Exam 1: Introduction to Professional Billing and Coding Careers

It is common for small-group practices to outsource: A)billing and accounts receivable. B)insurance coverage verifications. C)appointment scheduling and patient reminders. D)medical records management.

(Short Answer)

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Question 61

The percentage of all healthcare providers who are physicians and nurses is: A)25%. B)40%. C)50%. D)60%.

(Short Answer)

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Question 62

The duties and responsibilities of an admitting clerk may include: A)registering and greeting patients. B)having patients complete paperwork. C)dealing with patients who may be upset or irritable. D)submitting insurance claims .

(Short Answer)

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Question 63

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

(Short Answer)

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Question 64

The duties and responsibilities of a medical collector may include: A)contacting patients or insurance carriers to obtain payment of balances owed. B)compiling medical charts, reports, and correspondence. C)reviewing medical records for compliance with regulations. D)accurately coding diagnoses and procedures.

(Short Answer)

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Question 65

A medical receptionist is considered back office staff in a physician's office.

(True/False)

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Question 66

The duties and responsibilities of a privacy compliance officer may include all of the following EXCEPT:

(Multiple Choice)

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Question 67

The healthcare professional who contacts patients or insurance carriers to collect money owed to the medical facility is the: A)medical office assistant. B)medical coder. C)payment poster. D)medical collector.

(Short Answer)

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Question 68

Explain how managed care has created a demand for trained and certified medical billers.

(Essay)

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Question 69

Allied health employees make up 40% of all healthcare professionals.

(True/False)

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Question 70

A group of physicians with different specialties may practice together at one outpatient facility known as a: A)free clinic. B)small-group practice. C)multispecialty clinic. D)private hospital.

(Short Answer)

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Question 71

A large-group practice is a specialized practice that is likely to: A)employ more nurses than doctors. B)include a physical therapist as part of the medical team. C)employ in-house staff to handle claims and accounts receivable. D)contract with an outside firm to handle claims and accounts receivable.

(Short Answer)

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Question 72

To achieve certification as a Certified Medical Billing Specialist (CMBS), an individual must have 5 or more years of job experience.

(True/False)

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Question 73

Match the following:

The position that is responsible for registering and greeting patients

medical collector

The position that manages the coding of diagnoses, procedures, and services

insurance verification representative

The position that obtains precertification and/or prior authorization of services

medical office assistant

Correct Answer:

Verified

The position that is responsible for registering and greeting patients

The position that manages the coding of diagnoses, procedures, and services

The position that obtains precertification and/or prior authorization of services

The position that contacts patients or insurance carriers to collect money owed to the medical facility

The position that handles administrative duties and is responsible for making a physician’s office function smoothly

The position whose duties include reading Explanation of Benefits documents from insurance carriers and posting payments or adjustments to the appropriate accounts

The position that reviews records for completeness, accuracy, and compliance with regulations

The position that submits insurance claims and enters patient data and charge information

The position that analyzes patient accounts to discern whether or not a refund is required

The position that is responsible for answering questions or explaining such topics as privacy regulations and living wills to patients and their family members

(Matching)

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Question 74

The Certified Medical Billing Specialist (CMBS) certification is awarded through the: A)American Health Information Management Association. B)Medical Association of Billers. C)National Center for Competency Testing. D)National Healthcareer Association.

(Short Answer)

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Question 75

A candidate for Certified Medical Billing Specialist (CMBS) certification is motivated to: A)improve his or her medical billing knowledge. B)assist providers in obtaining maximum reimbursement for services. C)develop new coding and documentation skills. D)do all of the above.

(Short Answer)

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Question 76

The Certified Professional Coder (CPC) certification is designed to evaluate a medical coder's knowledge of all of the following EXCEPT: A)medical terminology. B)math concepts. C)coding concepts. D)human anatomy.

(Short Answer)

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Question 77

A physician who chooses not to handle billing and insurance claims within his or her facility may contract with a(n): A)patient account services (PAS) facility. B)centralized billing office (CBO). C)small group practice. D)third party administrator (TPA)

(Short Answer)

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Question 78

The National Center for Competency Testing awards the: A)National Certified Medical Office Assistant (NCMOA) certificate. B)Certified Medical Administrative Assistant (CMAA) certificate. C)Certified Medical Billing Specialist (CMBS) certificate. D)Certified Coding Associate (CCA) certificate.

(Short Answer)

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Question 79

personnel make up 60% of all healthcare professionals.

(Short Answer)

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Question 80

Showing 61 - 80 of 90

It is common for small-group practices to outsource: A)billing and accounts receivable. B)insurance coverage verifications. C)appointment scheduling and patient reminders. D)medical records management.

The percentage of all healthcare providers who are physicians and nurses is: A)25%. B)40%. C)50%. D)60%.

The duties and responsibilities of an admitting clerk may include: A)registering and greeting patients. B)having patients complete paperwork. C)dealing with patients who may be upset or irritable. D)submitting insurance claims .

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

A medical receptionist is considered back office staff in a physician's office.

The duties and responsibilities of a privacy compliance officer may include all of the following EXCEPT:

The healthcare professional who contacts patients or insurance carriers to collect money owed to the medical facility is the: A)medical office assistant. B)medical coder. C)payment poster. D)medical collector.

Explain how managed care has created a demand for trained and certified medical billers.

Allied health employees make up 40% of all healthcare professionals.

A group of physicians with different specialties may practice together at one outpatient facility known as a: A)free clinic. B)small-group practice. C)multispecialty clinic. D)private hospital.

To achieve certification as a Certified Medical Billing Specialist (CMBS), an individual must have 5 or more years of job experience.

The Certified Medical Billing Specialist (CMBS) certification is awarded through the: A)American Health Information Management Association. B)Medical Association of Billers. C)National Center for Competency Testing. D)National Healthcareer Association.

A candidate for Certified Medical Billing Specialist (CMBS) certification is motivated to: A)improve his or her medical billing knowledge. B)assist providers in obtaining maximum reimbursement for services. C)develop new coding and documentation skills. D)do all of the above.

The Certified Professional Coder (CPC) certification is designed to evaluate a medical coder's knowledge of all of the following EXCEPT: A)medical terminology. B)math concepts. C)coding concepts. D)human anatomy.

A physician who chooses not to handle billing and insurance claims within his or her facility may contract with a(n): A)patient account services (PAS) facility. B)centralized billing office (CBO). C)small group practice. D)third party administrator (TPA)

The National Center for Competency Testing awards the: A)National Certified Medical Office Assistant (NCMOA) certificate. B)Certified Medical Administrative Assistant (CMAA) certificate. C)Certified Medical Billing Specialist (CMBS) certificate. D)Certified Coding Associate (CCA) certificate.

personnel make up 60% of all healthcare professionals.

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Electronic Medical Claims Processing

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