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EHR BY LETTY 84-110

Beschreibung

Quiz on EHR BY LETTY 84-110, created by letty reyes on 10/01/2018.
letty reyes
Quiz von letty reyes, aktualisiert more than 1 year ago
letty reyes
Erstellt von letty reyes vor mehr als 6 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
If a child covered by both a primary and secondary insurance is charged $350.00 for a procedure. The primary insurance pays $275.00. How is the remaining balance paid?
Antworten
  • The patient’s parents are responsible for the remaining balance.
  • The medical assistant submits a claim with the secondary insurance for $275.00.
  • The medical assistant submits a claim with the secondary insurance for $75.00.
  • The medical assistant submits a claim with the secondary insurance for $350.00.

Frage 2

Frage
True or false? Math skills are not important for the medical assistant because everything is done on the computer.
Antworten
  • True
  • False

Frage 3

Frage
A payment system in which payments to providers are fixed and based on the number of enrollees over a period of time regardless of the type or numbers of services provided is called:
Antworten
  • capitation
  • medigap
  • limiting fee
  • POS

Frage 4

Frage
True or false? Each insurance carrier will have its own negotiated fee schedule.
Antworten
  • True
  • False

Frage 5

Frage
True or false? A medical office might have a separate fee schedule for patient’s paying out-of-pocket.
Antworten
  • True
  • False

Frage 6

Frage
True or false? Unless prohibited by law, a medical office may have more than one fee schedule established by different insurance carriers.
Antworten
  • True
  • False

Frage 7

Frage
True or false? During the patient interview, the medical assistant should document the patient’s statements into the progress note.
Antworten
  • True
  • False

Frage 8

Frage
True or false? A professional appearance including clean scrubs, groomed hair, and appropriate makeup will contribute to the professionalism of the medical office and gain the patient’s trust.
Antworten
  • True
  • False

Frage 9

Frage
In order to ensure that Casey is comfortable, the medical assistant should __________
Antworten
  • maintain eye contact
  • keep the exam room door open
  • give Casey a hug
  • sit next Casey on the exam table

Frage 10

Frage
True or false? A day sheet tracks all of the patient transactions for one specific day in a medical office.
Antworten
  • True
  • False

Frage 11

Frage
True or false? Only payments made at the medical office are recorded on the day sheet.
Antworten
  • True
  • False

Frage 12

Frage
A medical assistant should record which of the following transactions on the day sheet?
Antworten
  • An insurance payment received in the daily mail, a patient payment dropped off at the medical office, and a bankruptcy adjustment.
  • A bankruptcy adjustment.
  • A patient payment dropped off at the medical office.
  • An insurance payment received in the mail.

Frage 13

Frage
The total on the __________ should match the total on the bank deposit slip.
Antworten
  • day sheet
  • superbill
  • claim
  • patient ledger

Frage 14

Frage
In alphabetic filing, a patient’s first name is the __________ filing unit.
Antworten
  • FOURTH
  • SECOND
  • FIRST
  • THIRD

Frage 15

Frage
True or false? Correspondence with a patient does not need to be included in the patient’s medical record.
Antworten
  • True
  • False

Frage 16

Frage
True or false? Workers’ compensation has its own fee schedule and a provider cannot bill a patient for the difference between their billed amount and workers’ compensation allowed amount.
Antworten
  • True
  • False

Frage 17

Frage
What services does workers’ compensation pay for?
Antworten
  • REHABILITATION
  • WAGE REPLACEMENT
  • DEATH BENEFITS
  • REHABILITATION, WAGE REPLACEMENT, DEATH BENEFITS

Frage 18

Frage
True or false? Services performed one month ago cannot be submitted for reimbursement.
Antworten
  • True
  • False

Frage 19

Frage
When a patient gives permission for the insurance carrier to pay the provider directly, this is called:
Antworten
  • managed care.
  • assignment of benefits.
  • resource utilization group.
  • third-party administrator.

Frage 20

Frage
True or false? The Explanation of Benefits (EOB) is not a bill, but a summary of the services submitted and insurance payments to the doctor’s office.
Antworten
  • True
  • False

Frage 21

Frage
__________ plans reimburse physicians according to the procedures performed.
Antworten
  • CAPITATION
  • CAPITA
  • DEDUCTIBLE
  • FEE FOR SERVICE

Frage 22

Frage
The cost-sharing measure in which the insured pays a percentage of the insurance carrier’s allowed amount is called:
Antworten
  • CODEDUCTIBLE
  • COPAYMENT
  • COINSURANCE
  • COPREMIUM

Frage 23

Frage
When a patient is covered under more than one policy, __________ is used to ensure the claim is not paid to more than 100%.
Antworten
  • AN ADJUSTMENT
  • CROSS-REFERENCE
  • BENEFIT OVERLAP
  • COORDINATION OF BENEFITS

Frage 24

Frage
True or false? Refunds owed to the patient can be provided as a standing credit balance or the medical assistant can issued a refund check to the patient.
Antworten
  • True
  • False

Frage 25

Frage
True or false? All office equipment should be documented on the office inventory and checked for regular maintenance and repair so they are in proper working order for patient use.
Antworten
  • True
  • False

Frage 26

Frage
True or false? It is important to know a patient’s insurance carrier before looking up the cost of a procedure in the fee schedule.
Antworten
  • True
  • False

Frage 27

Frage
Posting information to the day sheet would be considered a __________ activity, whereas using the information from the day sheets and other forms to create a document that summarizes the medical office’s finances would be this type of activity: __________
Antworten
  • accounting, bookkeeping
  • insurance, financial
  • financial, insurance
  • bookkeeping, accounting

Frage 28

Frage
Billing statements should be sent to patients:
Antworten
  • biweekly
  • every 90 days
  • at the beginning and middle of the month
  • monthly

Frage 29

Frage
A financial statement that records the charges, receipts and services rendered on a given day is a:
Antworten
  • balance sheet
  • day sheet
  • petty cash fund
  • checkbook

Frage 30

Frage
Patient statements are generated:
Antworten
  • quarterly
  • monthly
  • every two months
  • weekly

Frage 31

Frage
The abbreviation DOS stands for:
Antworten
  • date of stamp
  • date of symptom
  • date of signature
  • date of service

Frage 32

Frage
Which of the following are CPT codes for the administration of the influenza vaccine?
Antworten
  • G0008
  • 90658, 90471, and G0008
  • 90658
  • 90471

Frage 33

Frage
The procedural code for Diagnostic Mammogram of both breasts is __________
Antworten
  • 77065
  • 77056
  • 77560
  • 77650

Frage 34

Frage
True or false? The progress note is a summary of the procedures and diagnosis of the visit office.
Antworten
  • True
  • False

Frage 35

Frage
True or false? OTC stands for over-the-counter.
Antworten
  • True
  • False

Frage 36

Frage
A referral is:
Antworten
  • required for all patients.
  • a request for a specialist opinion.
  • a transfer of specific care of the patient.
  • provided for certain procedures or hospital admissions

Frage 37

Frage
Mr. Caudill is feeling depressed about his new diagnosis. The medical assistant knows of another patient who was recently diagnosed with the same disorder and gives Mr. Caudill the patient’s phone number. Which of the following statements regarding the medical assistant’s actions are true:
Antworten
  • The medical assistant violated Title One of HIPAA and could face disciplinary action.
  • The medical assistant did nothing wrong.
  • The medical assistant helped the patient network with others.
  • The medical assistant violated Title Two of HIPAA and could face disciplinary action.

Frage 38

Frage
What does the acronym SOAPE represent?
Antworten
  • Shivering, outward, aching, pain, eventual
  • Sickness, observation, aching, pain, elevation
  • Subjective data, objective data, assessment, plan, and evaluation
  • Stomach, ovary, ankle, pancreas, ear

Frage 39

Frage
After a claim is processed, payment and the remittance advice (RA) are sent to the:
Antworten
  • guarantor
  • patient
  • health plan
  • provider

Frage 40

Frage
True or false? The total amount of cash and checks needs to be documented at the bottom of the deposit slip.
Antworten
  • True
  • False

Frage 41

Frage
Which of the following statements regarding EFT is false?
Antworten
  • EFT allows payment to be automatically deposited into the provider account
  • EFT still has a corresponding remittance advice (RA).
  • EFT still requires the endorsement of a check
  • EFT still requires the endorsement of a check, allows payment to be automatically deposited, and still has a corresponding remittance advice (RA)

Frage 42

Frage
True or false? Checks are documented individually on a deposit slip.
Antworten
  • True
  • False

Frage 43

Frage
All checks prepared for a deposit must be:
Antworten
  • endorsed
  • photocopied
  • arranged in numerical order by check number
  • stamped "paid in full'

Frage 44

Frage
True or false? The medical assistant only needs to be aware of deposits and checks when reconciling a bank statement.
Antworten
  • True
  • False

Frage 45

Frage
True or false? The medical assistant only needs to document checks received from insurance carriers on the bank deposit slip.
Antworten
  • True
  • False

Frage 46

Frage
True or false? It is appropriate to charge a fee for NSF checks.
Antworten
  • True
  • False

Frage 47

Frage
f a patient mails a check payment without having sufficient funds, the medical office could:
Antworten
  • deduct the amount from the medical office’s checking account balance.
  • add the amount due back to the patient ledger.
  • document a description of the transaction in the patient ledger.
  • deduct the amount from the medical office’s checking account balance, add the amount due back to the patient ledger, or document a description%2

Frage 48

Frage
True or false? Postdated checks are not accepted as payment in the medical office.
Antworten
  • True
  • False

Frage 49

Frage
NSF stands for:
Antworten
  • non-sufficient funds
  • negative sum funds
  • neutrally subtracted funds
  • non-secure funds

Frage 50

Frage
What types of payment are most commonly used in the medical office?
Antworten
  • cash
  • cash, personal check, or credit card
  • cash or personal check
  • cash, personal check, or third party check only

Frage 51

Frage
True or false? Cash and checks are listed separately on the deposit slip.
Antworten
  • True
  • False

Frage 52

Frage
Bank deposit slips should be prepared:
Antworten
  • by the physician only
  • weekly
  • monthly
  • daily

Frage 53

Frage
True or false? A patient’s outstanding balances are accounts payable.
Antworten
  • True
  • False

Frage 54

Frage
True or false? The medical office may not impose a returned check fee for NSF checks because it is against insurance agreements.
Antworten
  • True
  • False

Frage 55

Frage
True or false? It is acceptable to insist on cash only payments from patients with previous NSF checks.
Antworten
  • True
  • False

Frage 56

Frage
True or false? Third party checks have a greater risk of being NSF.
Antworten
  • True
  • False

Frage 57

Frage
If the patient writes “payment in full” and the account is not fully paid, the medical assistant should scratch the documentation from the check.
Antworten
  • True
  • False

Frage 58

Frage
What precautions should be taken when accepting a check?
Antworten
  • Do not accept third party checks.
  • Scan the check for accuracy.
  • Scan for accuracy, don't accept checks made out for more money than owed, and don't accept third party checks.
  • Do not accept checks made out for more money than owed.

Frage 59

Frage
Which detail should be documented on a check?
Antworten
  • Payee name
  • Correct date
  • Payee name, correct date, and amount
  • Amount

Frage 60

Frage
True or false? The biller should not contact the patient about past due balances at their employment unless the work phone contact has been approved by the patient.
Antworten
  • True
  • False

Frage 61

Frage
True or false? The Federal Trade Commission (FTC) enforces the Fair Debt Collection Practices Act (FDCPA). This act encourages debt collectors to use abusive, unfair, or deceptive practices to collect past due monies.
Antworten
  • True
  • False

Frage 62

Frage
True or false? It is good practice to document the date and time you attempt to call patients about collections on accounts.
Antworten
  • True
  • False

Frage 63

Frage
True or false? The Internet is a good resource when trying to collect money owed from a patient who has moved without leaving a forwarding address.
Antworten
  • True
  • False

Frage 64

Frage
True or false? A blank prescription is documented as an in-office order in the Order Entry section of the patient record.
Antworten
  • True
  • False

Frage 65

Frage
True or false? The medical assistant must document the date and time of a phone message in order to determine the average turnaround time to complete messages.
Antworten
  • True
  • False

Frage 66

Frage
According to Amma Patel’s Phone Encounter, Ms. Patel called Walden-Martin: __________
Antworten
  • two days ago.
  • yesterday.
  • this morning.
  • this afternoon.

Frage 67

Frage
True or false? It is not important to document the time Ms. Patel plans to pick up her prescription.
Antworten
  • True
  • False

Frage 68

Frage
Which of the following orders can be generated by clicking the Add button beneath the Out-of-Office table?
Antworten
  • Medication prescription
  • Requisition
  • Blank prescription
  • All of the above

Frage 69

Frage
You can access a specific patient encounter by selecting __________
Antworten
  • Patient Demographics.
  • the Clinical Care module.
  • the Record dropdown menu.
  • an encounter listed in the Patient Dashboard.

Frage 70

Frage
The ICD-10 CM code for obesity is __________
Antworten
  • E65.9.
  • E66.9.
  • E66.0.
  • E60.0.

Frage 71

Frage
True or False? The certified medical assistant is permitted to prepare a non-medical prescription, such as an order for a fitness center, for provider approval using a documented order in the patient record.
Antworten
  • True
  • False

Frage 72

Frage
True or false? It is not necessary for the order to be documented in the patient record before the medical assistant can generate an order.
Antworten
  • True
  • False

Frage 73

Frage
In order to document the University Laboratory results for Ms. Yan, the medical assistant should: __________
Antworten
  • click on the Superbill.
  • document the results within the Phone Encounter only. No other documentation is necessary.
  • select “Diagnostic/Lab Results” from the Clinical Care info panel.
  • use the Order Entry record section in Clinical Care.

Frage 74

Frage
True or false? Z86.73 is part of the ICD-9 CM coding system.
Antworten
  • True
  • False

Frage 75

Frage
ICD-10 CM code Z79.01 is used to identify which patient condition?
Antworten
  • Transient Ischemic Attack (TIA)
  • Long Term Use of Anticoagulants
  • Traumatic Brain Injury (TBI)
  • CVA

Frage 76

Frage
True or false? The date field within the Diagnostic/Lab Results tab is the date the medical office receives the results.
Antworten
  • True
  • False

Frage 77

Frage
True or false? The Problem List allows the user to enter both the ICD 9 CM code and ICD 10 code as part of the record.
Antworten
  • True
  • False

Frage 78

Frage
The ICD-10 CM code for Personal History of CVA is Z86.73. This code is also used for which condition?
Antworten
  • Transient Ischemic Attack (TIA)
  • Pulmonary Embolism
  • Traumatic Brain Injury (TBI)
  • Parkinson’s Disease

Frage 79

Frage
The ECG has a cost of $89.00. Where will the user obtain the charge for service to document on the Insurance Tracer?
Antworten
  • Superbill
  • Completed Claim
  • Completed Claim, Superbill, and Fee Schedule
  • Fee Schedule

Frage 80

Frage
Which data elements are part of the Insurance Claim Tracer?
Antworten
  • Date of service, date of claim submission, and procedure with charge
  • Date of Claim submission
  • Date of service
  • Procedure with charge

Frage 81

Frage
True or false? The policy ID of the patient account is not part of the Insurance Claim Tracer.
Antworten
  • True
  • False

Frage 82

Frage
The Insurance Claim Tracer was generated: __________
Antworten
  • because the original claim was denied.
  • as an alternative method of claim submission.
  • as a follow up to a claim yet to be paid.
  • as a method of adding additional services for reimbursement.

Frage 83

Frage
True or false? The date of service and date of claim are always different.
Antworten
  • True
  • False

Frage 84

Frage
True or false? The Insurance Claim Tracer is generated from the Correspondence function of SimChart for the Medical Office.
Antworten
  • True
  • False

Frage 85

Frage
The Insurance Claim Tracer is available in __________ .
Antworten
  • Correspondence
  • the Superbill.
  • the Form Repository.
  • the Clinical Care module.

Frage 86

Frage
The status of the Ella Rainwater’s claim for this encounter is: __________
Antworten
  • denied.
  • resubmitted.
  • submitted.
  • in progress.

Frage 87

Frage
The Alzheimer’s Disease handout is found under what category of the Patient Education record?
Antworten
  • Health Promotion
  • Procedures
  • Diagnosis
  • Tests

Frage 88

Frage
True or false? Prior Authorization is located in the Form Repository.
Antworten
  • True
  • False

Frage 89

Frage
Which field of the Prior Authorization form signifies the patient’s eligibility of managed care services?
Antworten
  • Effective date
  • Authorization number
  • Procedure code
  • Expiration date

Frage 90

Frage
True or false? Prior authorization forms have both an effective and expiration date.
Antworten
  • True
  • False

Frage 91

Frage
Which of the following is listed on the Prior Authorization form?
Antworten
  • Diagnosis
  • Procedure, diagnosis, and expiration date
  • Procedure
  • Expiration date
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