Test Bank for Fordney's Medical Insurance and Billing 16th Edition by Linda M. Smith | Complete Guide with Questions & Answers

TEST BANK
h h




Fordney's Medical Insurance and Billing 16 Edition Linda Smith
h h h h h h h h

,Table of content h h




UNIT 1 Career Role and Responsibilities
h h h h h



1 Role of an Insurance Billing Specialist
h h h h h h



2 Privacy, Security, and HIPAA
h h h h



3 Compliance, Fraud, and Abuse
h h h h



UNIT 2 Introduction to Health Insurance
h h h h h



4 Basics of Health Insurance
h h h h



5 The Blue Plans, Private Insurance, and Managed Care Plans
h h h h h h h h h



6 Medicare
h



7 Medicaid and Other State Programs
h h h h h



8 TRICARE and Veterans’ Health Care
h h h h h



9 Workers’ Compensation
h h



10 Disability Income Insurance and Disability Benefit Programs
h h h h h h h



UNIT 3 Documentation and Coding for Professional Services
h h h h h h h



11 Medical Documentation and the Electronic Health Record
h h h h h h h



12 Diagnostic Coding
h h



13 Procedural Coding
h h



UNIT 4 Claims Submission in the Medical Office
h h h h h h h



14 The Paper Claim CMS-1500
h h h h



15 The Electronic Claim
h h h



UNIT 5 The Claim Follow-Up and Payment Process
h h h h h h h



16 Receiving Payments and Insurance Problem Solving
h h h h h h



17 Collection Strategies
h h



UNIT 6 Health Care Facility Billing
h h h h h



18 Introduction to Health Care Facilities and Ambulatory Surgery Centers
h h h h h h h h h



19 Billing for Health Care Facilities
h h h h h



UNIT 7 Employment
h h



20 Seeking a Job and Attaining Professional Advancement
h h h h h h h

,Chapter 01: Role of an Insurance Billing Specialist
h h h h h h h

Smith: Fordney’s Medical Insurance and Billing, 16th Edition
h h h h h h h




MULTIPLEhCHOICE

1. Thehprimaryhgoalhofhanhinsurancehbillinghspecialisthis:
a. tohmanagehthehhealthhcarehorganization’shbillinghoffice
b. tohensurehthehcashhflowhofhahhealthhcarehorganizationhthroughhrevenuehcycleh
management
c. tohsendhbillshtohpatientshforhserviceshtheyhreceive
d. tohposthpaymentshreceivedhfromhpatientshandhinsurancehcarriers
ANSWER:h B DIF: Moderate OBJ:h h 2

2. Facilityhbillinghincludeshcharginghforhmedicalhserviceshprovidedhby:
a. physicians
b. laboratoryhservices
c. ambulancehservices
d. ambulatoryhsurgicalhcenters
ANSWER:h D DIF: Easy OBJ:h h 2

3. Ahclaimshassistancehprofessional
a. workshforhthehconsumer.
b. workshforhthehhealthhcarehorganization.
c. workshforhanhinsurancehcompany.
d. workshforhthehfederalhgovernment.
ANSWER:h A DIF: Easy OBJ:h h 2

4. Whathish“cashhflow”hinhahmedicalhpractice?
a. Thehactualhmoneyhavailablehtohahmedicalhpractice
b. Thehamounthofhmoneyhreceivedhbyhahmedicalhpracticehinh1hday
c. Thehamounthofhmoneyhreceivedhbyhahmedicalhpracticehinh1hmonth
d. Thehamounthofhoutstandinghmoneyhonhthehaccountshreceivable
ANSWER:h A DIF: Moderate OBJ:h h 2

5. Whichhlevelhofheducationhishgenerallyhrequiredhforhonehwhohseekshemploymenthashanhinsurancehc
oder?
a. Collegehdiploma
b. Highhschoolhdiploma
c. Completionhofhanhaccreditedhprogramhforhcodinghcertification
d. Nohspecifichlevelhofheducationhishrequired
ANSWER:h C DIF: Easy OBJ:h h 4

6. Thehamounthofhmoneyhanhinsurancehbillinghspecialisthearnshishdependenthonhwhichhofhthehf
ollowinghfactors?
a. Knowledge
b. Experience

, c. Sizehofhemployinghinstitution
d. Allharehcorrect
ANSWER:h D DIF: Moderate OBJ:h h 5

7. Ahself-employedhmedicalhinsurancehbillerhwhohdoeshindependenthcontractinghishresponsiblehfor
a. advertising.
b. billing.
c. accounting.
d. Allharehcorrect.
ANSWER:h D DIF: Hard OBJ:h h 2

8. Medicalhetiquettehrefershto
a. considerationhforhothers.
b. moralhprincipleshorhpractices.
c. laws.
d. thehOathhofhHippocrates.
ANSWER:h A DIF: Moderate OBJ:h h 9

9. Thehprocesshofhshorteninghwordshandhusinghabbreviationshthathdohnothfollowhstandardhgramma
r,hspellinghandhpunctuationhwhenhwritinghelectronichmailhcommunicationshishreferredhtohas:
a. emoticons
b. abbreviations
c. texthspeak
d. shorthtext
ANSWER:h C DIF: Easy OBJ:h h 9

10. Professionalhethicshinclude
a. statehlaws.
b. federalhlaws.
c. standardshofhconduct.
d. civilhtorts.
ANSWER:h C DIF: Moderate OBJ:h h 9

11. Thehearliesthwrittenhcodehofhethicalhprincipleshforhthehmedicalhprofessionhishthe
a. OathhofhHippocrates.
b. Socratichoath.
c. CodehofhHammurabi.
d. Medicolegalhoath.
ANSWER:h C DIF: Easy OBJ:h h 9

12. WhathishthehnamehofhthehmodernhcodehofhethicshthaththehAmericanhMedicalhAssociationh(AMA)ha
doptedhinh1980?
a. ThehModernhStandardshofhConducthCode
b. ThehPrincipleshofhMedicalhEthics
c. ThehOathhofhHippocrates
d. ThehAmericanhMedicalhAssociationhCodehofhEthics