AND ANSWERS SURE A+
✔✔What is the purpose of scheduling?
A: To ensure there is staff, resources, and equipment to meet the patient's needs.
B: To ensure physicians are happy
C: To generate revenue for the facility
D: To increase point-of-service collections - ✔✔A: To ensure there is staff, resources
and equipment to meet the patient's needs
✔✔What documents should the patient bring with them to their appointment?
A: Insurance cards, ID, physician order if available and physician referrals.
B: List of medicines
C: Tax records
D: None of the above, patients should not bring any valuables to the facility. - ✔✔A:
Insurance cards, ID, physician order if available, and physician referrals.
✔✔What are the elements of a compliant order?
A: Reason for ordering the test or service, service requested, patient complete name,
and date of birth.
B: Reason for ordering the test or service, test or service requested, provider's name,
provider's signature, patient complete name, and patient date of birth.
C: Reason for the test, test requested, cost of test, provider's name and signature. -
✔✔B: Reason for ordering the test or service, test or service requested, provider's
name, provider's signature, patient complete name, and patient date of birth
✔✔The part of the process by which patients are referred to a healthcare provider is
called _______?
A: Onboarding
B: Centralized scheduling
C: Referral services
D: Pre-registration - ✔✔C: Referral services
, ✔✔When might additional clinical documentation be required?
A: For certain payers in order to obtain authorization
B: If the patient has recently been seen at another facility
C: If the patient is a new patient.
D: None of the above, with electronic medical records, everything should be there. -
✔✔A: For certain payers in order to obtain authorization
✔✔Appointment reminders help reduce?
A: No shows
B: Cost
C: Volumes
D: Customer satisfaction - ✔✔A: No shows
✔✔What are the five data attributes of NAHAM's Best Practice Recommendations?
A: Patient name, date of birth, address(es), phone number(s), sex/gender
B: Patient name, date of birth, subscriber name, address(es), sex/gender
C: Patient name, address(es), phone number(s), insurance, sex/gender
D: Sex/gender, patient name, date of birth, next of kin, address(es) - ✔✔A: Patient
name, date of birth, address(es), phone number(s), sex/gender
✔✔What law gives the patient his/her right to use of his/her medical information?
A: OIG
B: HIPAA
C: NAFTA
D: ACA - ✔✔B: HIPAA
✔✔What steps are involved in the financial clearance process?
A: Verify demographics and insurance information are correct
B: verify eligibility, determine prior authorization requirements
C: Calculate estimates and out-of-pocket cost
D: Qualify patient for discount or charity care, calculate propensity-to-pay score.
E: All of the above - ✔✔E: All of the above
✔✔What is the first step to verifying eligibility?
A: Contacting the insurance company
B: Asking the patient
C: Copying the insurance card
D: collecting the out-of-pocket due - ✔✔A: Contacting the insurance company
✔✔What is COB?
A. Coordination of benefits
B. Could not obtain benefits
C. Collection of benefits