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TEST BANKFor Fordney's Medical Insurance and Billing 16th
Edition By Linda Smith - Updated Version 2024
Chapter 01: Role of an Insurance Billing Specialist
Smith: Fordney’s Medical Insurance and Billing, 16th Edition
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 healthcare 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
ANS: 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
ANS: 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.
ANS: 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
c. The amount of money received by a medical practice in 1 month
d. The amount of outstanding money on the accounts receivable
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ANS: A DIF: Moderate OBJ: 2
5. Which level of education is generally required for one who seeks employment as an
insurance coder?
a. College diploma
b. High school diploma
c. Completion of an accredited program for coding certification
d. No specific level of education is required
ANS: C DIF: Easy OBJ: 4
6. The amount of money an insurance billing specialist earns is dependent on which of
the following factors?
a. Knowledge
b. Experience
c. Size of employing institution
d. All are correct
ANS: D DIF: Moderate OBJ: 5
7. A self-employed medical insurance biller who does independent contracting is
responsible for
a. advertising.
b. billing.
c. accounting.
d. All are correct.
ANS: D DIF: Hard OBJ: 2
8. Medical etiquette refers to
a. consideration for others.
b. moral principles or practices.
c. laws.
d. the Oath of Hippocrates.
ANS: A DIF: Moderate OBJ: 9
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9. The process of shortening words and using abbreviations that do not follow standard
grammar, spelling and punctuation when writing electronic mail communications is
referred to as:
a. emoticons
b. abbreviations
c. text speak
d. short text
ANS: C DIF: Easy OBJ: 9
10. Professional ethics include
a. state laws.
b. federal laws.
c. standards of conduct.
d. civil torts.
ANS: C DIF: Moderate OBJ: 9
11. The earliest written code of ethical principles for the medical profession is the
a. Oath of Hippocrates.
b. Socratic oath.
c. Code of Hammurabi.
d. Medicolegal oath.
ANS: C DIF: Easy OBJ: 9
12. What is the name of the modern code of ethics that the American Medical
Association (AMA) adopted in 1980?
a. The Modern Standards of Conduct Code
b. The Principles of Medical Ethics
c. The Oath of Hippocrates
d. The American Medical Association Code of Ethics
ANS: B DIF: Easy OBJ: 9
13. Reporting incorrect information to government-funded programs is
a. unethical.
b. illegal.
c. abuse.
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d. fraud.
ANS: B DIF: Moderate OBJ: 9
14. The doctrine stating that physicians are legally responsible for both their own
conduct and that of their employees is known as
a. respondeat superior.
b. let the master answer.
c. vicarious liability.
d. All are correct.
ANS: D DIF: Hard OBJ: 10
15. What is the independent contractor’s liability if they operate their own medical
insurance billing company?
a. None. The professional liability insurance of the company they contract with will cover
them.
b. The independent contractor is liable and should purchase errors and omissions
insurance.
ANS: B DIF: Moderate OBJ: 10
COMPLETION
1. _____________________ is the total income produced by a healthcare organization.
ANS: Revenue
DIF: Moderate OBJ: 1
2. An individual health care provider’s patient charts which includes notes and
information collected by them is referred to as the: ___________________
ANS: Medical record
DIF: Moderate OBJ: 3
Page 4
TEST BANKFor Fordney's Medical Insurance and Billing 16th
Edition By Linda Smith - Updated Version 2024
Chapter 01: Role of an Insurance Billing Specialist
Smith: Fordney’s Medical Insurance and Billing, 16th Edition
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 healthcare 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
ANS: 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
ANS: 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.
ANS: 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
c. The amount of money received by a medical practice in 1 month
d. The amount of outstanding money on the accounts receivable
Page 1
,Created By : TestsBanks
ANS: A DIF: Moderate OBJ: 2
5. Which level of education is generally required for one who seeks employment as an
insurance coder?
a. College diploma
b. High school diploma
c. Completion of an accredited program for coding certification
d. No specific level of education is required
ANS: C DIF: Easy OBJ: 4
6. The amount of money an insurance billing specialist earns is dependent on which of
the following factors?
a. Knowledge
b. Experience
c. Size of employing institution
d. All are correct
ANS: D DIF: Moderate OBJ: 5
7. A self-employed medical insurance biller who does independent contracting is
responsible for
a. advertising.
b. billing.
c. accounting.
d. All are correct.
ANS: D DIF: Hard OBJ: 2
8. Medical etiquette refers to
a. consideration for others.
b. moral principles or practices.
c. laws.
d. the Oath of Hippocrates.
ANS: A DIF: Moderate OBJ: 9
Page 2
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9. The process of shortening words and using abbreviations that do not follow standard
grammar, spelling and punctuation when writing electronic mail communications is
referred to as:
a. emoticons
b. abbreviations
c. text speak
d. short text
ANS: C DIF: Easy OBJ: 9
10. Professional ethics include
a. state laws.
b. federal laws.
c. standards of conduct.
d. civil torts.
ANS: C DIF: Moderate OBJ: 9
11. The earliest written code of ethical principles for the medical profession is the
a. Oath of Hippocrates.
b. Socratic oath.
c. Code of Hammurabi.
d. Medicolegal oath.
ANS: C DIF: Easy OBJ: 9
12. What is the name of the modern code of ethics that the American Medical
Association (AMA) adopted in 1980?
a. The Modern Standards of Conduct Code
b. The Principles of Medical Ethics
c. The Oath of Hippocrates
d. The American Medical Association Code of Ethics
ANS: B DIF: Easy OBJ: 9
13. Reporting incorrect information to government-funded programs is
a. unethical.
b. illegal.
c. abuse.
Page 3
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d. fraud.
ANS: B DIF: Moderate OBJ: 9
14. The doctrine stating that physicians are legally responsible for both their own
conduct and that of their employees is known as
a. respondeat superior.
b. let the master answer.
c. vicarious liability.
d. All are correct.
ANS: D DIF: Hard OBJ: 10
15. What is the independent contractor’s liability if they operate their own medical
insurance billing company?
a. None. The professional liability insurance of the company they contract with will cover
them.
b. The independent contractor is liable and should purchase errors and omissions
insurance.
ANS: B DIF: Moderate OBJ: 10
COMPLETION
1. _____________________ is the total income produced by a healthcare organization.
ANS: Revenue
DIF: Moderate OBJ: 1
2. An individual health care provider’s patient charts which includes notes and
information collected by them is referred to as the: ___________________
ANS: Medical record
DIF: Moderate OBJ: 3
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