j j j j j j
th Edition by Linda M. Smith
j j j j j
All Chapters Covered 1-
j j j
20| Verified Questions & Accurate Solutions| A+ GR
j j j j j j j
ADE GUARANTEED
j
Pagej1jofj212
, Chapterj01:jRolejofjanjInsurancejBillingjSpecialistjMULTI
PLEjCHOICE
1. Thejprimaryjgoaljofjanjinsurancejbillingjspecialistjis:
a. tojmanagejthejhealthjcarejorganization’sjbillingjoffice
b. tojensurejthejcashjflowjofjajhealthjcarejorganizationjthroughjrevenuejcyclejmanagement
c. tojsendjbillsjtojpatientsjforjservicesjtheyjreceive
d. tojpostjpaymentsjreceivedjfromjpatientsjandjinsurancejcarriersj
CORRECTjANSWER:jB DIF: Moderate OBJ:j 2
2. Facilityjbillingjincludesjchargingjforjmedicaljservicesjprovidedjby:
a. physicians
b. laboratoryjservices
c. ambulancejservices
d. ambulatoryjsurgicaljcenters
CORRECTjANSWER:jD DIF: Easy OBJ:j 2
3. Ajclaimsjassistancejprofessional
a. worksjforjthejconsumer.
b. worksjforjthejhealthjcarejorganization.
c. worksjforjanjinsurancejcompany.
d. worksjforjthejfederaljgovernment.
CORRECTjANSWER:jA DIF: Easy OBJ:j 2
4. Whatjisj―cashjflow‖jinjajmedicaljpractice?
a. Thejactualjmoneyjavailablejtojajmedicaljpractice
b. Thejamountjofjmoneyjreceivedjbyjajmedicaljpracticejinj1jday
Pagej2jofj212
,c. Thejamountjofjmoneyjreceivedjbyjajmedicaljpracticejinj1jmonth
d. Thejamountjofjoutstandingjmoneyjonjthejaccountsjreceivablej
CORRECTjANSWER:jA DIF: Moderate OBJ:j 2
5. Whichjleveljofjeducationjisjgenerallyjrequiredjforjonejwhojseeksjemploymentjasjanjinsurancejcoder?
a. Collegejdiploma
b. Highjschooljdiploma
c. Completionjofjanjaccreditedjprogramjforjcodingjcertification
d. NojspecificjleveljofjeducationjisjrequiredjCORR
ECTjANSWER:jC DIF: Easy OBJ:j 4
6. Thejamountjofjmoneyjanjinsurancejbillingjspecialistjearnsjisjdependentjonjwhichjofjthejfollowingjfa
ctors?
a. Knowledge
b. Experience
c. Sizejofjemployingjinstitution
d. Alljarejcorrect
CORRECTjANSWER:jD DIF: Moderate OBJ:j 5
7. Ajself-employedjmedicaljinsurancejbillerjwhojdoesjindependentjcontractingjisjresponsiblejfor
a. advertising.
b. billing.
c. accounting.
d. Alljarejcorrect.
CORRECTjANSWER:jD DIF: Hard OBJ:j 2
Pagej3jofj212
, 8. Medicaljetiquettejrefersjto
a. considerationjforjothers.
b. moraljprinciplesjorjpractices.
c. laws.
d. thejOathjofjHippocrates.
CORRECTjANSWER:jA DIF: Moderate OBJ:j 9
9. Thejprocessjofjshorteningjwordsjandjusingjabbreviationsjthatjdojnotjfollowjstandardjgrammar,jspellingjan
djpunctuationjwhenjwritingjelectronicjmailjcommunicationsjisjreferredjtojas:
a. emoticons
b. abbreviations
c. textjspeak
d. shortjtext
CORRECTjANSWER:jC DIF: Easy OBJ:j 9
10. Professionaljethicsjinclude
a. statejlaws.
b. federaljlaws.
c. standardsjofjconduct.
d. civiljtorts.
CORRECTjANSWER:jC DIF: Moderate OBJ:j 9
11. Thejearliestjwrittenjcodejofjethicaljprinciplesjforjthejmedicaljprofessionjisjthe
a. OathjofjHippocrates.
b. Socraticjoath.
c. CodejofjHammurabi.
d. Medicolegaljoath.
Pagej4jofj212