Exam 1: Role of an Insurance Billing Specialist

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 services that were not performed for payment.

Reporting incorrect information to private insurance carriers is considered

Why are multiskilled health practitioners (MSHPs) in demand?

Which code of ethics is most appropriate for an insurance billing specialist who handles medical records?

Insurance specialist certificate programs include

The Centers for Medicare and Medicaid Services, formerly known as the Health Care Financing Administration, adopted the Principles of Medical Ethics in 1980.

The earliest written code of ethical principles of medicine is called the ____________________.

The best way for an insurance specialist to keep up to date in the profession is to read health care industry association publications, attend seminars on billing and coding, and participate in e-mail listserv discussions.

All insurance billing specialists should check with their physician employers to see whether the specialist is included in the medical professional ____________________ insurance policy.

Medical billing employees should be able to perform a variety of administrative duties pertaining to the business office.

Obtaining and recording patient data using a questionnaire before that person's first visit is known as ____________________.

Illegal coding practices are subject to penalties, fines, and/or imprisonment.

Maintenance of health information records and distribution of mail to various departments in an office is done by a ____________________.

Physicians are paid on the basis of _________________________ units.

Cost pressures on health care providers are forcing employers to reduce personnel costs by hiring

Standards of conduct by which an insurance billing specialist determines the propriety of his or her behavior in a relationship are known as medical ____________________.

The title used for medical billing personnel may depend on the region of the United States where they work.

At certain times medical office staff members are allowed to make critical remarks about a physician to a patient.

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. -Assigning a code without documentation from the provider.

The AHIMA Code of Ethics is appropriate for