Page 1 of 228
mf mf mf
, Chapter 01: Role of an Insurance Billing Specialist MULT
mf mf mf mf mf mf mf mf
IPLE CHOICE mf
1. The primary goal of an insurance billing specialist is:
mf mf mf mf mf mf mf mf
a. to manage the health care organization’s billing office
mf mf mf mf mf mf mf
b. to ensure the cash flow of a health care organization through revenue cycle management
mf mf mf mf mf mf mf mf mf mf mf mf mf
c. to send bills to patients for services they receive
mf mf mf mf mf mf mf mf
d. to post payments received from p atients and insurance carrier
mf mf mf mf mf mf mf mf
s CORRECT ANSWER: B
mf mf mf DIF: Moderate OBJ: 2 m f
2. Facility billing includes charging for medical services provided by:
mf mf mf mf mf mf mf mf
a. physicians
b. laboratory services mf
c. ambulance services mf
d. ambulatory surgical centers mf mf
CORRECT ANSWER: D mf mf DIF: Easy OBJ: 2 m f
3. A claims assistance professional
mf mf mf
a. works for the consumer.
mf mf mf
b. works for the health care organization.
mf mf mf mf mf
c. works for an insurance company.
mf mf mf mf
d. works for the federal government.
mf mf mf mf
CORRECT ANSWER: A mf mf DIF: Easy OBJ: 2 m f
4. What is ―cash f low‖ in a medical practice?
mf mf mf mf mf mf mf
a. The actual money available to a medical practice
mf mf mf mf mf mf mf
b. The amount of money received by a medical practice in 1 day
mf mf mf mf mf mf mf mf mf mf mf
Page 2 of 228 mf mf mf
,c. The amount of money received by a medical practice in 1 month
mf mf mf mf mf mf mf mf mf mf mf
d. The amount of outstanding money on the accounts receivabl
mf mf mf mf mf mf mf mf
e CORRECT ANSWER: A
mf mf mf DIF: Moderate OBJ: 2 m f
5. Which level of education is generally required for one who seeks employment as an insurance coder?
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
a. College diploma mf
b. High school diploma
mf mf
c. Completion of an accredited program for coding certification
mf mf mf mf mf mf mf
d. No specific level of education is required COR
mf mf mf mf mf mf mf
RECT ANSWER: C
mf mf DIF: Easy OBJ: 4 mf
6. The amount of money an insurance billing specialist earns is dependent on which of the followin
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
g factors?
mf
a. Knowledge
b. Experience
c. Size of employing institution
mf mf mf
d. All are correct
mf mf
CORRECT ANSWER: D mf mf DIF: Moderate OBJ: 5 m f
7. A self-employed medical insurance biller who does independent contracting is responsible for
mf mf mf mf mf mf mf mf mf mf mf
a. advertising.
b. billing.
c. accounting.
d. All are correct.
mf mf
CORRECT ANSWER: D mf mf DIF: Hard OBJ: 2 m f
Page 3 of 228 mf mf mf
, 8. Medical etiquette refers to
mf mf mf
a. consideration for others. mf mf
b. moral principles or practices.
mf mf mf
c. laws.
d. the Oath of Hippocrates.
mf mf mf
CORRECT ANSWER: A mf mf DIF: Moderate OBJ: 9 m f
9. The process of shortening words and using abbreviations that do not follow standard grammar, spellin
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
g and punctuation when writing electronic mail communications is referred to as:
mf mf mf mf mf mf mf mf mf mf mf
a. emoticons
b. abbreviations
c. text speakmf
d. short text mf
CORRECT ANSWER: C mf mf DIF: Easy OBJ: 9 m f
10. Professional ethics include mf mf
a. state laws. mf
b. federal laws. mf
c. standards of conduct. mf mf
d. civil torts.
mf
CORRECT ANSWER: C mf mf DIF: Moderate OBJ: 9 m f
11. The earliest written code of ethical principles for the medical profession is the
mf mf mf mf mf mf mf mf mf mf mf mf
a. Oath of Hippocrates.
mf mf
b. Socratic oath. mf
c. Code of Hammurabi. mf mf
d. Medicolegal oath. mf
Page 4 of 228
mf mf mf
mf mf mf
, Chapter 01: Role of an Insurance Billing Specialist MULT
mf mf mf mf mf mf mf mf
IPLE CHOICE mf
1. The primary goal of an insurance billing specialist is:
mf mf mf mf mf mf mf mf
a. to manage the health care organization’s billing office
mf mf mf mf mf mf mf
b. to ensure the cash flow of a health care organization through revenue cycle management
mf mf mf mf mf mf mf mf mf mf mf mf mf
c. to send bills to patients for services they receive
mf mf mf mf mf mf mf mf
d. to post payments received from p atients and insurance carrier
mf mf mf mf mf mf mf mf
s CORRECT ANSWER: B
mf mf mf DIF: Moderate OBJ: 2 m f
2. Facility billing includes charging for medical services provided by:
mf mf mf mf mf mf mf mf
a. physicians
b. laboratory services mf
c. ambulance services mf
d. ambulatory surgical centers mf mf
CORRECT ANSWER: D mf mf DIF: Easy OBJ: 2 m f
3. A claims assistance professional
mf mf mf
a. works for the consumer.
mf mf mf
b. works for the health care organization.
mf mf mf mf mf
c. works for an insurance company.
mf mf mf mf
d. works for the federal government.
mf mf mf mf
CORRECT ANSWER: A mf mf DIF: Easy OBJ: 2 m f
4. What is ―cash f low‖ in a medical practice?
mf mf mf mf mf mf mf
a. The actual money available to a medical practice
mf mf mf mf mf mf mf
b. The amount of money received by a medical practice in 1 day
mf mf mf mf mf mf mf mf mf mf mf
Page 2 of 228 mf mf mf
,c. The amount of money received by a medical practice in 1 month
mf mf mf mf mf mf mf mf mf mf mf
d. The amount of outstanding money on the accounts receivabl
mf mf mf mf mf mf mf mf
e CORRECT ANSWER: A
mf mf mf DIF: Moderate OBJ: 2 m f
5. Which level of education is generally required for one who seeks employment as an insurance coder?
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
a. College diploma mf
b. High school diploma
mf mf
c. Completion of an accredited program for coding certification
mf mf mf mf mf mf mf
d. No specific level of education is required COR
mf mf mf mf mf mf mf
RECT ANSWER: C
mf mf DIF: Easy OBJ: 4 mf
6. The amount of money an insurance billing specialist earns is dependent on which of the followin
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
g factors?
mf
a. Knowledge
b. Experience
c. Size of employing institution
mf mf mf
d. All are correct
mf mf
CORRECT ANSWER: D mf mf DIF: Moderate OBJ: 5 m f
7. A self-employed medical insurance biller who does independent contracting is responsible for
mf mf mf mf mf mf mf mf mf mf mf
a. advertising.
b. billing.
c. accounting.
d. All are correct.
mf mf
CORRECT ANSWER: D mf mf DIF: Hard OBJ: 2 m f
Page 3 of 228 mf mf mf
, 8. Medical etiquette refers to
mf mf mf
a. consideration for others. mf mf
b. moral principles or practices.
mf mf mf
c. laws.
d. the Oath of Hippocrates.
mf mf mf
CORRECT ANSWER: A mf mf DIF: Moderate OBJ: 9 m f
9. The process of shortening words and using abbreviations that do not follow standard grammar, spellin
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
g and punctuation when writing electronic mail communications is referred to as:
mf mf mf mf mf mf mf mf mf mf mf
a. emoticons
b. abbreviations
c. text speakmf
d. short text mf
CORRECT ANSWER: C mf mf DIF: Easy OBJ: 9 m f
10. Professional ethics include mf mf
a. state laws. mf
b. federal laws. mf
c. standards of conduct. mf mf
d. civil torts.
mf
CORRECT ANSWER: C mf mf DIF: Moderate OBJ: 9 m f
11. The earliest written code of ethical principles for the medical profession is the
mf mf mf mf mf mf mf mf mf mf mf mf
a. Oath of Hippocrates.
mf mf
b. Socratic oath. mf
c. Code of Hammurabi. mf mf
d. Medicolegal oath. mf
Page 4 of 228
mf mf mf
