MEDICAL CODING AND BILLING FINAL EXAM UPDATED
QUESTIONS AND ANSWERS
A claims assistance professional (CAP) acts as an informal representative of
patients and helps patients interpret insurance contracts.
False
Which level of education is generally required for one who seeks employment as
an insurance coder?
c) Completion of an accredited program for coding certification
The amount of money an insurance billing specialist earns is dependent on which
factors?
d) All of the above: knowledge, experience, size of employing institution
Medical etiquette refers to...
a) consideration for others
A billing specialist is entrusted with....
d) All of the above: holding patients' medical information in confidence, collecting
monies, being a reliable resource for coworkers
Standards of conduct by which an insurance billing specialist determines the
propriety of his or her behavior in a relationship are know as medical _____.
ethics
It is _____ to report incorrect information to private insurance carriers because
this can possible damage the individual and the integrity of the database.
unethical
The Office of Civil Right enforces...
privacy and security rules.
Privileged information is related to the treatment and progress of patients.
True
The focus on the health care practice setting and reducing administrative costs
and burdens are the goals of...
HIPAA Title II Administrative Simplification
Which 3 measures should be taken by a coder who has knowledge of fraud or
abuse?
, Notify the provider verbally and in writing; document the false statement or
representation; don't discuss the problem with anyone who is not involved
The contract is a worker's comp case exists between the...
physician and insurance company
In health insurance, the insured is also known as
subscriber, or member, or policyholder, or recipient.
If a child has health insurance coverage from 2 parents, according to the birthday
law...
the health plan of the person whose birthday (month and day, not year) falls earlier in
the calendar year pays first. If same b-day, person whose policy has been in effect
longest.
Conditions that existed and were treated before the health insurance policy was
issued are called...
pre-existing conditions
The act created to protect workers and their families so that they can get and
maintain health insurance if they change or lose their jobs is called the
HIPAA
Assignment of benefits is...
the transfer of one's legal right to collect an amount payable under an insurance
contract.
The SOAP in patient medical record charting may be difined as
b) subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected?
a) input a note of which section is in error and enter correct data with details of why the
correction is necessary and authenticate with electronic signature, date, and time.
The official American Hospital Association policy states that abbreviations
should be totally eliminated from the more vital section of the record, such as
the...
d) all of the above: final dx, operative notes, discharge summaries
A new patient is one who
QUESTIONS AND ANSWERS
A claims assistance professional (CAP) acts as an informal representative of
patients and helps patients interpret insurance contracts.
False
Which level of education is generally required for one who seeks employment as
an insurance coder?
c) Completion of an accredited program for coding certification
The amount of money an insurance billing specialist earns is dependent on which
factors?
d) All of the above: knowledge, experience, size of employing institution
Medical etiquette refers to...
a) consideration for others
A billing specialist is entrusted with....
d) All of the above: holding patients' medical information in confidence, collecting
monies, being a reliable resource for coworkers
Standards of conduct by which an insurance billing specialist determines the
propriety of his or her behavior in a relationship are know as medical _____.
ethics
It is _____ to report incorrect information to private insurance carriers because
this can possible damage the individual and the integrity of the database.
unethical
The Office of Civil Right enforces...
privacy and security rules.
Privileged information is related to the treatment and progress of patients.
True
The focus on the health care practice setting and reducing administrative costs
and burdens are the goals of...
HIPAA Title II Administrative Simplification
Which 3 measures should be taken by a coder who has knowledge of fraud or
abuse?
, Notify the provider verbally and in writing; document the false statement or
representation; don't discuss the problem with anyone who is not involved
The contract is a worker's comp case exists between the...
physician and insurance company
In health insurance, the insured is also known as
subscriber, or member, or policyholder, or recipient.
If a child has health insurance coverage from 2 parents, according to the birthday
law...
the health plan of the person whose birthday (month and day, not year) falls earlier in
the calendar year pays first. If same b-day, person whose policy has been in effect
longest.
Conditions that existed and were treated before the health insurance policy was
issued are called...
pre-existing conditions
The act created to protect workers and their families so that they can get and
maintain health insurance if they change or lose their jobs is called the
HIPAA
Assignment of benefits is...
the transfer of one's legal right to collect an amount payable under an insurance
contract.
The SOAP in patient medical record charting may be difined as
b) subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected?
a) input a note of which section is in error and enter correct data with details of why the
correction is necessary and authenticate with electronic signature, date, and time.
The official American Hospital Association policy states that abbreviations
should be totally eliminated from the more vital section of the record, such as
the...
d) all of the above: final dx, operative notes, discharge summaries
A new patient is one who
