Comprehensive Health Insurance
UV
– 3rd Edition
IA
TEST BANK
_A
PP
Deborah Vines
RO
Complete Test Bank for Instructors and Students
VE
© Deborah Vines
All rights reserved. Reproduction or distribution without permission is prohibited.
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??
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©Medexcellence ✅��
, Comprehensive Health Insurance, 3e (Vines)
Chapter 1 Introduction to Professional Billing and Coding Careers
1.1 Multiple Choice Questions
UV
1) The percentage of all healthcare providers who are physicians and nurses is:
A) 25%.
B) 40%.
C) 50%.
D) 60%.
IA
Answer: B
2) The percentage of all healthcare providers who are allied health professionals is:
A) 25%.
_A
B) 40%.
C) 50%.
D) 60%.
Answer: D
PP
3) The increased demand for medical billers, medical office assistants, and medical coders can be
attributed to:
A) the growth of managed care.
B) physician practices' having more responsibility for filing claims.
C) the need for additional staff to file claims and work to obtain timely payment.
RO
D) all of the above.
Answer: D
4) A payment poster would most likely work in which facility?
A) a private practice.
B) a small-group practice.
VE
C) a large-group practice.
D) all of the above.
Answer: C
5) Prior to the enactment of the Health Maintenance Organization Act of 1973, the growth of a
D?
physician's practice would be based on:
A) advertising and referrals.
B) managed care contracts.
C) consultations.
D) hospital affiliations.
??
Answer: A
??
1
Copyright © 2018 Pearson Education, Inc.
, 6) Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice
included all of the following staff members EXCEPT:
A) physician.
B) nurse.
C) certified medical biller.
UV
D) receptionist.
Answer: C
7) Managed care is a system in which physicians contract to participate in a health insurance
network and healthcare delivery is:
IA
A) at the discretion of the physician.
B) provided only by in-network physicians.
C) based on the patient's ability to pay.
D) monitored to control costs.
_A
Answer: D
8) Which facility would most likely employ a refund specialist?
A) solo practice.
B) hospital.
C) large-group practice.
PP
D) multi-specialty clinic.
Answer: B
9) It is common for small-group practices to outsource:
RO
A) billing and accounts receivable.
B) insurance coverage verifications.
C) appointment scheduling and patient reminders.
D) medical records management.
Answer: A
VE
10) A practice with three physicians would generally be categorized as a:
A) solo practice.
B) private practice.
C) small-group practice.
D) large-group practice.
D?
Answer: C
11) A practice with 10 or more physicians would generally be categorized as a:
A) solo practice.
B) private practice.
??
C) small-group practice.
D) large-group practice.
Answer: D
??
2
Copyright © 2018 Pearson Education, Inc.
, 12) A group of physicians with different specialties may practice together at one outpatient
facility known as a:
A) free clinic.
B) small-group practice.
C) multispecialty clinic.
UV
D) private hospital.
Answer: C
13) Most hospitals today are owned by a:
A) single, private owner.
IA
B) nonprofit organization.
C) university.
D) corporation.
Answer: D
_A
14) Which department is a part of patient financial services(PFS)?
A) billing.
B) collections.
C) revenue integrity.
D) all of the above.
PP
Answer: D
15) A large-group practice is a specialized practice that is likely to:
A) employ more nurses than doctors.
RO
B) include a physical therapist as part of the medical team.
C) employ in-house staff to handle claims and accounts receivable.
D) contract with an outside firm to handle claims and accounts receivable.
Answer: C
16) A centralized billing office (CBO) typically contracts with a physician's office to perform
VE
which of the following functions?
A) scheduling patient appointments
B) handling claims and/or accounts receivable
C) verifying insurance coverage
D) compiling and recording medical charts, reports, and correspondence
D?
Answer: B
17) A medical office assistant may handle all of the following duties in a medical office
EXCEPT:
A) scheduling appointments.
??
B) compiling and recording medical records.
C) interpreting laboratory test results.
D) answering telephones.
Answer: C
??
3
Copyright © 2018 Pearson Education, Inc.
UV
– 3rd Edition
IA
TEST BANK
_A
PP
Deborah Vines
RO
Complete Test Bank for Instructors and Students
VE
© Deborah Vines
All rights reserved. Reproduction or distribution without permission is prohibited.
D?
??
??
©Medexcellence ✅��
, Comprehensive Health Insurance, 3e (Vines)
Chapter 1 Introduction to Professional Billing and Coding Careers
1.1 Multiple Choice Questions
UV
1) The percentage of all healthcare providers who are physicians and nurses is:
A) 25%.
B) 40%.
C) 50%.
D) 60%.
IA
Answer: B
2) The percentage of all healthcare providers who are allied health professionals is:
A) 25%.
_A
B) 40%.
C) 50%.
D) 60%.
Answer: D
PP
3) The increased demand for medical billers, medical office assistants, and medical coders can be
attributed to:
A) the growth of managed care.
B) physician practices' having more responsibility for filing claims.
C) the need for additional staff to file claims and work to obtain timely payment.
RO
D) all of the above.
Answer: D
4) A payment poster would most likely work in which facility?
A) a private practice.
B) a small-group practice.
VE
C) a large-group practice.
D) all of the above.
Answer: C
5) Prior to the enactment of the Health Maintenance Organization Act of 1973, the growth of a
D?
physician's practice would be based on:
A) advertising and referrals.
B) managed care contracts.
C) consultations.
D) hospital affiliations.
??
Answer: A
??
1
Copyright © 2018 Pearson Education, Inc.
, 6) Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice
included all of the following staff members EXCEPT:
A) physician.
B) nurse.
C) certified medical biller.
UV
D) receptionist.
Answer: C
7) Managed care is a system in which physicians contract to participate in a health insurance
network and healthcare delivery is:
IA
A) at the discretion of the physician.
B) provided only by in-network physicians.
C) based on the patient's ability to pay.
D) monitored to control costs.
_A
Answer: D
8) Which facility would most likely employ a refund specialist?
A) solo practice.
B) hospital.
C) large-group practice.
PP
D) multi-specialty clinic.
Answer: B
9) It is common for small-group practices to outsource:
RO
A) billing and accounts receivable.
B) insurance coverage verifications.
C) appointment scheduling and patient reminders.
D) medical records management.
Answer: A
VE
10) A practice with three physicians would generally be categorized as a:
A) solo practice.
B) private practice.
C) small-group practice.
D) large-group practice.
D?
Answer: C
11) A practice with 10 or more physicians would generally be categorized as a:
A) solo practice.
B) private practice.
??
C) small-group practice.
D) large-group practice.
Answer: D
??
2
Copyright © 2018 Pearson Education, Inc.
, 12) A group of physicians with different specialties may practice together at one outpatient
facility known as a:
A) free clinic.
B) small-group practice.
C) multispecialty clinic.
UV
D) private hospital.
Answer: C
13) Most hospitals today are owned by a:
A) single, private owner.
IA
B) nonprofit organization.
C) university.
D) corporation.
Answer: D
_A
14) Which department is a part of patient financial services(PFS)?
A) billing.
B) collections.
C) revenue integrity.
D) all of the above.
PP
Answer: D
15) A large-group practice is a specialized practice that is likely to:
A) employ more nurses than doctors.
RO
B) include a physical therapist as part of the medical team.
C) employ in-house staff to handle claims and accounts receivable.
D) contract with an outside firm to handle claims and accounts receivable.
Answer: C
16) A centralized billing office (CBO) typically contracts with a physician's office to perform
VE
which of the following functions?
A) scheduling patient appointments
B) handling claims and/or accounts receivable
C) verifying insurance coverage
D) compiling and recording medical charts, reports, and correspondence
D?
Answer: B
17) A medical office assistant may handle all of the following duties in a medical office
EXCEPT:
A) scheduling appointments.
??
B) compiling and recording medical records.
C) interpreting laboratory test results.
D) answering telephones.
Answer: C
??
3
Copyright © 2018 Pearson Education, Inc.
