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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. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
Prevents discrimination for people with disabilties
When they get unsatisfactory lab or progress reports
premium
Coordination of benefits

2. A request for payment under an insurance contractor bond is called a(an)...
Claim
Voucher's checks
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
Physiologic - safety - love belonging - self- esteem - self- actualization

3. A patient's financial statement
Prevents discrimination for people with disabilties
Account
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Physiologic - safety - love belonging - self- esteem - self- actualization

4. What does the Americans with Disabilities Act prevent?
Prevents discrimination for people with disabilties
Adjuster
Voucher's checks
13

5. Change in a posted account
Adjustments
Patient
Traveler's checks
Participating - Non-participating - Limiting charge

6. A person who represents either party of an insurance claim is the____
Legal
Account # - Date of service - ICD-9 - Balance
Payables
Adjuster

7. An appointment book is considered what kind of document?
SS-4
Legal
Patient giving permission to release their medical information.
Wave

8. 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...
Posting
Co-payment
Alcoholism
Our expectations for others condition our behavior toward them - which in turn affects how they behave.

9. Pareto's Law- ( 80/20) rule
Blanket bonding
Coinsurance
The significant elements in any group usually constitute only a small portion of that group.
Health maintenance organization

10. A bed patient in a hospital is called a...
Asset
inpatient
preexisting condition
benefits

11. A rider added to a policy to provide additional benefits for certain conditions is called...
Dread disease rider
provider
preexisting condition
Nonconsecutive filing

12. Miles Law
An activity expands to fill the time allotted to it.
Where you stand depends on where you sit.
Tri-care
Participating - Non-participating - Limiting charge

13. The steps used in petty cash (in order).
expectancy theory
partial disabilities
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
Workers compensation

14. What type of endorsement is used when a check is stamped: 'For Deposit Only?'
Restrictive
Dread disease rider
benefits
Draw red line through the mistake - Make the correction - Date & initial

15. Name the 3 columns used in conjunction with the Medicare fee schedule.
W-4
Participating - Non-participating - Limiting charge
7
Streaming

16. What does SOAP stand for?
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
Subjective - Objective - Assessment - Plan
Dread disease rider
W-2

17. Anything that's owned
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Asset
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
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.

18. Name six types of supervisors
Account
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.
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Co-payment

19. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
Coinsurance
Cashier's checks
partial disabilities
A skip

20. What does UCR stand for?
Catastrophic
Usual Customary Reasonable
expectancy theory
Medicare

21. An unexpected event which may cause injury is called...
Accident
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Certified checks
Daily

22. List the steps that must be taken when a medical office staff needs to correct a computerized entry in a medical record.
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
explanation of benefits
Draw and electronic line through it - Make the correction - Date & initial
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages

23. How often are bank deposits made in a medical office?
Daily
Financial analysis report of went on that day
Traveler's checks
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.

24. Must be signed when purchased

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25. Copy of a transaction
Receipts
Catastrophic
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Time limit

26. Name four management styles?
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
Directing - coaching - supporting - delegating
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
7

27. The law of effect
Subjective - Objective - Assessment - Plan
Clustering
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Financial analysis report of went on that day

28. A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is called...
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
explanation of benefits
Major medical
Workers compensation

29. 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).....
Subscriber
Health maintenance organization
A matrix
Petty Cash

30. Consists of all the costs to run an office
Petty Cash
Account
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Operating budget

31. Verifies that the account has enough money to cover the amount of the check
Garbage in Garbage out
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Certified checks
Schedule same time & day for every week

32. Name four ways to control costs in a medical practice?
Payables
Accident
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.
Physiologic - safety - love belonging - self- esteem - self- actualization

33. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
Power - achievement - affiliation
outpatient
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
Alcoholism

34. An amount the insured must pay before policy benefits begin is called....
explanation of benefits
Blanket bonding
Deductible
confidentiality

35. If 3 patients are scheduled at 1:00 pm and they are seen according to their arrival - this type of scheduling is called...
Wave
confidentiality
Patient giving permission to release their medical information.
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages

36. Drawn against the issuing bank

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37. In the Learned Needs theory - what are the 3 core needs?
Power - achievement - affiliation
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
W-4
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

38. One who belongs to a group insurance plan is called...
explanation of benefits
Dual choice
SS-4
Subscriber

39. The Pygmalion Effect
outpatient
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Account # - Date of service - ICD-9 - Balance
Health maintenance organization

40. Insurance plans that pay a physician's full charge if it does not exceed his normal charge or does not exceed the amount normally charged for the services for the service is called....
Dual choice
Prevents discrimination for people with disabilties
Fee profile
Time limit

41. When talking to a patient & a second line rings - what must the MAA/MA do before placing a person on hold?
Physician or facility
13
Physiologic - safety - love belonging - self- esteem - self- actualization
Ask permission to put them on hold & wait for a response

42. Put all the patients with similar symptoms/problems together
Money Order
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Clustering

43. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
Fee profile
Patient giving permission to release their medical information.
Disbursement
Coinsurance

44. The Peter Principle
People tend to be promoted until they reach a level beyond their competence.
Dual choice
confidentiality
Non-Sufficient Funds - no money in their account

45. Set appointment times
Streaming
confidentiality
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

46. Numbers read in a specific order
Non-Sufficient Funds - no money in their account
Nonconsecutive filing
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Draw red line through the mistake - Make the correction - Date & initial

47. Name four types of common imparities
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Adjustments
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Traveler's checks

48. A health program for people age 65 and older under social security is called...
Medicare
Non-Sufficient Funds - no money in their account
Subjective - Objective - Assessment - Plan
outpatient

49. Guaranteed by the third party
Account # - Date of service - ICD-9 - Balance
Subscriber
Money Order
Garbage in Garbage out

50. Benefits that are made in the form of cash payments are known as...
Alcoholism
indemnities
Subjective - Objective - Assessment - Plan
Coordination of benefits

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Medical Office Management

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