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Fordney’s Medical Insurance and Billing, 17th Edition – Test Bank with Verified Answers (Linda M. Smith, 2025) | Complete Exam Material

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This document contains the complete test bank for Fordney’s Medical Insurance and Billing, 17th Edition by Linda M. Smith. It includes multiple-choice questions, completion exercises, matching, and true/false questions with verified answers for all chapters. The material covers essential topics such as the role of the insurance billing specialist, HIPAA privacy and security, compliance, fraud and abuse, health insurance basics, Blue Plans, private insurance, and managed care. This resource is designed to support exam preparation and review with the most up-to-date edition.

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Test Bank Fordney's Medical Insurance and
Billing, 17th Edition
by Linda M. Smith. All Chapters| Verified
Answers| Latest Edition

, Chapter 01: Role of an Insurance Billing Specialist

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

CORRECT ANSWER: 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

CORRECT ANSWER: 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.

CORRECT ANSWER: 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

CORRECT ANSWER: 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

CORRECT ANSWER: 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

CORRECT ANSWER: 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.

CORRECT ANSWER: 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.

CORRECT ANSWER: 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

CORRECT ANSWER: C DIF: Easy OBJ: 9



10. Professional ethics include

a. state laws.

b. federal laws.

c. standards of conduct.

d. civil torts.

CORRECT ANSWER: 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.

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