Question 1

Medical ethics include

Accepted Answer

A)  state laws. 
B)  federal laws. 
C)  standards of conduct. 
D)  civil torts. 
A)  state laws. 
B)  federal laws. 
C)  standards of conduct. 
D)  civil torts. C

Question 2

A billing specialist is entrusted with

Accepted Answer

A)  holding patients' medical information in confidence. 
B)  collecting monies. 
C)  being a reliable resource for co-workers. 
D)  all of the above. 
A)  holding patients' medical information in confidence. 
B)  collecting monies. 
C)  being a reliable resource for co-workers. 
D)  all of the above. D

Question 3

An insurance billing specialist uses general skills in following an employer's established policies when dealing with the health care contract.

Accepted Answer

A) True 
 B)False  True

Question 4

It is commonplace to find administrative duties shared by a number of specialists in the physician's office.

Accepted Answer

A) True 
 B)False

Question 5

Administrative medical office responsibilities include

Accepted Answer

A)  laboratory analyses. 
B)  claims submission. 
C)  taking x-rays. 
D)  venipunctures. 
A)  laboratory analyses. 
B)  claims submission. 
C)  taking x-rays. 
D)  venipunctures.

Question 6

Working in a physician's office as an insurance billing specialist carries greater responsibilities than operating a self-owned insurance billing business.

Accepted Answer

A) True 
 B)False

Question 7

The doctrine stating that physicians are legally responsible for both their own conduct and that of their employees is known as

Accepted Answer

A)  respondeat superior. 
B)  let the master answer. 
C)  vicarious liability. 
D)  all of the above. 
A)  respondeat superior. 
B)  let the master answer. 
C)  vicarious liability. 
D)  all of the above.

Question 8

Electronic claims submissions are a format of the past.

Accepted Answer

A) True 
 B)False

Question 9

MATCHING
Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed.

-Using code numbers to increase payment when case documentation does not warrant it.

Accepted Answer

A) Illegal 
B) Unethical 
C) Both illegal and unethical 
A) Illegal 
B) Unethical 
C) Both illegal and unethical

Question 10

A self-employed medical insurance biller who does independent contracting is responsible for

Accepted Answer

A)  advertising. 
B)  billing. 
C)  accounting. 
D)  all of the above. 
A)  advertising. 
B)  billing. 
C)  accounting. 
D)  all of the above.

Question 11

Which level of education is generally required for one who seeks employment as an insurance coder?

Accepted Answer

A)  College diploma. 
B)  High school diploma. 
C)  Completion of an accredited program for coding certification. 
D)  No specific level of education is required. 
A)  College diploma. 
B)  High school diploma. 
C)  Completion of an accredited program for coding certification. 
D)  No specific level of education is required.

Question 12

MATCHING
Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed.

-Coding a condition as primary when the majority of the treatment is for a preexisting condition.

Accepted Answer

A) Illegal 
B) Unethical 
C) Both illegal and unethical 
A) Illegal 
B) Unethical 
C) Both illegal and unethical

Question 13

Which organization published diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements for physician billing?

Accepted Answer

A)  American Management Association (AM
A)  
B)  American Academy of Professional Coders (AAP
C)  
C)  American Association of Medical Assistants (AAM
A)  
D)  American Health Information Management Association (AHIM
A)  
A)  American Management Association (AM
A)  
B)  American Academy of Professional Coders (AAP
C)  
C)  American Association of Medical Assistants (AAM
A)  
D)  American Health Information Management Association (AHIM
A)

Question 14

What does the abbreviation MSHP designate?

Accepted Answer

A)  Multiple service health care professional 
B)  Multiskilled health practitioner 
C)  Multiskilled health professional 
D)  Managed care solo health practice 
A)  Multiple service health care professional 
B)  Multiskilled health practitioner 
C)  Multiskilled health professional 
D)  Managed care solo health practice

Question 15

It is acceptable practice for medical office personnel to use a patient's first name when speaking to the patient about his or her insurance.

Accepted Answer

A) True 
 B)False

Question 16

The Greek physician known as the Father of Medicine devised the ____________________.

Accepted Answer

The answer of The Greek physician known as the Father...

Question 17

A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts.

Accepted Answer

A) True 
 B)False

Question 18

In some states, giving an insured client advice on purchase or discontinuance of insurance policies is construed as being an insurance agent.

Accepted Answer

A) True 
 B)False

Question 19

Physicians are legally responsible for any actions of their employees performed within the context of their employment; therefore, an employee cannot be sued or brought to trial.

Accepted Answer

A) True 
 B)False

Question 20

Reporting incorrect information to government-funded programs is

Accepted Answer

A)  unethical. 
B)  illegal. 
C)  abuse. 
D)  fraud. 
A)  unethical. 
B)  illegal. 
C)  abuse. 
D)  fraud.

Medical ethics include

A billing specialist is entrusted with

An insurance billing specialist uses general skills in following an employer's established policies when dealing with the health care contract.

It is commonplace to find administrative duties shared by a number of specialists in the physician's office.

Administrative medical office responsibilities include

Working in a physician's office as an insurance billing specialist carries greater responsibilities than operating a self-owned insurance billing business.

The doctrine stating that physicians are legally responsible for both their own conduct and that of their employees is known as

Electronic claims submissions are a format of the past.

MATCHING Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed. -Using code numbers to increase payment when case documentation does not warrant it.

A self-employed medical insurance biller who does independent contracting is responsible for

Which level of education is generally required for one who seeks employment as an insurance coder?

MATCHING Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed. -Coding a condition as primary when the majority of the treatment is for a preexisting condition.

Which organization published diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements for physician billing?

What does the abbreviation MSHP designate?

It is acceptable practice for medical office personnel to use a patient's first name when speaking to the patient about his or her insurance.

The Greek physician known as the Father of Medicine devised the ____________________.

A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts.

In some states, giving an insured client advice on purchase or discontinuance of insurance policies is construed as being an insurance agent.

Physicians are legally responsible for any actions of their employees performed within the context of their employment; therefore, an employee cannot be sued or brought to trial.

Reporting incorrect information to government-funded programs is

Compliance, Privacy, Fraud, and Abuse in Insurance Billing

Basics of Health Insurance

Medical Documentation and the Electronic Health Record

Diagnostic Coding

Procedural Coding

The Paper Claim: Cms-1500 02-12

The Electronic Claim

Receiving Payments and Insurance Problem Solving

Office and Insurance Collection Strategies

The Blue Plans, Private Insurance, and Managed Care Plans

Medicare

Medicaid and Other State Programs

Tricare and Veterans Health Care

Workers Compensation

Disability Income Insurance and Disability Benefit Programs

Hospital Billing

Seeking a Job and Attaining Professional Advancement

Filters

Exam 1: Role of an Insurance Billing Specialist

Medical ethics include

A billing specialist is entrusted with

An insurance billing specialist uses general skills in following an employer's established policies when dealing with the health care contract.

It is commonplace to find administrative duties shared by a number of specialists in the physician's office.

Administrative medical office responsibilities include

Working in a physician's office as an insurance billing specialist carries greater responsibilities than operating a self-owned insurance billing business.

The doctrine stating that physicians are legally responsible for both their own conduct and that of their employees is known as

Electronic claims submissions are a format of the past.

MATCHING Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed. -Using code numbers to increase payment when case documentation does not warrant it.

A self-employed medical insurance biller who does independent contracting is responsible for

Which level of education is generally required for one who seeks employment as an insurance coder?

MATCHING Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed. -Coding a condition as primary when the majority of the treatment is for a preexisting condition.

Which organization published diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements for physician billing?

What does the abbreviation MSHP designate?

It is acceptable practice for medical office personnel to use a patient's first name when speaking to the patient about his or her insurance.

The Greek physician known as the Father of Medicine devised the ____________________.

A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts.

In some states, giving an insured client advice on purchase or discontinuance of insurance policies is construed as being an insurance agent.

Physicians are legally responsible for any actions of their employees performed within the context of their employment; therefore, an employee cannot be sued or brought to trial.

Reporting incorrect information to government-funded programs is

Compliance, Privacy, Fraud, and Abuse in Insurance Billing

Basics of Health Insurance

Medical Documentation and the Electronic Health Record

Diagnostic Coding

Procedural Coding

The Paper Claim: Cms-1500 02-12

The Electronic Claim

Receiving Payments and Insurance Problem Solving

Office and Insurance Collection Strategies

The Blue Plans, Private Insurance, and Managed Care Plans

Medicare

Medicaid and Other State Programs

Tricare and Veterans Health Care

Workers Compensation

Disability Income Insurance and Disability Benefit Programs

Hospital Billing

Seeking a Job and Attaining Professional Advancement

Filters