,TESTBANKFordney'sMedicalInsuranceandBilling16/ELindaSmith
n
Chapter01:RoleofanInsuranceBillingSpecialist n
Smith:Fordney’sMedicalInsurance andBilling,16thEdition
ss n n nn n
MULTIPLE CHOICE ss
1. Theprimarygoalof aninsurancebillingspecialist is: s ss s s nn
a. to manage the health care organization’s billing office
ss ss ss ss ss ss ss
b. toensurethe cash flow of ahealth careorganization through revenue
s s ss s ss ss ss ss ss
ss cycle management ss
c. tosend bills to patients forservices theyreceive
s ss nn nn ss ss
d. to post payments received from patients and insurance carriers
s ss ss ss ss ss ss ss
ss ANS: B DIF: Moderate OBJ: 2
2. Facilitybillingincludes charging formedical servicesprovided by: ss ss s ss ss
a. physicians
b. laboratoryservices
c. ambulance services ss
d. ambulatorysurgical centers ss
ANS: D DIF: Easy OBJ: 2
3. A claims assistance professional
nn ss ss
a. works fortheconsumer. nn s
b. works forthe health care organization.
ss s ss ss ss
c. works foran insurance company. ss s ss ss
d. works forthe federal government. ss ss ss
ANS: A DIF: Easy OBJ: 2
4. What is ―cash flow‖ina medicalpractice?
nn nn s s ss ss
a. Theactual moneyavailable to amedical practice ss ss ss s ss
b. Theamount of moneyreceived bya medical practicein 1 day ss s s s ss s ss ss
, c. Theamount of moneyreceived bya medical practicein 1 month
ss s s s ss s ss ss
d. Theamount of outstanding moneyon the accounts receivable
ss ss nn ss ss ss
ANS:
ss A DIF: Moderate OBJ: 2
5. Whichlevel ofeducation is generallyrequired foronewhoseeks employmentasan insurance
ss ss ss ss ss ss
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 nn
d. No specificlevel ofeducationisrequired
nn s ss s s s
ANS: C DIF: Easy OBJ: 4
6. Theamountofmoneyan insurancebilling specialistearnsisdependenton whichofthe
s s s s n s s s s
ss following factors? ss
a. Knowledge
b. Experience
, c. Sizeofemployinginstitution s
d. All are correct
s ss
ANS: D DIF: Moderate OBJ: 5
7. A self-employed medical insurance biller who does independent contracting is responsible for
ss ss ss ss ss ss ss ss ss ss ss
a. advertising.
b. billing.
c. accounting.
d. Allarecorrect.
ANS: 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. theOathof Hippocrates.
s ss
ANS: A DIF: Moderate OBJ: 9
9. The process of shortening words and using abbreviations that do not follow standard
ss ss ss ss ss ss ss ss ss ss ss ss
ss grammar,spellingandpunctuationwhenwritingelectronic mailcommunicationsis n n nn s
ss referred to as: ss ss
a. emoticons
b. abbreviations
c. textspeak s
d. shorttext s
ANS: C DIF: Easy OBJ: 9
10. Professional ethics include ss ss
a. statelaws.
b. federal laws. ss
c. standards of conduct. ss ss
d. civil torts. ss
ANS: C DIF: Moderate OBJ: 9
n
Chapter01:RoleofanInsuranceBillingSpecialist n
Smith:Fordney’sMedicalInsurance andBilling,16thEdition
ss n n nn n
MULTIPLE CHOICE ss
1. Theprimarygoalof aninsurancebillingspecialist is: s ss s s nn
a. to manage the health care organization’s billing office
ss ss ss ss ss ss ss
b. toensurethe cash flow of ahealth careorganization through revenue
s s ss s ss ss ss ss ss
ss cycle management ss
c. tosend bills to patients forservices theyreceive
s ss nn nn ss ss
d. to post payments received from patients and insurance carriers
s ss ss ss ss ss ss ss
ss ANS: B DIF: Moderate OBJ: 2
2. Facilitybillingincludes charging formedical servicesprovided by: ss ss s ss ss
a. physicians
b. laboratoryservices
c. ambulance services ss
d. ambulatorysurgical centers ss
ANS: D DIF: Easy OBJ: 2
3. A claims assistance professional
nn ss ss
a. works fortheconsumer. nn s
b. works forthe health care organization.
ss s ss ss ss
c. works foran insurance company. ss s ss ss
d. works forthe federal government. ss ss ss
ANS: A DIF: Easy OBJ: 2
4. What is ―cash flow‖ina medicalpractice?
nn nn s s ss ss
a. Theactual moneyavailable to amedical practice ss ss ss s ss
b. Theamount of moneyreceived bya medical practicein 1 day ss s s s ss s ss ss
, c. Theamount of moneyreceived bya medical practicein 1 month
ss s s s ss s ss ss
d. Theamount of outstanding moneyon the accounts receivable
ss ss nn ss ss ss
ANS:
ss A DIF: Moderate OBJ: 2
5. Whichlevel ofeducation is generallyrequired foronewhoseeks employmentasan insurance
ss ss ss ss ss ss
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 nn
d. No specificlevel ofeducationisrequired
nn s ss s s s
ANS: C DIF: Easy OBJ: 4
6. Theamountofmoneyan insurancebilling specialistearnsisdependenton whichofthe
s s s s n s s s s
ss following factors? ss
a. Knowledge
b. Experience
, c. Sizeofemployinginstitution s
d. All are correct
s ss
ANS: D DIF: Moderate OBJ: 5
7. A self-employed medical insurance biller who does independent contracting is responsible for
ss ss ss ss ss ss ss ss ss ss ss
a. advertising.
b. billing.
c. accounting.
d. Allarecorrect.
ANS: 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. theOathof Hippocrates.
s ss
ANS: A DIF: Moderate OBJ: 9
9. The process of shortening words and using abbreviations that do not follow standard
ss ss ss ss ss ss ss ss ss ss ss ss
ss grammar,spellingandpunctuationwhenwritingelectronic mailcommunicationsis n n nn s
ss referred to as: ss ss
a. emoticons
b. abbreviations
c. textspeak s
d. shorttext s
ANS: C DIF: Easy OBJ: 9
10. Professional ethics include ss ss
a. statelaws.
b. federal laws. ss
c. standards of conduct. ss ss
d. civil torts. ss
ANS: C DIF: Moderate OBJ: 9
