssociationa(AMA)aad
optedaina1980?
a. TheaModernaStandardsaofaConductaCode
b. TheaPrinciplesaofaMedicalaEthics
c. TheaOathaofaHippocrates
d. TheaAmericanaMedicalaAssociationaCodeaofaEthics

, ANS:a B DIF: Easy OBJ:a 9

13. Reportingaincorrectainformationatoagovernment-fundedaprogramsais
a. unethical.
b. illegal.
c. abuse.
d. fraud.
ANS:a B DIF: Moderate OBJ:a 9

14. Theadoctrineastatingathataphysiciansaarealegallyaresponsibleaforabothatheiraownaconductaandathataof
a theiraemployeesaisaknownaas
a. respondeatasuperior.
b. letatheamasteraanswer.
c. vicariousaliability.
d. Allaareacorrect.
ANS:a D DIF: Hard OBJ:a 10

15. Whataisatheaindependentacontractor’saliabilityaifatheyaoperateatheiraownamedicalainsuranceabi
llingacompany?
a. None.aTheaprofessionalaliabilityainsuranceaofatheacompanyatheyacontractawithawillac
overathem.
b. Theaindependentacontractoraisaliableaandashouldapurchaseaerrorsaandaomissionsai
nsurance.
ANS:a B DIF: Moderate OBJ:a 10


COMPLETION

1. a isatheatotalaincomeaproducedabyaaahealthacareaorganization.

ANS:a Revenue

DIF: Moderate OBJ:a 1

2. Anaindividualahealthacareaprovider’sapatientachartsawhichaincludesanotesaandainformationac
ollectedabyathemaisareferredatoaasathe:aa

ANS:a Medicalarecord

DIF: Moderate OBJ:a 3

3. Informationacollectedafromacliniciansainaallahealthacareaorganizationsawhoaareainvolvedainaaapa
tient’sacareawhichaisamadeaavailableatoaallaauthorizedacliniciansatoaaccessawhenaprovidingapati
entacareaisathe:aaaaaaaaaaaa

ANS:a Healtharecord

DIF: Moderate OBJ:a 3

, 4. Chargingaforaservicesadoneainahospitals,aacuteacareahospitals,askilledanursingaoralong-
termacareafacilities,arehabilitationacenters,aoraambulatoryasurgicalacentersaisaknownaas
billing.

ANS:a facility

DIF: Moderate OBJ:a 2

5. Chargingaforaservicesaperformedabyaphysicians,anurseapractitioners,alicensedaclinicalasociala
workersaandaphysicalatherapistsaisaknownaas billing.

ANS:a professional

DIF: Moderate OBJ:a 2

6. Individualsawhoaareaemployedabyaanainsuranceacarrieraandawhosearoleaisatoaanalyzeaandapro
cessaincomingaclaims,acheckingathemaforavalidityaandadeterminingaifatheaservicesawereareaso
nableaandanecessaryaareareferredatoaas .

ANS:a claimsaexaminers

DIF: Moderate OBJ:a 3

7. Individualsawhoaworkaforaconsumersaandahelpapatientsaorganize,afileaandanegotiateahealthain
suranceaclaims.aa

ANS:a Claimsaassistanceaprofessionals

DIF: Easy OBJ:aaa 3

8. Patientsawhoadoanotahaveaanyamedicalainsuranceaandaarealiableaforatheaentireabillaareareferredatoaas
patients.

ANS:a self-pay

DIF: Easy OBJ:a 3

9. Transmitting,areceiving,astoring,aandaforwardingaofatext,avoiceamessages,aattachments,aorai
magesabyacomputerafromaoneapersonatoaanotheraisareferredatoaas mail.

ANS:a electronic

DIF: Moderate OBJ:a 3

10. Standardsaofaconductabyawhichaanainsuranceabillingaspecialistadeterminesatheaproprietyaofahisaor
a herabehaviorainaaarelationshipaareaknownaasamedical .

ANS:a ethics

DIF: Moderate OBJ:a 9

11. TheaGreekaphysicianaknownaasatheaFatheraofaMedicineadevisedathe .