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EHR BY LETTY 84-110

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Quiz on EHR BY LETTY 84-110, created by letty reyes on 10/01/2018.
letty reyes
Quiz by letty reyes, updated more than 1 year ago
letty reyes
Created by letty reyes over 6 years ago
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Resource summary

Question 1

Question
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?
Answer
  • 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.

Question 2

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

Question 3

Question
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:
Answer
  • capitation
  • medigap
  • limiting fee
  • POS

Question 4

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

Question 5

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

Question 6

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

Question 7

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

Question 8

Question
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.
Answer
  • True
  • False

Question 9

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

Question 10

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

Question 11

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

Question 12

Question
A medical assistant should record which of the following transactions on the day sheet?
Answer
  • 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.

Question 13

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

Question 14

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

Question 15

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

Question 16

Question
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.
Answer
  • True
  • False

Question 17

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

Question 18

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

Question 19

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

Question 20

Question
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.
Answer
  • True
  • False

Question 21

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

Question 22

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

Question 23

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

Question 24

Question
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.
Answer
  • True
  • False

Question 25

Question
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.
Answer
  • True
  • False

Question 26

Question
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.
Answer
  • True
  • False

Question 27

Question
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: __________
Answer
  • accounting, bookkeeping
  • insurance, financial
  • financial, insurance
  • bookkeeping, accounting

Question 28

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

Question 29

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

Question 30

Question
Patient statements are generated:
Answer
  • quarterly
  • monthly
  • every two months
  • weekly

Question 31

Question
The abbreviation DOS stands for:
Answer
  • date of stamp
  • date of symptom
  • date of signature
  • date of service

Question 32

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

Question 33

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

Question 34

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

Question 35

Question
True or false? OTC stands for over-the-counter.
Answer
  • True
  • False

Question 36

Question
A referral is:
Answer
  • 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

Question 37

Question
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:
Answer
  • 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.

Question 38

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

Question 39

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

Question 40

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

Question 41

Question
Which of the following statements regarding EFT is false?
Answer
  • 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)

Question 42

Question
True or false? Checks are documented individually on a deposit slip.
Answer
  • True
  • False

Question 43

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

Question 44

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

Question 45

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

Question 46

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

Question 47

Question
f a patient mails a check payment without having sufficient funds, the medical office could:
Answer
  • 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

Question 48

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

Question 49

Question
NSF stands for:
Answer
  • non-sufficient funds
  • negative sum funds
  • neutrally subtracted funds
  • non-secure funds

Question 50

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

Question 51

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

Question 52

Question
Bank deposit slips should be prepared:
Answer
  • by the physician only
  • weekly
  • monthly
  • daily

Question 53

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

Question 54

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

Question 55

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

Question 56

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

Question 57

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

Question 58

Question
What precautions should be taken when accepting a check?
Answer
  • 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.

Question 59

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

Question 60

Question
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.
Answer
  • True
  • False

Question 61

Question
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.
Answer
  • True
  • False

Question 62

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

Question 63

Question
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.
Answer
  • True
  • False

Question 64

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

Question 65

Question
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.
Answer
  • True
  • False

Question 66

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

Question 67

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

Question 68

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

Question 69

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

Question 70

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

Question 71

Question
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.
Answer
  • True
  • False

Question 72

Question
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.
Answer
  • True
  • False

Question 73

Question
In order to document the University Laboratory results for Ms. Yan, the medical assistant should: __________
Answer
  • 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.

Question 74

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

Question 75

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

Question 76

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

Question 77

Question
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.
Answer
  • True
  • False

Question 78

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

Question 79

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

Question 80

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

Question 81

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

Question 82

Question
The Insurance Claim Tracer was generated: __________
Answer
  • 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.

Question 83

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

Question 84

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

Question 85

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

Question 86

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

Question 87

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

Question 88

Question
True or false? Prior Authorization is located in the Form Repository.
Answer
  • True
  • False

Question 89

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

Question 90

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

Question 91

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