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Exam (elaborations)

Fordneys Medical Insurance and Billing 16th Edition, Smith - Complete Test Bank with Answers (Chapters 1–20)

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This document provides the complete test bank for Fordney’s Medical Insurance and Billing, 16th Edition by Linda Smith. It includes structured assessment material for 20 chapters, covering essential topics such as medical billing procedures, health insurance types, coding systems, HIPAA, Medicare, Medicaid, and compliance. Each chapter features multiple-choice, true/false, and matching questions, fully aligned with the 2024 curriculum for billing and insurance certification programs.

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Fordneys Medical Insurance and Billing 16th Editio
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Uploaded on
October 12, 2025
Number of pages
324
Written in
2025/2026
Type
Exam (elaborations)
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,TESTBANKFordney'sMedicalInsuranceandBilling16/ELindaSmith
n




Chapter01:RoleofanInsuranceBillingSpecialist n




Smith:Fordney’sMedicalInsurance andBilling,16thEdition
ss n n nn n




MULTIPLE CHOICE ss




1. Theprimarygoalof aninsurancebillingspecialist is: s ss s s nn




a. to manage the health care organization’s billing office
ss ss ss ss ss ss ss




b. toensurethe cash flow of ahealth careorganization through revenue
s s ss s ss ss ss ss ss




ss cycle management ss




c. tosend bills to patients forservices theyreceive
s ss nn nn ss ss




d. to post payments received from patients and insurance carriers
s ss ss ss ss ss ss ss




ss ANS: B DIF: Moderate OBJ: 2


2. Facilitybillingincludes charging formedical servicesprovided by: ss ss s ss ss




a. physicians

b. laboratoryservices
c. ambulance services ss




d. ambulatorysurgical centers ss




ANS: D DIF: Easy OBJ: 2


3. A claims assistance professional
nn ss ss




a. works fortheconsumer. nn s




b. works forthe health care organization.
ss s ss ss ss




c. works foran insurance company. ss s ss ss




d. works forthe federal government. ss ss ss




ANS: A DIF: Easy OBJ: 2

4. What is ―cash flow‖ina medicalpractice?
nn nn s s ss ss




a. Theactual moneyavailable to amedical practice ss ss ss s ss




b. Theamount of moneyreceived bya medical practicein 1 day ss s s s ss s ss ss

, c. Theamount of moneyreceived bya medical practicein 1 month
ss s s s ss s ss ss




d. Theamount of outstanding moneyon the accounts receivable
ss ss nn ss ss ss




ANS:
ss A DIF: Moderate OBJ: 2

5. Whichlevel ofeducation is generallyrequired foronewhoseeks employmentasan insurance
ss ss ss ss ss ss




ss coder?
a. College diploma ss




b. High school diploma
ss ss




c. Completion of an accredited program for coding certification
ss ss ss ss ss ss nn




d. No specificlevel ofeducationisrequired
nn s ss s s s




ANS: C DIF: Easy OBJ: 4


6. Theamountofmoneyan insurancebilling specialistearnsisdependenton whichofthe
s s s s n s s s s




ss following factors? ss




a. Knowledge
b. Experience

, c. Sizeofemployinginstitution s




d. All are correct
s ss




ANS: D DIF: Moderate OBJ: 5

7. A self-employed medical insurance biller who does independent contracting is responsible for
ss ss ss ss ss ss ss ss ss ss ss




a. advertising.

b. billing.
c. accounting.
d. Allarecorrect.

ANS: D DIF: Hard OBJ: 2

8. Medical etiquette refers to ss ss ss




a. consideration for others. ss ss




b. moral principles or practices. ss ss ss




c. laws.
d. theOathof Hippocrates.
s ss




ANS: A DIF: Moderate OBJ: 9

9. The process of shortening words and using abbreviations that do not follow standard
ss ss ss ss ss ss ss ss ss ss ss ss




ss grammar,spellingandpunctuationwhenwritingelectronic mailcommunicationsis n n nn s




ss referred to as: ss ss




a. emoticons
b. abbreviations
c. textspeak s




d. shorttext s




ANS: C DIF: Easy OBJ: 9

10. Professional ethics include ss ss




a. statelaws.

b. federal laws. ss




c. standards of conduct. ss ss




d. civil torts. ss




ANS: C DIF: Moderate OBJ: 9

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