TEST BANK Fordney's Medical Insurance and Billing 17th Edition Linda Smith

TEST BANK Fordney's Medical Insurance and
Billing 17th Edition Linda Smith

,TEST BANK Fordney's Medical Insurance and Billing 17/E Linda Smith
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Chapter 01: Role of an Insurance Billing Specialist
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Smith: Fordney’s Medical Insurance and Billing, 17th Edition
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MULTIPLE CHOICE n




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
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management n



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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ANS: B n DIF: Moderate OBJ: n n 2

2. Facility billing includes charging for medical services provided by:
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a. physicians
b. laboratory services n



c. ambulance services n



d. ambulatory surgical centers n n




ANS: D n DIF: Easy OBJ: n n 2

3. A claims assistance professional
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a. works for the consumer. n n n



b. works for the health care organization. n n n n n



c. works for an insurance company. n n n n



d. works for the federal government. n n n n




ANS: A n DIF: Easy OBJ: n n 2

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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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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ANS: A n DIF: Moderate OBJ: n n 2

5. Which level of education is generally required for one who seeks employment as an insurance
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coder?
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a. College diploma n



b. High school diploma n n



c. Completion of an accredited program for coding certification n n n n n n n



d. No specific level of education is required
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ANS: C n DIF: Easy OBJ: n n 4

6. The amount of money an insurance billing specialist earns is dependent on which of the
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following factors?
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a. Knowledge
b. Experience

, c. Size of employing institution n n n



d. All are correct n n




ANS: D n DIF: Moderate OBJ: n n 5

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. n n




ANS: D n DIF: Hard OBJ: n n 2

8. Medical etiquette refers to n n n



a. consideration for others. n n



b. moral principles or practices. n n n



c. laws.
d. the Oath of Hippocrates.
n n n




ANS: A n DIF: Moderate OBJ: n n 9

9. The process of shortening words and using abbreviations that do not follow standard
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grammar, spelling and punctuation when writing electronic mail communications is referred
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to as:
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a. emoticons
b. abbreviations
c. text speak n



d. short text n




ANS: C n DIF: Easy OBJ: n n 9

10. Professional ethics include n n



a. state laws. n



b. federal laws. n



c. standards of conduct. n n



d. civil torts. n




ANS: C n DIF: Moderate OBJ: n n 9

11. The earliest written code of ethical principles for the medical profession is the
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a. Oath of Hippocrates. n n



b. Socratic oath. n



c. Code of Hammurabi. n n



d. Medicolegal oath. n




ANS: C n DIF: Easy OBJ: n n 9

12. What is the name of the modern code of ethics that the American Medical Association (AMA)
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n adopted in 1980? n n



a. The Modern Standards of Conduct Code
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b. The Principles of Medical Ethics
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c. The Oath of Hippocrates
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d. The American Medical Association Code of Ethics
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, ANS: B n DIF: Easy OBJ: n n 9

13. Reporting incorrect information to government-funded programs is
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a. unethical.
b. illegal.
c. abuse.
d. fraud.

ANS: B n DIF: Moderate OBJ: n n 9

14. The doctrine stating that physicians are legally responsible for both their own conduct and that of
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n their employees is known as
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a. respondeat superior. n



b. let the master answer.
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c. vicarious liability. n



d. All are correct. n n




ANS: D n DIF: Hard OBJ: n n 10

15. What is the independent contractor’s liability if they operate their own medical insurance
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n billing company? n



a. None. The professional liability insurance of the company they contract with will
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n cover them. n



b. The independent contractor is liable and should purchase errors and omissions
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n insurance.
ANS: B n DIF: Moderate OBJ: n n 10


COMPLETION

1. is the total income produced by a health care organization.
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ANS: Revenue n




DIF: Moderate OBJ: n n 1

2. An individual health care provider’s patient charts which includes notes and information
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n collected by them is referred to as the:
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ANS: Medical record n n




DIF: Moderate OBJ: n n 3

3. Information collected from clinicians in all health care organizations who are involved in a
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n patient’s care which is made available to all authorized clinicians to access when providing
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n patient care is the: n n n n n n n




ANS: Health record n n




DIF: Moderate OBJ: n n 3