Fordney-s Medical Insurance and Billing 16th Edition Test Bank by Linda M. Smith

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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MULTIPLEsCHOICE

1. Thesprimarysgoalsofsansinsurancesbillingsspecialistsis:
a. tosmanagestheshealthscaresorganization’ssbillingsoffice
b. tosensuresthescashsflowsofsashealthscaresorganizationsthroughsrevenuescyclesm
anagement
c. tossendsbillsstospatientssforsservicesstheysreceive
d. tospostspaymentssreceivedsfromspatientssandsinsurancescarriers

ANS:s B DIF: Moderate OBJ:s s 2

2. Facilitysbillingsincludesschargingsforsmedicalsservicessprovidedsby:
a. physicians
b. laboratorysservices
c. ambulancesservices
d. ambulatoryssurgicalscenters

ANS:s D DIF: Easy OBJ:s s 2

3. Asclaimssassistancesprofessional
a. workssforsthesconsumer.
b. workssforstheshealthscaresorganization.
c. workssforsansinsurancescompany.
d. workssforsthesfederalsgovernment.
ANS:s A DIF: Easy OBJ:s s 2

4. Whatsiss“cashsflow”sinsasmedicalspractice?
a. Thesactualsmoneysavailablestosasmedicalspractice
b. Thesamountsofsmoneysreceivedsbysasmedicalspracticesins1sday
c. Thesamountsofsmoneysreceivedsbysasmedicalspracticesins1smonth
d. Thesamountsofsoutstandingsmoneysonsthesaccountssreceivable

ANS:s A DIF: Moderate OBJ:s s 2

5. Whichslevelsofseducationsissgenerallysrequiredsforsoneswhosseekssemploymentsassansinsurancesco
der?
a. Collegesdiploma
b. Highsschoolsdiploma
c. Completionsofsansaccreditedsprogramsforscodingscertification
d. Nosspecificslevelsofseducationsissrequired

ANS:s C DIF: Easy OBJ:s s 4

6. Thesamountsofsmoneysansinsurancesbillingsspecialistsearnssissdependentsonswhichsofsthesfol
lowingsfactors?
a. Knowledge
b. Experience

, c. Sizesofsemployingsinstitution
d. Allsarescorrect

ANS:s D DIF: Moderate OBJ:s s 5

7. Asself-employedsmedicalsinsurancesbillerswhosdoessindependentscontractingsissresponsiblesfor
a. advertising.
b. billing.
c. accounting.
d. Allsarescorrect.

ANS:s D DIF: Hard OBJ:s s 2

8. Medicalsetiquettesreferssto
a. considerationsforsothers.
b. moralsprinciplessorspractices.
c. laws.
d. thesOathsofsHippocrates.

ANS:s A DIF: Moderate OBJ:s s 9

9. Thesprocesssofsshorteningswordssandsusingsabbreviationssthatsdosnotsfollowsstandardsgrammar,
spellingsandspunctuationswhenswritingselectronicsmailscommunicationssissreferredstosas:
s

a. emoticons
b. abbreviations
c. textsspeak
d. shortstext
ANS:s C DIF: Easy OBJ:s s 9

10. Professionalsethicssinclude
a. stateslaws.
b. federalslaws.
c. standardssofsconduct.
d. civilstorts.

ANS:s C DIF: Moderate OBJ:s s 9

11. Thesearliestswrittenscodesofsethicalsprinciplessforsthesmedicalsprofessionsissthe
a. OathsofsHippocrates.
b. Socraticsoath.
c. CodesofsHammurabi.
d. Medicolegalsoath.

ANS:s C DIF: Easy OBJ:s s 9

12. WhatsissthesnamesofsthesmodernscodesofsethicssthatsthesAmericansMedicalsAssociations(AMA)sad
optedsins1980?
a. ThesModernsStandardssofsConductsCode
b. ThesPrinciplessofsMedicalsEthics
c. ThesOathsofsHippocrates
d. ThesAmericansMedicalsAssociationsCodesofsEthics

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

13. Reportingsincorrectsinformationstosgovernment-fundedsprogramssis
a. unethical.
b. illegal.
c. abuse.
d. fraud.

ANS:s B DIF: Moderate OBJ:s s 9

14. Thesdoctrinesstatingsthatsphysicianssareslegallysresponsiblesforsbothstheirsownsconductsandsthatsofs
theirsemployeessissknownsas
a. respondeatssuperior.
b. letsthesmastersanswer.
c. vicarioussliability.
d. Allsarescorrect.

ANS:s D DIF: Hard OBJ:s s 10

15. Whatsissthesindependentscontractor’ssliabilitysifstheysoperatestheirsownsmedicalsinsurancesbil
lingscompany?
a. None.sThesprofessionalsliabilitysinsurancesofsthescompanystheyscontractswithswillsco
versthem.
b. Thesindependentscontractorsissliablesandsshouldspurchaseserrorssandsomissionssin
surance.
ANS:s B DIF: Moderate OBJ:s s 10


COMPLETION

1. issthestotalsincomesproducedsbysashealthscaresorganization.

ANS:s Revenue

DIF: Moderate OBJ:s s 1

2. Ansindividualshealthscaresprovider’sspatientschartsswhichsincludessnotessandsinformationsco
llectedsbysthemsissreferredstosassthe:s

ANS:s Medicalsrecord

DIF: Moderate OBJ:s s 3

3. Informationscollectedsfromsclinicianssinsallshealthscaresorganizationsswhosaresinvolvedsinsaspa
tient’sscareswhichsissmadesavailablestosallsauthorizedscliniciansstosaccessswhensprovidingspatie
nts cares iss the:s s s s

ANS:s Healthsrecord

DIF: Moderate OBJ:s s 3

, 4. Chargingsforsservicessdonesinshospitals,sacutescareshospitals,sskilledsnursingsorslong-
termscaresfacilities,srehabilitationscenters,sorsambulatoryssurgicalscenterssissknownsass
billing.

ANS:s facility

DIF: Moderate OBJ:s s 2

5. Chargingsforsservicessperformedsbysphysicians,snursespractitioners,slicensedsclinicalssocialsw
orkerssandsphysicalstherapistssissknownsass billing.

ANS:s professional

DIF: Moderate OBJ:s s 2

6. Individualsswhosaresemployedsbysansinsurancescarriersandswhosesrolesisstosanalyzesandsproc
esssincomingsclaims,scheckingsthemsforsvaliditysandsdeterminingsifsthesservicessweresreason
ablesandsnecessarysaresreferredstosass .

ANS:s claimssexaminers

DIF: Moderate OBJ:s s 3

7. Individualsswhosworksforsconsumerssandshelpspatientssorganize,sfilesandsnegotiateshealthsin
surancesclaims.s

ANS:s Claimssassistancesprofessionals

DIF: Easy OBJ:s s 3

8. Patientsswhosdosnotshavesanysmedicalsinsurancesandsaresliablesforsthesentiresbillsaresreferredstosass
patients.

ANS:s self-pay

DIF: Easy OBJ:s s 3

9. Transmitting,sreceiving,sstoring,sandsforwardingsofstext,svoicesmessages,sattachments,sorsi
magessbyscomputersfromsonespersonstosanothersissreferredstosass mail.

ANS:s electronic

DIF: Moderate OBJ:s s 3

10. Standardssofsconductsbyswhichsansinsurancesbillingsspecialistsdeterminessthesproprietysofshissors
hersbehaviorsinsasrelationshipsaresknownsassmedicals .

ANS:s ethics

DIF: Moderate OBJ:s s 9

11. ThesGreeksphysiciansknownsassthesFathersofsMedicinesdevisedsthes .