Test Bank For Fordney’s Medical Insurance and Billing 16th Edition, 16E, Linda M. Smith, 9780323795357

TEST BANK Fordney's Medical Insurance and Billing 16/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, 16th Edition
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MULTIPLEnCHOICE

1. Thenprimaryngoalnofnanninsurancenbillingnspecialistnis:
a. tonmanagenthenhealthncarenorganization’snbillingnoffice
b. tonensurenthencashnflownofnanhealthncarenorganizationnthroughnrevenuencyclen
management
c. tonsendnbillsntonpatientsnfornservicesntheynreceive
d. tonpostnpaymentsnreceivednfromnpatientsnandninsurancencarriers
ANS:n B DIF: Moderate OBJ:n 2

2. Facilitynbillingnincludesnchargingnfornmedicalnservicesnprovidednby:
a. physicians
b. laboratorynservices
c. ambulancenservices
d. ambulatorynsurgicalncenters
ANS:n D DIF: Easy OBJ:n 2

3. Anclaimsnassistancenprofessional
a. worksnfornthenconsumer.
b. worksnfornthenhealthncarenorganization.
c. worksnfornanninsurancencompany.
d. worksnfornthenfederalngovernment.
ANS:n A DIF: Easy OBJ:n 2

4. Whatnisn“cashnflow”ninnanmedicalnpractice?
a. Thenactualnmoneynavailablentonanmedicalnpractice
b. Thenamountnofnmoneynreceivednbynanmedicalnpracticeninn1nday
c. Thenamountnofnmoneynreceivednbynanmedicalnpracticeninn1nmonth
d. Thenamountnofnoutstandingnmoneynonnthenaccountsnreceivable
ANS:n A DIF: Moderate OBJ:n 2

5. Whichnlevelnofneducationnisngenerallynrequirednfornonenwhonseeksnemploymentnasnanninsurancenc
oder?
a. Collegendiploma
b. Highnschoolndiploma
c. Completionnofnannaccreditednprogramnforncodingncertification
d. Nonspecificnlevelnofneducationnisnrequired

ANS:n C DIF: Easy OBJ:n 4

6. Thenamountnofnmoneynanninsurancenbillingnspecialistnearnsnisndependentnonnwhichnofnthenf
ollowingnfactors?
a. Knowledge
b. Experience

, c. Sizenofnemployingninstitution
d. Allnarencorrect
ANS:n D DIF: Moderate OBJ:n 5

7. Anself-employednmedicalninsurancenbillernwhondoesnindependentncontractingnisnresponsiblenfor
a. advertising.
b. billing.
c. accounting.
d. Allnarencorrect.

ANS:n D DIF: Hard OBJ:n 2

8. Medicalnetiquettenrefersnto
a. considerationnfornothers.
b. moralnprinciplesnornpractices.
c. laws.
d. thenOathnofnHippocrates.
ANS:n A DIF: Moderate OBJ:n 9

9. Thenprocessnofnshorteningnwordsnandnusingnabbreviationsnthatndonnotnfollownstandardngramma
r,nspellingnandnpunctuationnwhennwritingnelectronicnmailncommunicationsnisnreferredntonas:
a. emoticons
b. abbreviations
c. textnspeak
d. shortntext
ANS:n C DIF: Easy OBJ:n 9

10. Professionalnethicsninclude
a. statenlaws.
b. federalnlaws.
c. standardsnofnconduct.
d. civilntorts.
ANS:n C DIF: Moderate OBJ:n 9

11. Thenearliestnwrittenncodenofnethicalnprinciplesnfornthenmedicalnprofessionnisnthe
a. OathnofnHippocrates.
b. Socraticnoath.
c. CodenofnHammurabi.
d. Medicolegalnoath.
ANS:n C DIF: Easy OBJ:n 9

12. WhatnisnthennamenofnthenmodernncodenofnethicsnthatnthenAmericannMedicalnAssociationn(AMA)na
doptedninn1980?
a. ThenModernnStandardsnofnConductnCode
b. ThenPrinciplesnofnMedicalnEthics
c. ThenOathnofnHippocrates
d. ThenAmericannMedicalnAssociationnCodenofnEthics

, ANS:n B DIF: Easy OBJ:n 9

13. Reportingnincorrectninformationntongovernment-fundednprogramsnis
a. unethical.
b. illegal.
c. abuse.
d. fraud.
ANS:n B DIF: Moderate OBJ:n 9

14. Thendoctrinenstatingnthatnphysiciansnarenlegallynresponsiblenfornbothntheirnownnconductnandnthatno
fntheirnemployeesnisnknownnas
a. respondeatnsuperior.
b. letnthenmasternanswer.
c. vicariousnliability.
d. Allnarencorrect.
ANS:n D DIF: Hard OBJ:n 10

15. Whatnisnthenindependentncontractor’snliabilitynifntheynoperatentheirnownnmedicalninsurancenb
illingncompany?
a. None.nThenprofessionalnliabilityninsurancenofnthencompanyntheyncontractnwithnwillnc
overnthem.
b. Thenindependentncontractornisnliablenandnshouldnpurchasenerrorsnandnomissionsni
nsurance.
ANS:n B DIF: Moderate OBJ:n 10


COMPLETION

1. n isnthentotalnincomenproducednbynanhealthncarenorganization.

ANS:n Revenue

DIF: Moderate OBJ:n 1

2. Annindividualnhealthncarenprovider’snpatientnchartsnwhichnincludesnnotesnandninformationnc
ollectednbynthemnisnreferredntonasnthe:nn

ANS:n Medicalnrecord

DIF: Moderate OBJ:n 3

3. Informationncollectednfromncliniciansninnallnhealthncarenorganizationsnwhonareninvolvedninnanp
atient’sncarenwhichnisnmadenavailablentonallnauthorizedncliniciansntonaccessnwhennprovidingnpa
tientncarenisnthe:nnnnnnnnnnnn

ANS:n Healthnrecord

DIF: Moderate OBJ:n 3

, 4. Chargingnfornservicesndoneninnhospitals,nacutencarenhospitals,nskillednnursingnornlong-
termncarenfacilities,nrehabilitationncenters,nornambulatorynsurgicalncentersnisnknownnas
billing.

ANS:n facility

DIF: Moderate OBJ:n 2

5. Chargingnfornservicesnperformednbynphysicians,nnursenpractitioners,nlicensednclinicalnsocialn
workersnandnphysicalntherapistsnisnknownnas billing.

ANS:n professional

DIF: Moderate OBJ:n 2

6. Individualsnwhonarenemployednbynanninsurancencarriernandnwhosenrolenisntonanalyzenandnpro
cessnincomingnclaims,ncheckingnthemnfornvaliditynandndeterminingnifnthenservicesnwerenreas
onablenandnnecessarynarenreferredntonas .

ANS:n claimsnexaminers

DIF: Moderate OBJ:n 3

7. Individualsnwhonworknfornconsumersnandnhelpnpatientsnorganize,nfilenandnnegotiatenhealthni
nsurancenclaims.nn

ANS:n Claimsnassistancenprofessionals

DIF: Easy OBJ:nnn 3

8. Patientsnwhondonnotnhavenanynmedicalninsurancenandnarenliablenfornthenentirenbillnarenreferredntona
s patients.

ANS:n self-pay

DIF: Easy OBJ:n 3

9. Transmitting,nreceiving,nstoring,nandnforwardingnofntext,nvoicenmessages,nattachments,norni
magesnbyncomputernfromnonenpersonntonanothernisnreferredntonas mail.

ANS:n electronic

DIF: Moderate OBJ:n 3

10. Standardsnofnconductnbynwhichnanninsurancenbillingnspecialistndeterminesnthenproprietynofnhisno
rnhernbehaviorninnanrelationshipnarenknownnasnmedical .

ANS:n ethics

DIF: Moderate OBJ:n 9

11. ThenGreeknphysiciannknownnasnthenFathernofnMedicinendevisednthe .