TEST BANK
Fordney's Medical Insurance and Billing
Linda M. Smith
17th Edition
Chapters 1-21 (Questions with Verified Solutions)
Page 1 of 205
, Table of Contents
Unit 1: Career Role and Responsibilities
1. Role of an Insurance Billing Specialist
2. Privacy, Security, and HIPAA
3. Compliance, Fraud, and Abuse
Unit 2: Introduction to Health Insurance
4. Basics of Health Insurance
5. The Blue Plans, Private Insurance, and Managed Care Plans
6. Medicare
7. Medicaid and Other State Programs
8. TRICARE and Veterans Health Care
9. Workers' Compensation, Automobile, and Liability Insurance
10. Disability Income Insurance and Disability Benefit Programs
Unit 3: Documentation and Coding for Professional Services
11. Medical Documentation and the Electronic Health Record
12. ICD-10-CM Coding
13. CPT Coding
14. HCPCS Level II Coding
Unit 4: Claims Submission in the Medical Office
15. The Paper Claim CMS-1500
16. The Electronic Claim
Unit 5: Revenue Cycle Management
17. Receiving Payments and Insurance Problem-Solving
18. Collection Strategies
Page 2 of 205
, Unit 6: Health Care Facility Billing
19. Introduction to Health Care Facilities and Ambulatory Surgery Centres
20. Billing for Health Care Facilities
Unit 7: Employment
21. Seeking a Job and Attaining Professional Advancement
Page 3 of 205
, Chapter 01: Role of an Insurance Billing Specialist
MULTIPLE CHOICE
1. The primary goal of an insurance billing specialist is:
a. to manage the health care organization’s billing office
b. to ensure the cash flow of a health care organization through revenue cycle management
c. to send bills to patients for services they receive
d. to post payments received from patients and insurance carriers
CORRECT ANSWER: B DIF: Moderate OBJ: 2
2. Facility billing includes charging for medical services provided by:
a. physicians
b. laboratory services
c. ambulance services
d. ambulatory surgical centers
CORRECT ANSWER: D DIF: Easy OBJ: 2
3. A claims assistance professional
a. works for the consumer.
b. works for the health care organization.
c. works for an insurance company.
d. works for the federal government.
CORRECT ANSWER: A DIF: Easy OBJ: 2
4. What is ―cash flow‖ in a medical practice?
a. The actual money available to a medical practice
b. The amount of money received by a medical practice in 1 day
Page 4 of 205
Fordney's Medical Insurance and Billing
Linda M. Smith
17th Edition
Chapters 1-21 (Questions with Verified Solutions)
Page 1 of 205
, Table of Contents
Unit 1: Career Role and Responsibilities
1. Role of an Insurance Billing Specialist
2. Privacy, Security, and HIPAA
3. Compliance, Fraud, and Abuse
Unit 2: Introduction to Health Insurance
4. Basics of Health Insurance
5. The Blue Plans, Private Insurance, and Managed Care Plans
6. Medicare
7. Medicaid and Other State Programs
8. TRICARE and Veterans Health Care
9. Workers' Compensation, Automobile, and Liability Insurance
10. Disability Income Insurance and Disability Benefit Programs
Unit 3: Documentation and Coding for Professional Services
11. Medical Documentation and the Electronic Health Record
12. ICD-10-CM Coding
13. CPT Coding
14. HCPCS Level II Coding
Unit 4: Claims Submission in the Medical Office
15. The Paper Claim CMS-1500
16. The Electronic Claim
Unit 5: Revenue Cycle Management
17. Receiving Payments and Insurance Problem-Solving
18. Collection Strategies
Page 2 of 205
, Unit 6: Health Care Facility Billing
19. Introduction to Health Care Facilities and Ambulatory Surgery Centres
20. Billing for Health Care Facilities
Unit 7: Employment
21. Seeking a Job and Attaining Professional Advancement
Page 3 of 205
, Chapter 01: Role of an Insurance Billing Specialist
MULTIPLE CHOICE
1. The primary goal of an insurance billing specialist is:
a. to manage the health care organization’s billing office
b. to ensure the cash flow of a health care organization through revenue cycle management
c. to send bills to patients for services they receive
d. to post payments received from patients and insurance carriers
CORRECT ANSWER: B DIF: Moderate OBJ: 2
2. Facility billing includes charging for medical services provided by:
a. physicians
b. laboratory services
c. ambulance services
d. ambulatory surgical centers
CORRECT ANSWER: D DIF: Easy OBJ: 2
3. A claims assistance professional
a. works for the consumer.
b. works for the health care organization.
c. works for an insurance company.
d. works for the federal government.
CORRECT ANSWER: A DIF: Easy OBJ: 2
4. What is ―cash flow‖ in a medical practice?
a. The actual money available to a medical practice
b. The amount of money received by a medical practice in 1 day
Page 4 of 205
