Comprehensive Health Insurance Billing
Coding and Reimbursement
Chapter 01: Multiple Choice Questions
1. The percentage of all healthcare providers who are physicians and nurses is:
25%.
40%.
50%.
60%.
Answer: 40%.
2. The percentage of all healthcare providers who are allied health professionals is:
25%.
40%.
50%.
60%.
Answer: 60%.
3. The increased demand for medical billers, medical office assistants, and medical
coders can be attributed to:
the growth of managed care.
physician practices' having more responsibility for filing claims.
the need for additional staff to file claims and work to obtain timely payment.
all of the above.
Answer: all of the above.
4. All of the following changes were a result of managed care EXCEPT:
physicians' having to wait 30 days or longer for payment.
physicians' having more responsibility for filing claims.
patients' having to pay for services when rendered.
physicians' having to add to their staff.
Answer: patients' having to pay for services when rendered.
5. Before the 1970s, a physician's practice would grow based on:
advertising and referrals.
managed care contracts.
consultations.
hospital affiliations.
Answer: advertising and referrals.
6. Before the 1970s, a solo practice included all of the following staff members
EXCEPT:
physician.
nurse.
certified medical biller.
receptionist.
, Answer: certified medical biller.
7. Managed care is a system in which physicians contract to participate in a health
insurance network and healthcare delivery is:
at the discretion of the physician.
provided only by in-network physicians.
based on the patient's ability to pay.
monitored to control costs.
Answer: monitored to control costs.
8. It is common for small-group practices to outsource:
billing and accounts receivable.
insurance coverage verifications.
appointment scheduling and patient reminders.
medical records management.
Answer: billing and accounts receivable.
9. A practice with three physicians would generally be categorized as a:
solo practice.
private practice.
small-group practice.
large-group practice.
Answer: small-group practice.
10. A practice with 10 or more physicians would generally be categorized as a:
solo practice.
private practice.
small-group practice.
large-group practice.
Answer: large-group practice.
11. A group of physicians with different specialties may practice together at one
outpatient facility known as a:
free clinic.
small-group practice.
multispecialty clinic.
private hospital.
Answer: multispecialty clinic.
12. Most hospitals today are owned by a:
single, private owner.
nonprofit organization.
university.
corporation.
Answer: corporation.
Coding and Reimbursement
Chapter 01: Multiple Choice Questions
1. The percentage of all healthcare providers who are physicians and nurses is:
25%.
40%.
50%.
60%.
Answer: 40%.
2. The percentage of all healthcare providers who are allied health professionals is:
25%.
40%.
50%.
60%.
Answer: 60%.
3. The increased demand for medical billers, medical office assistants, and medical
coders can be attributed to:
the growth of managed care.
physician practices' having more responsibility for filing claims.
the need for additional staff to file claims and work to obtain timely payment.
all of the above.
Answer: all of the above.
4. All of the following changes were a result of managed care EXCEPT:
physicians' having to wait 30 days or longer for payment.
physicians' having more responsibility for filing claims.
patients' having to pay for services when rendered.
physicians' having to add to their staff.
Answer: patients' having to pay for services when rendered.
5. Before the 1970s, a physician's practice would grow based on:
advertising and referrals.
managed care contracts.
consultations.
hospital affiliations.
Answer: advertising and referrals.
6. Before the 1970s, a solo practice included all of the following staff members
EXCEPT:
physician.
nurse.
certified medical biller.
receptionist.
, Answer: certified medical biller.
7. Managed care is a system in which physicians contract to participate in a health
insurance network and healthcare delivery is:
at the discretion of the physician.
provided only by in-network physicians.
based on the patient's ability to pay.
monitored to control costs.
Answer: monitored to control costs.
8. It is common for small-group practices to outsource:
billing and accounts receivable.
insurance coverage verifications.
appointment scheduling and patient reminders.
medical records management.
Answer: billing and accounts receivable.
9. A practice with three physicians would generally be categorized as a:
solo practice.
private practice.
small-group practice.
large-group practice.
Answer: small-group practice.
10. A practice with 10 or more physicians would generally be categorized as a:
solo practice.
private practice.
small-group practice.
large-group practice.
Answer: large-group practice.
11. A group of physicians with different specialties may practice together at one
outpatient facility known as a:
free clinic.
small-group practice.
multispecialty clinic.
private hospital.
Answer: multispecialty clinic.
12. Most hospitals today are owned by a:
single, private owner.
nonprofit organization.
university.
corporation.
Answer: corporation.
