Fordney’s Medical Insurance and Billing Test Bank 16th Edition | Linda M. Smith

TESTBANKFordney'sMedicalInsuranceandBilling16/ELindaSmith
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,Chapter01: Role ofan InsuranceBilling Specialist
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Smith:Fordney’sMedicalInsurance andBilling,16th Edition
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MULTIPLE CHOICE ss




1. The primary goal of an insurance billing specialist is:
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a. to manage the health care organization’s billing office
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b. to ensure the cash flow of a health care organization through revenue cycle
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ss management
c. to send bills to patients for services theyreceive
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d. to post payments received from patients and insurance carriers
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ANS: s s s s B DIF: Moderate OBJ: 2

2. Facilitybilling includes charging for medical services provided by: ss ss ss ss ss ss ss


a. physicians
b. laboratoryservices s


c. ambulance services ss


d. ambulatorysurgical centers ss




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

3. A claims assistance professional
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a. works for the consumer. ss s ss


b. works for the health care organization. ss ss ss ss ss


c. works for an insurance company. ss ss ss ss


d. works for the federal government. ss ss ss ss




ANS: s s s s A DIF: Easy OBJ: 2

4. What is ―cash flow‖ in a medical practice?
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a. The actual money available to a medical practice
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b. The amount of money received by a medical practice in 1 day
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c. The amount of money received by a medical practice in 1 month
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d. The amount of outstanding moneyon the accounts receivable
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ANS: s s s s A DIF: Moderate OBJ: 2

5. Which level of education is generallyrequired for one who seeks employment as an insurance
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ss coder?
a. College diploma ss


b. High school diploma ss ss


c. Completion of an accredited program for coding certification ss ss ss ss ss ss ss


d. No specific level of education is required
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ANS: s s s s C DIF: Easy OBJ: 4

6. The amount of moneyan insurance billingspecialist earns is dependent on which of the
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ssfollowing factors? ss


a. Knowledge
b. Experience

, c. Sizeof employing institution s ss s


d. All are correct ss ss




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

7. A self-employed medical insurance biller who does independent contracting is responsible for
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a. advertising.
b. billing.
c. accounting.
d. All are correct. s ss




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

8. Medical etiquette refers to ss ss ss


a. consideration for others. ss ss


b. moral principles or practices. ss ss ss


c. laws.
d. the Oath of Hippocrates.
ss ss ss




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

9. The process of shortening words and using abbreviations that do not follow standard
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grammar, spellingand punctuation when writingelectronic mail communications is referred
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to as:
ss ss


a. emoticons
b. abbreviations
c. text speak ss


d. short text ss




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

10. Professional ethics include ss ss


a. state laws. ss


b. federal laws. ss


c. standards of conduct. ss ss


d. civil torts. ss




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

11. The earliest written code of ethical principles for the medical profession is the
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a. Oath of Hippocrates. ss ss


b. Socratic oath. ss


c. Code of Hammurabi. s ss


d. Medicolegal oath. ss




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

12. What is the name of the modern code of ethics that the American Medical Association (AMA)
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adopted in 1980?
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a. The Modern Standards of Conduct Code
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b. The Principles of Medical Ethics
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c. The Oath of Hippocrates ss ss ss


d. The American Medical Association Code of Ethics
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, ANS: s s s s B DIF: Easy OBJ: 9

13. Reporting incorrect information to government-funded programs is
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a. unethical.
b. illegal.
c. abuse.
d. fraud.
ANS: s s s s B DIF: Moderate OBJ: 9

14. The doctrine statingthat physicians are legallyresponsible for both their own conduct and that of
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their employees is known as
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a. respondeat superior. ss


b. let the master answer.
ss ss ss


c. vicarious liability. ss


d. All are correct. s ss




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

15. What is the independent contractor’s liabilityif theyoperate their own medical insurance
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billing company?
ss ss


a. None. The professional liabilityinsurance of the companytheycontract with will
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cover them.
ss ss


b. The independent contractor is liable and should purchase errors and omissions
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insurance.
ss




ANS: s s s s B DIF: Moderate OBJ: 10


COMPLETION

1. is the total income produced bya health care organization.
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ANS: s s s s Revenue

DIF: Moderate OBJ: 1

2. An individual health care provider’s patient charts which includes notes and information
s s ss ss ss ss ss s ss ss ss


ss collected by them is referred to as the:
ss ss ss ss ss ss ss ss




ANS: s s s s Medical record ss




DIF: Moderate OBJ: 3

3. Information collected from clinicians in all health care organizations who are involved
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in a patient’s care which is made available to all authorized clinicians to access when
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providing patient care is the:
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ANS: s s s s Health record ss




DIF: Moderate OBJ: 3