Page 1 of 226
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, Chapter 01: Role of an Insurance Billing Specialist
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p MULTIPLE CHOICE ap
1. The primary goal of an insurance billing specialist is:
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a. to manage the health care organization’s billing office
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b. to ensure the cash flow of a health care organization through revenue cycle management
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c. to send bills to patients for services they receive
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d. to post payments received from patients and insurance carriers
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CORRECT ANSWER: B ap ap DIF: Moderate OBJ: 2 a p
2. Facility billing includes charging for medical services provided by:
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a. physicians
b. laboratory services ap
c. ambulance services ap
d. ambulatory surgical centers ap ap
CORRECT ANSWER: D ap ap DIF: Easy OBJ: 2 a p
3. A claims assistance professional
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a. works for the consumer.
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b. works for the health care organization.
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c. works for an insurance company.
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d. works for the federal government.
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CORRECT ANSWER: A ap ap DIF: Easy OBJ: 2 a p
4. What is ―cash flow‖ in a medical practice?
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a. The actual money available to a medical practice
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b. The amount of money received by a medical practice in 1 day
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Page 2 of 226 ap ap ap
,c. The amount of money received by a medical practice in 1 month
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d. The amount of outstanding money on the accounts receivable
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CORRECT ANSWER: A ap ap DIF: Moderate OBJ: 2 a p
5. Which level of education is generally required for one who seeks employment as an insurance coder?
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a. College diploma ap
b. High school diploma
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c. Completion of an accredited program for coding certification
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d. No specific level of education is required COR
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RECT ANSWER: C
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6. The amount of money an insurance billing specialist earns is dependent on which of the following
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factors?
a. Knowledge
b. Experience
c. Size of employing institution
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d. All are correct
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CORRECT ANSWER: D ap ap DIF: Moderate OBJ: 5 a p
7. A self-employed medical insurance biller who does independent contracting is responsible for
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a. advertising.
b. billing.
c. accounting.
d. All are correct.
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CORRECT ANSWER: D ap ap DIF: Hard OBJ: 2 a p
Page 3 of 226 ap ap ap
, 8. Medical etiquette refers to
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a. consideration for others. ap ap
b. moral principles or practices.
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c. laws.
d. the Oath of Hippocrates.
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CORRECT ANSWER: A ap ap DIF: Moderate OBJ: 9a p
9. The process of shortening words and using abbreviations that do not follow standard grammar, spelling
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and punctuation when writing electronic mail communications is referred to as:
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a. emoticons
b. abbreviations
c. text speakap
d. short text ap
CORRECT ANSWER: C ap ap DIF: Easy OBJ: 9 a p
10. Professional ethics include ap ap
a. state laws. ap
b. federal laws. ap
c. standards of conduct. ap ap
d. civil torts. ap
CORRECT ANSWER: C ap ap DIF: Moderate OBJ: 9a p
11. The earliest written code of ethical principles for the medical profession is the
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a. Oath of Hippocrates.
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b. Socratic oath. ap
c. Code of Hammurabi. ap ap
d. Medicolegal oath. ap
Page 4 of 226
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, Chapter 01: Role of an Insurance Billing Specialist
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p MULTIPLE CHOICE ap
1. The primary goal of an insurance billing specialist is:
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a. to manage the health care organization’s billing office
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b. to ensure the cash flow of a health care organization through revenue cycle management
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c. to send bills to patients for services they receive
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d. to post payments received from patients and insurance carriers
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CORRECT ANSWER: B ap ap DIF: Moderate OBJ: 2 a p
2. Facility billing includes charging for medical services provided by:
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a. physicians
b. laboratory services ap
c. ambulance services ap
d. ambulatory surgical centers ap ap
CORRECT ANSWER: D ap ap DIF: Easy OBJ: 2 a p
3. A claims assistance professional
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a. works for the consumer.
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b. works for the health care organization.
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c. works for an insurance company.
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d. works for the federal government.
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CORRECT ANSWER: A ap ap DIF: Easy OBJ: 2 a p
4. What is ―cash flow‖ in a medical practice?
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a. The actual money available to a medical practice
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b. The amount of money received by a medical practice in 1 day
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Page 2 of 226 ap ap ap
,c. The amount of money received by a medical practice in 1 month
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d. The amount of outstanding money on the accounts receivable
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CORRECT ANSWER: A ap ap DIF: Moderate OBJ: 2 a p
5. Which level of education is generally required for one who seeks employment as an insurance coder?
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a. College diploma ap
b. High school diploma
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c. Completion of an accredited program for coding certification
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d. No specific level of education is required COR
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RECT ANSWER: C
ap ap DIF: Easy OBJ: 4 ap
6. The amount of money an insurance billing specialist earns is dependent on which of the following
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factors?
a. Knowledge
b. Experience
c. Size of employing institution
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d. All are correct
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CORRECT ANSWER: D ap ap DIF: Moderate OBJ: 5 a p
7. A self-employed medical insurance biller who does independent contracting is responsible for
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a. advertising.
b. billing.
c. accounting.
d. All are correct.
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CORRECT ANSWER: D ap ap DIF: Hard OBJ: 2 a p
Page 3 of 226 ap ap ap
, 8. Medical etiquette refers to
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a. consideration for others. ap ap
b. moral principles or practices.
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c. laws.
d. the Oath of Hippocrates.
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CORRECT ANSWER: A ap ap DIF: Moderate OBJ: 9a p
9. The process of shortening words and using abbreviations that do not follow standard grammar, spelling
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and punctuation when writing electronic mail communications is referred to as:
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a. emoticons
b. abbreviations
c. text speakap
d. short text ap
CORRECT ANSWER: C ap ap DIF: Easy OBJ: 9 a p
10. Professional ethics include ap ap
a. state laws. ap
b. federal laws. ap
c. standards of conduct. ap ap
d. civil torts. ap
CORRECT ANSWER: C ap ap DIF: Moderate OBJ: 9a p
11. The earliest written code of ethical principles for the medical profession is the
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a. Oath of Hippocrates.
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b. Socratic oath. ap
c. Code of Hammurabi. ap ap
d. Medicolegal oath. ap
Page 4 of 226
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