Test Bank –
Fordney's Medical Insurance And Billing,
By Linda M. Smith
17th Edition
,Contents
1 Role Of An Insurance Billing Specialist 2
2 Privacy Security And HIPAA 18
3 Compliance Fraud And Abuse 38
4 Basics Of Health Insurance 54
5 The Blue Plans Private Insurance And Managed Care Plans 83
6 Medicare 103
7 Medicaid And Other State Programs 128
8 TRICARE And Veterans Health Care 142
13 Procedural Coding 259
14 The Paper Claim CMS1500 296
15 The Electronic Claim 340
16 Receiving Payments And Insurance Problem Solving 362
17 Collection Strategies 382
18 Introduction To Health Care Facilities And Ambulatory Surgery
418
Centers
19 Billing For Health Care Facilities 441
20 Seeking A Job And Attaining Professional Advancement 464
,Chapter 01: Role Of An Insurance Billing Specialist
Smith: Fordney’s Medical Insurance And Billing, 17th 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 Health Care 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
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
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
Fordney's Medical Insurance And Billing,
By Linda M. Smith
17th Edition
,Contents
1 Role Of An Insurance Billing Specialist 2
2 Privacy Security And HIPAA 18
3 Compliance Fraud And Abuse 38
4 Basics Of Health Insurance 54
5 The Blue Plans Private Insurance And Managed Care Plans 83
6 Medicare 103
7 Medicaid And Other State Programs 128
8 TRICARE And Veterans Health Care 142
13 Procedural Coding 259
14 The Paper Claim CMS1500 296
15 The Electronic Claim 340
16 Receiving Payments And Insurance Problem Solving 362
17 Collection Strategies 382
18 Introduction To Health Care Facilities And Ambulatory Surgery
418
Centers
19 Billing For Health Care Facilities 441
20 Seeking A Job And Attaining Professional Advancement 464
,Chapter 01: Role Of An Insurance Billing Specialist
Smith: Fordney’s Medical Insurance And Billing, 17th 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 Health Care 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
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
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
