TEST BANK for Fordney's Medical Insurance and Billing 16 Edition Linda M. Smith Chapters 1-20 Covered

TEST BANK
Fordney's Medical Insurance and Billing
16 Edition Linda M. Smith Chapters 1-20 Covered

,TABLE OF CONTENT v v




UNIT 1 Career Role and Responsibilities
v v v v v



1 Role of an Insurance Billing Specialist
v v v v v v



2 Privacy, Security, and HIPAA
v v v v



3 Compliance, Fraud, and Abuse
v v v v



UNIT 2 Introduction to Health Insurance
v v v v v



4 Basics of Health Insurance
v v v v



5 The Blue Plans, Private Insurance, and Managed Care Plans
v v v v v v v v v



6 Medicare
v



7 Medicaid and Other State Programs
v v v v v



8 TRICARE and Veterans’ Health Care
v v v v v



9 Workers’ Compensation
v v



10 Disability Income Insurance and Disability Benefit Programs
v v v v v v v



UNIT 3 Documentation and Coding for Professional Services
v v v v v v v



11 Medical Documentation and the Electronic Health Record
v v v v v v v



12 Diagnostic Coding
v v



13 Procedural Coding
v v



UNIT 4 Claims Submission in the Medical Office
v v v v v v v



14 The Paper Claim CMS-1500
v v v v



15 The Electronic Claim
v v v



UNIT 5 The Claim Follow-Up and Payment Process
v v v v v v v



16 Receiving Payments and Insurance Problem Solving
v v v v v v



17 Collection Strategies
v v



UNIT 6 Health Care Facility Billing
v v v v v



18 Introduction to Health Care Facilities and Ambulatory Surgery Centers
v v v v v v v v v



19 Billing for Health Care Facilities
v v v v v



UNIT 7 Employment
v v

,20 Seeking a Job and Attaining Professional Advancement
v v v v v v v




Chapter 01: Role of an Insurance Billing Specialist
v v v v v v v


Smith: Fordney’s Medical Insurance and Billing, 16th Edition
v v v v v v v




MULTIPLEvCHOICE

1. Thevprimaryvgoalvofvanvinsurancevbillingvspecialistvis:
a. tovmanagevthevhealthvcarevorganization’svbillingvoffice
b. tovensurevthevcashvflowvofvavhealthvcarevorganizationvthroughvrevenuevcyclev
management
c. tovsendvbillsvtovpatientsvforvservicesvtheyvreceive
d. tovpostvpaymentsvreceivedvfromvpatientsvandvinsurancevcarriers

ANS:v B DIF: Moderate OBJ:v v 2

2. Facilityvbillingvincludesvchargingvforvmedicalvservicesvprovidedvby:
a. physicians
b. laboratoryvservices
c. ambulancevservices
d. ambulatoryvsurgicalvcenters

ANS:v D DIF: Easy OBJ:v v 2

3. Avclaimsvassistancevprofessional
a. worksvforvthevconsumer.
b. worksvforvthevhealthvcarevorganization.
c. worksvforvanvinsurancevcompany.
d. worksvforvthevfederalvgovernment.

ANS:v A DIF: Easy OBJ:v v 2

4. Whatvisv“cashvflow”vinvavmedicalvpractice?
a. Thevactualvmoneyvavailablevtovavmedicalvpractice
b. Thevamountvofvmoneyvreceivedvbyvavmedicalvpracticevinv1vday
c. Thevamountvofvmoneyvreceivedvbyvavmedicalvpracticevinv1vmonth
d. Thevamountvofvoutstandingvmoneyvonvthevaccountsvreceivable

ANS:v A DIF: Moderate OBJ:v v 2

5. Whichvlevelvofveducationvisvgenerallyvrequiredvforvonevwhovseeksvemploymentvasvanvinsurancev
coder?
a. Collegevdiploma
b. Highvschoolvdiploma
c. Completionvofvanvaccreditedvprogramvforvcodingvcertification
d. Novspecificvlevelvofveducationvisvrequired

, ANS:v C DIF: Easy OBJ:v v 4

6. Thevamountvofvmoneyvanvinsurancevbillingvspecialistvearnsvisvdependentvonvwhichvofvthevf
ollowingvfactors?
a. Knowledge
b. Experience