Exam 19: Electronic Medical Claims Processing

Both the patient and the __________ (the person responsible for paying the bills) must be added to the medical practice management software when entering a new account.

Can an Explanation of Benefits (EOB) contain information about more than one patient?

If a patient becomes seriously ill while in the office and must be transported to the hospital by ambulance, his or her emergency contact will be listed on the encounter form.

CPT codes and a brief descriptor of services provided can be found on the: A)registration form. B)encounter form. C)Explanation of Benefits (EOB). D)provider claim form.

Patient __________ information includes name, address, date of birth, and marital and employment status.

When a patient authorizes insurance payments to be made directly to the insurance company, the signature would appear on the: A)registration form. B)Explanation of Benefits (EOB). C)encounter form. D)preauthorization form.

The report run at the end of the day that reflects all posting activity for that day is called the __________ .

The group number and policy number associated with a patient's primary and secondary insurance will be found on the: A)registration form. B)encounter form. C)walkout receipt. D)preauthorization form.

Charges are posted to a patient account from information found on the Explanation of Benefits (EOB).

If the medical office specialist cannot find a CPT code in the medical practice management software, he or she should: A)use the closest code. B)ask the physician for a different code. C)enter the new code into the database. D)call the insurance carrier for assistance.

What is the first step the medical office specialist should take in the posting process?

The fee that the provider is charging for a service can be found on the: A)registration form. B)Explanation of Benefits (EOB). C)encounter form. D)Patient Day Sheet.

What is the purpose of a walkout receipt?

What is a Patient Day Sheet?

The medical office specialist should enter ICD-9-CM code(s) directly from the patient history in the medical record.

Which document provides a record for the patient of the financial transactions associated with a particular encounter? A)Patient information form B)Walkout receipt C)Explanation of Benefits (EOB) D)Balance sheet

Imitating a situation or behavior as part of a learning process or training exercise is known as a: A)simplification. B)deception. C)re-creation. D)simulation.

The guarantor on a patient account is the person who: A)provided authorization for services. B)referred the patient to the physician. C)is responsible for the payment of bills. D)is the patient's emergency contact.

Where should the medical office specialist find the CPT and ICD-9 codes needed to post charges to a patient account?

When the medical office specialist stops posting for the day, he or she should: A)close the office and go home. B)generate and print reports to review the next day. C)generate and review reports and balance all transactions. D)generate and review reports and inform the physician of any discrepancies.