TEST BANK for Fordney's Medical Insurance,
17th Edition by Linda M. Smith
All Chapters Covered 1-20| Verified Questions & Accurate
Solutions| A+ GRADE GUARANTEED
Page 1 of 276
, Chapter 01: Role of an Insurance Billing Specialist
MULTIPLE CHOICE
1. The primary goal of an insurance billing specialist is:
a. to manage the health care organization’s billing office
b. to ensure the cash flow of a health care organization through revenue cycle management
c. to send bills to patients for services they receive
d. to post payments received from patients and insurance carriers
CORRECT ANSWER: B DIF: Moderate OBJ: 2
2. Facility ybilling yincludes ycharging yfor ymedical yservices yprovided yby:
a. physicians
b. laboratory yservices
c. ambulance yservices
d. ambulatory ysurgical ycenters
CORRECT yANSWER: yD DIF: Easy OBJ: y 2
3. A yclaims yassistance yprofessional
a. works yfor ythe yconsumer.
b. works yfor ythe yhealth ycare yorganization.
c. works yfor yan yinsurance ycompany.
d. works yfor ythe yfederal ygovernment.
CORRECT yANSWER: yA DIF: Easy OBJ: y 2
4. What yis y―cash yflow‖ yin ya ymedical ypractice?
a. The yactual ymoney yavailable yto ya ymedical ypractice
b. The yamount yof ymoney yreceived yby ya ymedical ypractice yin y1 yday
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,c. The yamount yof ymoney yreceived yby ya ymedical ypractice yin y1 ymonth
d. The yamount yof youtstanding ymoney yon ythe yaccounts
yreceivable yCORRECT yANSWER: yA DIF: Moderate
OBJ: y 2
5. Which ylevel yof yeducation yis ygenerally yrequired yfor yone ywho yseeks yemployment yas yan yinsurance ycoder?
a. College ydiploma
b. High yschool ydiploma
c. Completion yof yan yaccredited yprogram yfor ycoding ycertification
d. No yspecific ylevel yof yeducation yis yrequired
yCORRECT yANSWER: yC DIF: Easy OBJ:
y4
6. The yamount yof ymoney yan yinsurance ybilling yspecialist yearns yis ydependent yon ywhich yof ythe
yfollowing yfactors?
a. Knowledge
b. Experience
c. Size yof yemploying yinstitution
d. All yare ycorrect
CORRECT yANSWER: yD DIF: Moderate OBJ: y 5
7. A yself-employed ymedical yinsurance ybiller ywho ydoes yindependent ycontracting yis yresponsible yfor
a. advertising.
b. billing.
c. accounting.
d. All yare ycorrect.
CORRECT yANSWER: yD DIF: Hard OBJ: y 2
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, 8. Medical yetiquette yrefers yto
a. consideration yfor yothers.
b. moral yprinciples yor ypractices.
c. laws.
d. the yOath yof yHippocrates.
CORRECT yANSWER: yA DIF: Moderate OBJ: y 9
9. The yprocess yof yshortening ywords yand yusing yabbreviations ythat ydo ynot yfollow ystandard
ygrammar, yspelling yand ypunctuation ywhen ywriting yelectronic ymail ycommunications yis yreferred yto
yas:
a. emoticons
b. abbreviations
c. text yspeak
d. short ytext
CORRECT yANSWER: yC DIF: Easy OBJ: y 9
10. Professional yethics yinclude
a. state ylaws.
b. federal ylaws.
c. standards yof yconduct.
d. civil ytorts.
CORRECT yANSWER: yC DIF: Moderate OBJ: y 9
11. The yearliest ywritten ycode yof yethical yprinciples yfor ythe ymedical yprofession yis ythe
a. Oath yof yHippocrates.
b. Socratic yoath.
c. Code yof yHammurabi.
d. Medicolegal yoath.
Page 4 of 276
17th Edition by Linda M. Smith
All Chapters Covered 1-20| Verified Questions & Accurate
Solutions| A+ GRADE GUARANTEED
Page 1 of 276
, Chapter 01: Role of an Insurance Billing Specialist
MULTIPLE CHOICE
1. The primary goal of an insurance billing specialist is:
a. to manage the health care organization’s billing office
b. to ensure the cash flow of a health care organization through revenue cycle management
c. to send bills to patients for services they receive
d. to post payments received from patients and insurance carriers
CORRECT ANSWER: B DIF: Moderate OBJ: 2
2. Facility ybilling yincludes ycharging yfor ymedical yservices yprovided yby:
a. physicians
b. laboratory yservices
c. ambulance yservices
d. ambulatory ysurgical ycenters
CORRECT yANSWER: yD DIF: Easy OBJ: y 2
3. A yclaims yassistance yprofessional
a. works yfor ythe yconsumer.
b. works yfor ythe yhealth ycare yorganization.
c. works yfor yan yinsurance ycompany.
d. works yfor ythe yfederal ygovernment.
CORRECT yANSWER: yA DIF: Easy OBJ: y 2
4. What yis y―cash yflow‖ yin ya ymedical ypractice?
a. The yactual ymoney yavailable yto ya ymedical ypractice
b. The yamount yof ymoney yreceived yby ya ymedical ypractice yin y1 yday
Page 2 of 276
,c. The yamount yof ymoney yreceived yby ya ymedical ypractice yin y1 ymonth
d. The yamount yof youtstanding ymoney yon ythe yaccounts
yreceivable yCORRECT yANSWER: yA DIF: Moderate
OBJ: y 2
5. Which ylevel yof yeducation yis ygenerally yrequired yfor yone ywho yseeks yemployment yas yan yinsurance ycoder?
a. College ydiploma
b. High yschool ydiploma
c. Completion yof yan yaccredited yprogram yfor ycoding ycertification
d. No yspecific ylevel yof yeducation yis yrequired
yCORRECT yANSWER: yC DIF: Easy OBJ:
y4
6. The yamount yof ymoney yan yinsurance ybilling yspecialist yearns yis ydependent yon ywhich yof ythe
yfollowing yfactors?
a. Knowledge
b. Experience
c. Size yof yemploying yinstitution
d. All yare ycorrect
CORRECT yANSWER: yD DIF: Moderate OBJ: y 5
7. A yself-employed ymedical yinsurance ybiller ywho ydoes yindependent ycontracting yis yresponsible yfor
a. advertising.
b. billing.
c. accounting.
d. All yare ycorrect.
CORRECT yANSWER: yD DIF: Hard OBJ: y 2
Page 3 of 276
, 8. Medical yetiquette yrefers yto
a. consideration yfor yothers.
b. moral yprinciples yor ypractices.
c. laws.
d. the yOath yof yHippocrates.
CORRECT yANSWER: yA DIF: Moderate OBJ: y 9
9. The yprocess yof yshortening ywords yand yusing yabbreviations ythat ydo ynot yfollow ystandard
ygrammar, yspelling yand ypunctuation ywhen ywriting yelectronic ymail ycommunications yis yreferred yto
yas:
a. emoticons
b. abbreviations
c. text yspeak
d. short ytext
CORRECT yANSWER: yC DIF: Easy OBJ: y 9
10. Professional yethics yinclude
a. state ylaws.
b. federal ylaws.
c. standards yof yconduct.
d. civil ytorts.
CORRECT yANSWER: yC DIF: Moderate OBJ: y 9
11. The yearliest ywritten ycode yof yethical yprinciples yfor ythe ymedical yprofession yis ythe
a. Oath yof yHippocrates.
b. Socratic yoath.
c. Code yof yHammurabi.
d. Medicolegal yoath.
Page 4 of 276
