Name: Score:
213 Multiple choice questions
Term 1 of 213
When will physicians who are not " meaningful " EHR users start to see a reduction in payments ?
January 1 , 2011
January 1 , 2015
January 1 , 2005
January 1 , 1915
Term 2 of 213
____ are used to help systems in different organizations communicate with each other .
Frameworks
Algorithms
Protocols
Interfaces
Term 3 of 213
Which of the following statements does NOT represent the effective use of a budget ?
To monitor the debt to equity ratio of a clinic
To spend money without tracking expenses
To increase profits by cutting employee benefits
To ignore financial statements completely
,Term 4 of 213
Under the False Claims Act , which of the following actions would be considered a violation ?
Select all that apply .
A quality cycle and QI method that systematically impacts a process or system
Diversity of staff
a . Customer service b . Optimizing physician time d . Claim quality assurance
a . Submitting a claim with unbundled services to the government for payment b . Falsifying
a medical record to support payment of a claim in an audit c . Referring patients to medical
facilities in which d . Giving patients a discount on services for each friend or family
member they refer to the the physician has a friend who is the CFO . practice . e . Offering
professional discounts to the staff at a local hospital
Term 5 of 213
You have referred a patient to an orthopedic provider . The patient's medical records . According
to HIPAA Administration Orthopedist has requested the Simplification , can you supply the
records requested without a signed patient authorization ?
Yes
No
Term 6 of 213
Which option would be an example of a statement that should be included in a fire policy ?
Best coffee shops in the area
New software update for the office computers
A location for all staff to meet outside of the building so all employees can be accounted
for .
Upcoming team-building activities
,Term 7 of 213
In order to minimize risk , a practice must have an effective risk management plan in place . Risk
management involves all of the following EXCEPT :
Staffing changes
Diversity of staff
Individual behavior
Breakeven income statement
Term 8 of 213
What concept below defines the amount of money owed to others that has not yet been paid ?
Accounts receivable
Accounts payable
Net income
Liabilities
Term 9 of 213
Which of the following provisions of the PPACA will help reduce fraud and abuse ?
Increases penalties for honest billing mistakes .
Mandates higher copayments for patients .
Reduces funding for healthcare fraud investigations .
Allows sharing of IRS data to identify fraudulent providers or providers with tax debts .
, Term 10 of 213
The OIG recommends physicians focus on four basic risk areas that affect physician practices .
Which one is NOT considered a risk area by the OIG ?
Upcoding
Packaging
Bundling
Purging
Term 11 of 213
What is a benefit of using an ERA ( electronic remittance advice ) ?
Recording voicemail greetings.
Sending paper invoices to patients.
Accurate and efficient payment and adjustment posting .
Arranging office furniture.
Term 12 of 213
Chart 1 - Breakeven Analysis for the Practice
1,000,000
500,000
100,000
140,000
213 Multiple choice questions
Term 1 of 213
When will physicians who are not " meaningful " EHR users start to see a reduction in payments ?
January 1 , 2011
January 1 , 2015
January 1 , 2005
January 1 , 1915
Term 2 of 213
____ are used to help systems in different organizations communicate with each other .
Frameworks
Algorithms
Protocols
Interfaces
Term 3 of 213
Which of the following statements does NOT represent the effective use of a budget ?
To monitor the debt to equity ratio of a clinic
To spend money without tracking expenses
To increase profits by cutting employee benefits
To ignore financial statements completely
,Term 4 of 213
Under the False Claims Act , which of the following actions would be considered a violation ?
Select all that apply .
A quality cycle and QI method that systematically impacts a process or system
Diversity of staff
a . Customer service b . Optimizing physician time d . Claim quality assurance
a . Submitting a claim with unbundled services to the government for payment b . Falsifying
a medical record to support payment of a claim in an audit c . Referring patients to medical
facilities in which d . Giving patients a discount on services for each friend or family
member they refer to the the physician has a friend who is the CFO . practice . e . Offering
professional discounts to the staff at a local hospital
Term 5 of 213
You have referred a patient to an orthopedic provider . The patient's medical records . According
to HIPAA Administration Orthopedist has requested the Simplification , can you supply the
records requested without a signed patient authorization ?
Yes
No
Term 6 of 213
Which option would be an example of a statement that should be included in a fire policy ?
Best coffee shops in the area
New software update for the office computers
A location for all staff to meet outside of the building so all employees can be accounted
for .
Upcoming team-building activities
,Term 7 of 213
In order to minimize risk , a practice must have an effective risk management plan in place . Risk
management involves all of the following EXCEPT :
Staffing changes
Diversity of staff
Individual behavior
Breakeven income statement
Term 8 of 213
What concept below defines the amount of money owed to others that has not yet been paid ?
Accounts receivable
Accounts payable
Net income
Liabilities
Term 9 of 213
Which of the following provisions of the PPACA will help reduce fraud and abuse ?
Increases penalties for honest billing mistakes .
Mandates higher copayments for patients .
Reduces funding for healthcare fraud investigations .
Allows sharing of IRS data to identify fraudulent providers or providers with tax debts .
, Term 10 of 213
The OIG recommends physicians focus on four basic risk areas that affect physician practices .
Which one is NOT considered a risk area by the OIG ?
Upcoding
Packaging
Bundling
Purging
Term 11 of 213
What is a benefit of using an ERA ( electronic remittance advice ) ?
Recording voicemail greetings.
Sending paper invoices to patients.
Accurate and efficient payment and adjustment posting .
Arranging office furniture.
Term 12 of 213
Chart 1 - Breakeven Analysis for the Practice
1,000,000
500,000
100,000
140,000
