TEST BANK FOR FORDNEY’S MEDICAL INSURANCE 17TH EDITION (All Chapters) Verified Q&A Graded A+

TEST BANK
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Fordney's Medical Insurance and Billing
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17th Edition by Smith, Chapter 1 to 21 Covered
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T
a

,ble of contents yt yt yt




UNIT 1: Career Roles and Responsibilities
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1. Role of an Insurance Billing Specialist
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2. Privacy, Security and HIPAA
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3. Compliance, Fraud and Abuse
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UNIT 2: Introduction to Heath Insurance
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4. Basics of Health Insurance
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5. The Blue Plans, Private Insurance and Managed Care Plans
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6. Medicare
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7. Medicaid
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8. TRICARE and Veteran’s Health Care
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9. Workers’ Compensation
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10. Disability Income Insurance and Disability Benefit Program
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UNIT 3: Documentation and Coding for Professional Services
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11. Medical Documentation and the Electronic Health Record
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12. Diagnostic Coding
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13. Procedural Coding
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14. HCPCs Coding NEW!
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UNIT 4: Claims Submission in the Medical Office
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15. The Paper Claim CMS-1500
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16. The Electronic Claim
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UNIT 5: Revenue Cycle Management
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17. Receiving Payments and Insurance Problem Solving
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18. Collection Strategies
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UNIT 6: Health Care Facility Billing
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19. Introduction to Health Care Facilities and Ambulatory Surgery Centers
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20. Billing for Health Care Facilities
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UNIT 7: Employment
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21. Seeking a Job and Attaining Professional Advancement
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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 yt




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
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yt revenue cyclemanagement yt ty


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: y t B DIF: Moderate OBJ: y t 2

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


c. ambulance services yt


d. ambulatory surgical centers yt yt




ANS: y t D DIF: Easy OBJ: y t 2

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


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


c. works for an insurance company. yt yt yt yt


d. works for the federal government. yt yt yt yt




ANS: y t A DIF: Easy OBJ: y t 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: y t A DIF: Moderate OBJ: y t 2

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


b. High school diploma yt yt


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


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

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

, c. Size of employing institution yt yt yt


d. All are correct yt yt




ANS: y t D DIF: Moderate OBJ: y t 5

7. A self-employed medical insurance biller who does independent contracting is responsible
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for
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a. advertising.
b. billing.
c. accounting.
d. All are correct.
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ANS: y t D DIF: Hard OBJ: y t 2

8. Medical etiquette refers to yt yt yt


a. consideration for others. yt yt


b. moral principles or practices. yt yt yt


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




ANS: y t A DIF: Moderate OBJ: y t 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
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referredto as:
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a. emoticons
b. abbreviations
c. text speak yt


d. short text yt




ANS: y t C DIF: Easy OBJ: y t 9

10. Professional ethics include yt yt


a. state laws. yt


b. federal laws. yt


c. standards of conduct. yt yt


d. civil torts. yt




ANS: y t C DIF: Moderate OBJ: y t 9

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


b. Socratic oath. yt


c. Code of Hammurabi. yt yt


d. Medicolegal oath. yt




ANS: y t C DIF: Easy OBJ: y t 9

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


d. The American Medical Association Code of Ethics
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