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Medical Office Management

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. The information that must be collected when taking a phone message

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2. What are the four goals of a supervisor?
Tri-care
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Alcoholism
Patients quality of care - happy employees -achievment of goals -proficient and profitable.

3. What are the types of commitment as it applies to employees?
Traveler's checks
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Major medical
Legal

4. Must be signed when purchased

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5. The law of effect
Subjective - Objective - Assessment - Plan
Subscriber
outpatient
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.

6. The Pygmalion Effect
Participating - Non-participating - Limiting charge
Open-office hours
Date & time of call - Who the message is for - The action to be taken - A number the patient can be reached at - Short description of caller's concern - Name of the caller - Your initials
Our expectations for others condition our behavior toward them - which in turn affects how they behave.

7. In insurance - greater coverage of diseases or an accident - and greater indemnity payment in comparison with a limited clause is called...
Comprehensive
Workers compensation
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

8. Copy of a transaction
Prevents discrimination for people with disabilties
Receipts
Fee profile
Health maintenance organization

9. A type of insurance whereby the insured pays a specific amount per unit of service and the insurer pays the rest of the cost is called...
Patient giving permission to release their medical information.
Asset
Co-payment
Payables

10. Employer identification #
SS-4
Major medical
benefits
Alcoholism

11. Chapter ___ Bankruptcy: Debt re-payment plan (requires and attorney)
Legal
Major medical
13
Wave

12. Change in a posted account
Open-office hours
Adjustments
Workers compensation
Patient giving permission to release their medical information.

13. Payment made periodically to keep and insurance policy in force is called...
premium
preexisting condition
A skip
Tri-care

14. Chapter ___ Bankruptcy: Relieves you of all your debt (except student loans or if you owe federal - state - or city governments)
Asset
7
Subscriber
A skip

15. What are five signs of a great supervisor?
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Payables
When they get unsatisfactory lab or progress reports
Where you stand depends on where you sit.

16. What does SOAP stand for?
Subjective - Objective - Assessment - Plan
Major medical
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
participating physician

17. List six motivational theories
Nonconsecutive filing
13
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Ask permission to put them on hold & wait for a response

18. A previous injury - disease or physical condition that existed before the health insurance policy was issued is called...
Coinsurance
preexisting condition
Overseeing and implementing and compliance program - establish efficiently practice
Claim

19. Benefits that are made in the form of cash payments are known as...
Traveler's checks
The significant elements in any group usually constitute only a small portion of that group.
partial disabilities
indemnities

20. What is contained in a Policy and Procedral Manual for a medical office?
Garbage in Garbage out
Subjective - Objective - Assessment - Plan
Time limit
Explains the policies of the office in great details - identifies what is expected from the employee -updated on a regular basis -avoid acronyms and abreviations in the manual -should include a listing of employment laws that are followed by the prac

21. An amount the insured must pay before policy benefits begin is called....
Co-payment
Prevents discrimination for people with disabilties
Operating budget
Deductible

22. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
Participating - Non-participating - Limiting charge
Posting
Time limit
Voucher's checks

23. Application for a Social Security card
Health maintenance organization
Garbage in Garbage out
SS-5
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

24. Name four types of common imparities
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Medicare
Consumer Protection Act

25. A compilation of average fees paid over time
A skip
Adjuster
Prevents discrimination for people with disabilties
Fee profile

26. Found on an Encounter form
Coinsurance
participating physician
Draw and electronic line through it - Make the correction - Date & initial
Account # - Date of service - ICD-9 - Balance

27. Numbers read in a specific order
A matrix
preexisting condition
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
Nonconsecutive filing

28. What is a release of information form?
Patient giving permission to release their medical information.
benefits
Fee profile
Daily

29. A person who represents either party of an insurance claim is the____
Adjuster
Time limit
premium
Daily

30. The original chart belongs to the...
Deductible
Physician or facility
A skip
Clustering

31. In the Learned Needs theory - what are the 3 core needs?
Alcoholism
Accident
Restrictive
Power - achievement - affiliation

32. A patient's financial statement
Power - achievement - affiliation
Medicare
Account
Wave

33. Found in a Bank statement
Traveler's checks
The balance - checks paid - withdraws - deposits - any information not posted on last statement
inpatient
Posting

34. Put all the patients with similar symptoms/problems together
Participating - Non-participating - Limiting charge
Clustering
Overseeing and implementing and compliance program - establish efficiently practice
Workers compensation

35. The order to prepare an office to open.
Participating - Non-participating - Limiting charge
Coinsurance
Physician or facility
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages

36. Parkinson's Law
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Payables
An activity expands to fill the time allotted to it.
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments

37. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
Receipts
7
Draw and electronic line through it - Make the correction - Date & initial
partial disabilities

38. Name six types of supervisors
Comprehensive
Cashier's checks
Accident
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.

39. Money owed to the physician from the patient
Receivables
Petty Cash
Workers compensation
Time limit

40. The Peter Principle
Schedule same time & day for every week
Comprehensive
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
People tend to be promoted until they reach a level beyond their competence.

41. Duties of a compliance officer
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
An activity expands to fill the time allotted to it.
Where you stand depends on where you sit.
Overseeing and implementing and compliance program - establish efficiently practice

42. Times physicians aren't available
Major medical
A matrix
Adjuster
An activity expands to fill the time allotted to it.

43. When should a physician handle calls from patients?
premium
When they get unsatisfactory lab or progress reports
SS-5
People tend to be promoted until they reach a level beyond their competence.

44. Name four ways to control costs in a medical practice?
Time limit
Pay income tax estimates on time - turn off utilities when not in use -purchase stock when it is on sale - maintain proper maintenance and cleaning of equipment.
Co-payment
Restrictive

45. A civilian health and medical program of the uniform services is called...
Medicare
13
SS-4
Tri-care

46. An organization that offers health insurance at a fixed monthly premium with little or no deductible and works through a primary care provider is called a(n).....
Schedule same time & day for every week
Date & time of call - Who the message is for - The action to be taken - A number the patient can be reached at - Short description of caller's concern - Name of the caller - Your initials
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
Health maintenance organization

47. A recap sheet that accompanies a Medicare or Medicaid check - showing breakdown and explanation of payment on a claim is called...
explanation of benefits
Accident
Account # - Date of service - ICD-9 - Balance
Health maintenance organization

48. The HIPAA Act concerns ___________ of a pat.
Adjuster
confidentiality
Dual choice
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages

49. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
A skip
preexisting condition
participating physician
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

50. What is a day-end summary?
Alcoholism
Financial analysis report of went on that day
Disbursement
Health maintenance organization

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Medical Office Management

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