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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.
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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. Benefits that are made in the form of cash payments are known as...
A matrix
Coinsurance
partial disabilities
indemnities

2. What are the four goals of a supervisor?
Dread disease rider
Physician or facility
Streaming
Patients quality of care - happy employees -achievment of goals -proficient and profitable.

3. The steps that must be taken when a medical office staff needs to correct a handwritten entry in a medical record.
Draw red line through the mistake - Make the correction - Date & initial
Receivables
Fee profile
Time limit

4. Duties of a compliance officer
preexisting condition
Prevents discrimination for people with disabilties
Overseeing and implementing and compliance program - establish efficiently practice
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.

5. Attached with a stub that explains payment activity

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6. If a person is seen at the physicians office on a first come-first serve basis - this type of scheduling is called...
Open-office hours
Physician or facility
Posting
An activity expands to fill the time allotted to it.

7. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
outpatient
Patient giving permission to release their medical information.
Clustering
inpatient

8. Copy of a transaction
Patient
W-2
W-4
Receipts

9. Anything that's owned
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Alcoholism
Asset
Restrictive

10. What is a release of information form?
confidentiality
Posting
Co-payment
Patient giving permission to release their medical information.

11. Name four ways to control costs in a medical practice?
Receipts
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.
Dread disease rider
Wave

12. A rider added to a policy to provide additional benefits for certain conditions is called...
Dread disease rider
explanation of benefits
Patient giving permission to release their medical information.
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.

13. 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...
Certified checks
Receivables
The significant elements in any group usually constitute only a small portion of that group.
Co-payment

14. What are the types of commitment as it applies to employees?
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
provider
Cashier's checks

15. Found on an Encounter form
Medicare
Receivables
Account # - Date of service - ICD-9 - Balance
Usual Customary Reasonable

16. What does the Americans with Disabilities Act prevent?
A matrix
partial disabilities
Prevents discrimination for people with disabilties
Adjuster

17. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
Adjustments
confidentiality
A skip
Coinsurance

18. Change in a posted account
A matrix
7
Tri-care
Adjustments

19. A previous injury - disease or physical condition that existed before the health insurance policy was issued is called...
Dread disease rider
Directing - coaching - supporting - delegating
preexisting condition
Streaming

20. Consists of all the costs to run an office
Catastrophic
Open-office hours
Receipts
Operating budget

21. Insurance that protects you from loss
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
inpatient
Accident
Blanket bonding

22. What does SOAP stand for?
Certified checks
Alcoholism
Subjective - Objective - Assessment - Plan
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.

23. Parkinson's Law
Restrictive
Wave
An activity expands to fill the time allotted to it.
Certified checks

24. Pareto's Law- ( 80/20) rule
Usual Customary Reasonable
Workers compensation
Money Order
The significant elements in any group usually constitute only a small portion of that group.

25. GiGo
Garbage in Garbage out
Patient giving permission to release their medical information.
Nonconsecutive filing
Medicare

26. An unexpected event which may cause injury is called...
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Legal
Major medical
Accident

27. Form you fill out when hired
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
W-2
W-4
Health maintenance organization

28. Chapter ___ Bankruptcy: Relieves you of all your debt (except student loans or if you owe federal - state - or city governments)
7
Accident
Adjustments
Clustering

29. Chapter ___ Bankruptcy: Debt re-payment plan (requires and attorney)
premium
7
Cashier's checks
13

30. Money owed to the physician from the patient
Health maintenance organization
A matrix
Receivables
confidentiality

31. A person who represents either party of an insurance claim is the____
Ask permission to put them on hold & wait for a response
Physiologic - safety - love belonging - self- esteem - self- actualization
Adjuster
Consumer Protection Act

32. NSF
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
Non-Sufficient Funds - no money in their account
preexisting condition
A matrix

33. A civilian health and medical program of the uniform services is called...
provider
Workers compensation
Coinsurance
Tri-care

34. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
Garbage in Garbage out
Workers compensation
partial disabilities
outpatient

35. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
expectancy theory
Coordination of benefits
Asset
A skip

36. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
Time limit
People tend to be promoted until they reach a level beyond their competence.
Power - achievement - affiliation
Tri-care

37. The original chart belongs to the...
Asset
Physician or facility
Comprehensive
Schedule same time & day for every week

38. How often are bank deposits made in a medical office?
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Coinsurance
Daily
Fee profile

39. A patient's financial statement
Account
W-4
Patient
Operating budget

40. What does UCR stand for?
Alcoholism
Subjective - Objective - Assessment - Plan
Coinsurance
Usual Customary Reasonable

41. 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....
Posting
Subscriber
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Dual choice

42. Name the priority of order in which patients should be seen starting with the most important to the least important.
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
partial disabilities
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

43. When scheduling numerous return appointments for a patient - the MAA/MA must do what?
An activity expands to fill the time allotted to it.
Receipts
Schedule same time & day for every week
Wave

44. Cash that's used for small purchases in an office
The balance - checks paid - withdraws - deposits - any information not posted on last statement
preexisting condition
Petty Cash
Time limit

45. The Pygmalion Effect
preexisting condition
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
W-4
Co-payment

46. The law of effect
Coordination of benefits
Health maintenance organization
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Clustering

47. List the steps that must be taken when a medical office staff needs to correct a computerized entry in a medical record.
SS-4
Draw and electronic line through it - Make the correction - Date & initial
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
outpatient

48. A health program for people age 65 and older under social security is called...
Adjustments
participating physician
Co-payment
Medicare

49. An appointment book is considered what kind of document?
SS-5
Account
Legal
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.

50. Money that's paid out
An activity expands to fill the time allotted to it.
Fee profile
Catastrophic
Disbursement

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Medical Office Management

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