Exam 1: Introduction to Professional Billing and Coding Careers

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The processing of hospital claims often takes place off site.

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A practice with 10 or more physicians would generally be categorized as a: A)solo practice. B)private practice. C)small-group practice. D)large-group practice.

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The healthcare professional who contacts insurance carriers to verify benefit information for patients is the: A)insurance verification representative. B)admitting clerk. C)payment poster. D)medical collector.

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The individual who contacts insurance carriers to verify benefits is referred to as a(n) __________ .

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All of the following changes were a result of managed care EXCEPT: A)physicians' having to wait 30 days or longer for payment. B)physicians' having more responsibility for filing claims. C)patients' having to pay for services when rendered. D)physicians' having to add to their staff.

(Short Answer)
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Applicants who are successful in passing the Certified Professional Coder-Hospital (CPC-H) examination, but have not met the required coding work experience, will be awarded: A)Certified Professional Coder-Hospital (CPC-H) certification. B)Certified Professional Coder-Physician (CPC-P) certification. C)Certified Coding Specialist (CCS) certification. D)Certified Professional Coder-Hospital-Apprentice (CPC-H-A) certificate.

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A medical office assistant may handle all of the following duties in a medical office EXCEPT:

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A registered health information technician (RHIT) is not responsible for the quality of medical records.

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A large-group practice will frequently contract out its billing and accounts receivable.

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Describe the characteristics of a small-group practice.

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AACP offers which of the following certifications? A)Certified Coding Associate (CCA) B)Certified Coding Specialist-Physician (CCS-P) C)Certified Professional Cover-Apprentice (CPC-A) D)Certified Medical Billing Specialist (CMBS)

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The responsibilities of a medical biller may include all of the following EXCEPT: A)scheduling appointments. B)submitting insurance claims. C)entering patient charge information. D)contacting insurance carriers about outstanding claims.

(Short Answer)
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If you work in a doctor's office, a clinic, or a similar setting, to demonstrate your ability, you should consider obtaining the: A)Certified Professional Coder-Hospital (CPC-H) certification. B)Certified Coding Specialist-Physician (CCS-P) certification. C)Certified Coding Associate (CCA) certification. D)Certified Medical Administrative Assistant (CMAA) certification.

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It is rare to find a privately owned hospital today.

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What are some of the major job responsibilities of a registered health information technician (RHIT)?

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Certification for medical coding and billing is a requirement for employment in the field.

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The healthcare professional who is responsible for answering questions and explaining such topics as HIPAA privacy regulations, living wills, and do-not-resuscitate orders (DNRs) to patients and their family members is the:

(Multiple Choice)
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All of the following are features of a patient account services (PAS) facility EXCEPT: A)employing few staff members. B)having multiple departments. C)handling claims for hospitals within a state or region. D)handling hospitals' accounts receivable.

(Short Answer)
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The increased demand for medical billers, medical office assistants, and medical coders can be attributed to: A)the growth of managed care. B)physician practices' having more responsibility for filing claims. C)the need for additional staff to file claims and work to obtain timely payment. D)all of the above.

(Short Answer)
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If you want a career that includes opportunities to advance, working for a patient account services (PAS) facility is not ideal.

(True/False)
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