Test Bank For Fordney’s Medical Insurance and Billing, 11th - 2023 All Chapters - 9780323795357.pdf

TEST BANK Fordney's Medical Insurance and Billing 16/E Linda Smith
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Chapter 01: Role of an Insurance Billing Specialist
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Smith: Fordney’s Medical Insurance and Billing, 16th Edition
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MULTIPLEdCHOICE

1. Thedprimarydgoaldofdandinsurancedbillingdspecialistdis:
a. todmanagedthedhealthdcaredorganization’sdbillingdoffice
b. todensuredthedcashdflowdofdadhealthdcaredorganizationdthroughdrevenuedcycled
management
c. todsenddbillsdtodpatientsdfordservicesdtheydreceive
d. todpostdpaymentsdreceiveddfromdpatientsdanddinsurancedcarriers

ANS:d B DIF: Moderate OBJ:d d 2

2. Facilitydbillingdincludesdchargingdfordmedicaldservicesdprovideddby:
a. physicians
b. laboratorydservices
c. ambulancedservices
d. ambulatorydsurgicaldcenters

ANS:d D DIF: Easy OBJ:d d 2

3. Adclaimsdassistancedprofessional
a. worksdfordthedconsumer.
b. worksdfordthedhealthdcaredorganization.
c. worksdfordandinsurancedcompany.
d. worksdfordthedfederaldgovernment.
ANS:d A DIF: Easy OBJ:d d 2

4. Whatdisd“cashdflow”dindadmedicaldpractice?
a. Thedactualdmoneydavailabledtodadmedicaldpractice
b. Thedamountdofdmoneydreceiveddbydadmedicaldpracticedind1dday
c. Thedamountdofdmoneydreceiveddbydadmedicaldpracticedind1dmonth
d. Thedamountdofdoutstandingdmoneydondthedaccountsdreceivable

ANS:d A DIF: Moderate OBJ:d d 2

5. Whichdleveldofdeducationdisdgenerallydrequireddfordonedwhodseeksdemploymentdasdandinsurancedc
oder?
a. Collegeddiploma
b. Highdschoolddiploma
c. Completiondofdandaccrediteddprogramdfordcodingdcertification
d. Nodspecificdleveldofdeducationdisdrequired

ANS:d C DIF: Easy OBJ:d d 4

6. Thedamountdofdmoneydandinsurancedbillingdspecialistdearnsdisddependentdondwhichdofdthedf
ollowingdfactors?
a. Knowledge
b. Experience

, c. Sizedofdemployingdinstitution
d. Alldaredcorrect

ANS:d D DIF: Moderate OBJ:d d 5

7. Adself-employeddmedicaldinsurancedbillerdwhoddoesdindependentdcontractingdisdresponsibledfor
a. advertising.
b. billing.
c. accounting.
d. Alldaredcorrect.

ANS:d D DIF: Hard OBJ:d d 2

8. Medicaldetiquettedrefersdto
a. considerationdfordothers.
b. moraldprinciplesdordpractices.
c. laws.
d. thedOathdofdHippocrates.

ANS:d A DIF: Moderate OBJ:d d 9

9. Thedprocessdofdshorteningdwordsdanddusingdabbreviationsdthatddodnotdfollowdstandarddgramma
r,dspellingdanddpunctuationdwhendwritingdelectronicdmaildcommunicationsdisdreferreddtodas:
a. emoticons
b. abbreviations
c. textdspeak
d. shortdtext
ANS:d C DIF: Easy OBJ:d d 9

10. Professionaldethicsdinclude
a. statedlaws.
b. federaldlaws.
c. standardsdofdconduct.
d. civildtorts.

ANS:d C DIF: Moderate OBJ:d d 9

11. Thedearliestdwrittendcodedofdethicaldprinciplesdfordthedmedicaldprofessiondisdthe
a. OathdofdHippocrates.
b. Socraticdoath.
c. CodedofdHammurabi.
d. Medicolegaldoath.

ANS:d C DIF: Easy OBJ:d d 9

12. WhatdisdthednamedofdthedmoderndcodedofdethicsdthatdthedAmericandMedicaldAssociationd(AMA)da
dopteddind1980?
a. ThedModerndStandardsdofdConductdCode
b. ThedPrinciplesdofdMedicaldEthics
c. ThedOathdofdHippocrates
d. ThedAmericandMedicaldAssociationdCodedofdEthics

, ANS:d B DIF: Easy OBJ:d d 9

13. Reportingdincorrectdinformationdtodgovernment-fundeddprogramsdis
a. unethical.
b. illegal.
c. abuse.
d. fraud.

ANS:d B DIF: Moderate OBJ:d d 9

14. Theddoctrinedstatingdthatdphysiciansdaredlegallydresponsibledfordbothdtheirdowndconductdanddthatdo
fdtheirdemployeesdisdknowndas
a. respondeatdsuperior.
b. letdthedmasterdanswer.
c. vicariousdliability.
d. Alldaredcorrect.

ANS:d D DIF: Hard OBJ:d d 10

15. Whatdisdthedindependentdcontractor’sdliabilitydifdtheydoperatedtheirdowndmedicaldinsuranced
billingdcompany?
a. None.dThedprofessionaldliabilitydinsurancedofdthedcompanydtheydcontractdwithdwilldc
overdthem.
b. Thedindependentdcontractordisdliabledanddshoulddpurchasederrorsdanddomissionsdi
nsurance.
ANS:d B DIF: Moderate OBJ:d d 10


COMPLETION

1. isdthedtotaldincomedproduceddbydadhealthdcaredorganization.

ANS:d Revenue

DIF: Moderate OBJ:d d 1

2. Andindividualdhealthdcaredprovider’sdpatientdchartsdwhichdincludesdnotesdanddinformationd
collecteddbydthemdisdreferreddtodasdthe:d

ANS:d Medicaldrecord

DIF: Moderate OBJ:d d 3

3. Informationdcollecteddfromdcliniciansdindalldhealthdcaredorganizationsdwhodaredinvolveddindadp
atient’sdcaredwhichdisdmadedavailabledtodalldauthorizeddcliniciansdtodaccessdwhendprovidingdpa
tientd cared isd the:d d d d

ANS:d Healthdrecord

DIF: Moderate OBJ:d d 3

, 4. Chargingdfordservicesddonedindhospitals,dacutedcaredhospitals,dskilleddnursingdordlong-
termdcaredfacilities,drehabilitationdcenters,dordambulatorydsurgicaldcentersdisdknowndasd
billing.

ANS:d facility

DIF: Moderate OBJ:d d 2

5. Chargingdfordservicesdperformeddbydphysicians,dnursedpractitioners,dlicenseddclinicaldsociald
workersdanddphysicaldtherapistsdisdknowndasd billing.

ANS:d professional

DIF: Moderate OBJ:d d 2

6. Individualsdwhodaredemployeddbydandinsurancedcarrierdanddwhosedroledisdtodanalyzedanddpro
cessdincomingdclaims,dcheckingdthemdfordvaliditydandddeterminingdifdthedservicesdweredreas
onabledanddnecessarydaredreferreddtodasd .

ANS:d claimsdexaminers

DIF: Moderate OBJ:d d 3

7. Individualsdwhodworkdfordconsumersdanddhelpdpatientsdorganize,dfiledanddnegotiatedhealthdi
nsurancedclaims.d

ANS:d Claimsdassistancedprofessionals

DIF: Easy OBJ:d d 3

8. Patientsdwhoddodnotdhavedanydmedicaldinsurancedanddaredliabledfordthedentiredbilldaredreferreddtoda
sd patients.

ANS:d self-pay

DIF: Easy OBJ:d d 3

9. Transmitting,dreceiving,dstoring,danddforwardingdofdtext,dvoicedmessages,dattachments,dordi
magesdbydcomputerdfromdonedpersondtodanotherdisdreferreddtodasd mail.

ANS:d electronic

DIF: Moderate OBJ:d d 3

10. Standardsdofdconductdbydwhichdandinsurancedbillingdspecialistddeterminesdthedproprietydofdhisdo
rdherdbehaviordindadrelationshipdaredknowndasdmedicald .

ANS:d ethics

DIF: Moderate OBJ:d d 9

11. ThedGreekdphysiciandknowndasdthedFatherdofdMedicineddeviseddthed .