Fordney’s Medical Insurance and Billing Test Bank 16th Edition | 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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MULTIPLE CHOICE gg




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
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cycle management gg gg


c. to send bills to patients for services they receive
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d. to post payments received from patients and insurance carriers
gg gg gg gg gg gg gg gg




ANS: g g g g B DIF: Moderate OBJ: 2

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


a. physicians
b. laboratory services gg


c. ambulance services gg


d. ambulatorysurgical centers gg




ANS: g g g g D DIF: Easy OBJ: 2

3. A claims assistance professional
gg gg gg


a. works for the consumer. gg gg gg


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


c. works for an insurance company. gg gg gg gg


d. works for the federal government. gg gg gg gg




ANS: g g g g 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 money on the accounts receivable
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ANS: g g g g A DIF: Moderate OBJ: 2

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


b. High school diploma gg gg


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


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

6. The amount of money an insurance billing specialist earns is dependent on which of the
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following factors?
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a. Knowledge
b. Experience

, c. Size of employing institution
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d. All are correct gg gg




ANS: g g g g 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.
gg gg




ANS: g g g g D DIF: Hard OBJ: 2

8. Medical etiquette refers to gg gg gg


a. consideration for others. gg gg


b. moral principles or practices. gg gg gg


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




ANS: g g g g A DIF: Moderate OBJ: 9

9. The process of shortening words and using abbreviations that do not follow standard
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grammar, spelling and punctuation when writing electronic mail communications is
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referred to as:
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a. emoticons
b. abbreviations
c. text speak gg


d. short text gg




ANS: g g g g C DIF: Easy OBJ: 9

10. Professional ethics include gg gg


a. state laws. gg


b. federal laws. gg


c. standards of conduct. gg gg


d. civil torts. gg




ANS: g g g g 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. gg gg


b. Socratic oath. gg


c. Code of Hammurabi. gg gg


d. Medicolegal oath. gg




ANS: g g g g 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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gg adopted in 1980? gg gg


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

14. The doctrine stating that physicians are legally responsible for both their own conduct and that of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg


their employees is known as
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a. respondeat superior. gg


b. let the master answer.
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c. vicarious liability. gg


d. All are correct. gg gg




ANS: g g g g D DIF: Hard OBJ: 10

15. What is the independent contractor’s liability if theyoperate their own medical insurance
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billing company?
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a. None. The professional liabilityinsurance of the companythey contract with will
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cover them.
gg gg


b. The independent contractor is liable and should purchase errors and
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omissions insurance.
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ANS: g g g g B DIF: Moderate OBJ: 10


COMPLETION

1. is the total income produced by a health care organization.
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ANS: g g g g Revenue

DIF: Moderate OBJ: 1

2. An individual health care provider’s patient charts which includes notes and information
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gg collected by them is referred to as the:
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ANS: g g g g Medical record gg




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:
gg gg g g g g g g




ANS: g g g g Health record gg




DIF: Moderate OBJ: 3