1. Which of the following is considered the final determination of the issues
involving settlement of an insurance claim?
-Processing
-Translation
-Adjudication
-Transmission
Answer Adjudication
2. Adjudication
Answer the process of putting an insurance claim through a series of edits for final determination.
3. A form that contains charges, DOS, CPT codes, ICD codes, fees, and copay- ment
information.
-Encounter form
-Itemized bill
-Chargemaster
,-Remittance advice
Answer Encounter form
4. Encounter form
Answer a form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information.
5. A patient comes to the hospital for an inpatient procedure. Which of the
following hospital staff members is responsible for the initial patient interview,
obtaining demographic and insurance information, and documenting the chief
complaint?
-Nurse
-Insurance billing clerk
-Admitting clerk
-Ward clerk
Answer Admitting clerk
6. Admitting clerk
Answer These duties are the responsibility.
,7. Which of the following privacy measures ensures protected health informa- tion
(PHI)?
-Confirming test results with the patient over the phone at the reception area.
-Asking patients the reason for their visit during check-in
-Using data encryption software on office workstations.
-Calling patients into the clinical area using first and last name.
Answer Using data encryption software on oflce workstations.
8. Using data encryption software on office workstations.
Answer Encryption software ensures that electronically transmitted health information cannot be read by third parties.
This privacy measure guarantees PHI.
, 9. Which of the following planes divides the body into left and right?
-Sagittal
-Coronal
-Transverse
-Distal
Answer Sagittal
10. Sagittal
Answer The sagittal plan divides the body into right and left sections.
11. Coronal
Answer the coronal plane divides the body into anterior and posterior.
12. Transverse
Answer the transverse plane divides the body into superior and inferior portions.
13. Distal
Answer Farthest away from the origin.
14. Which of the following provisions ensures that an insured's benefits from all