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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. Money owed to the physician from the patient
13
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Legal
Receivables

2. The Pygmalion Effect
Subscriber
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Claim
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments

3. 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...
Physician or facility
Co-payment
Petty Cash
Directing - coaching - supporting - delegating

4. A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is called...
Workers compensation
Coordination of benefits
Garbage in Garbage out
inpatient

5. A compilation of average fees paid over time
Legal
An activity expands to fill the time allotted to it.
Fee profile
Accident

6. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
partial disabilities
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Workers compensation
Patients quality of care - happy employees -achievment of goals -proficient and profitable.

7. 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
Schedule same time & day for every week
Subscriber
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.

8. When should a physician handle calls from patients?
Usual Customary Reasonable
When they get unsatisfactory lab or progress reports
W-4
Overseeing and implementing and compliance program - establish efficiently practice

9. Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called.....
13
Catastrophic
Blanket bonding
Non-Sufficient Funds - no money in their account

10. What are five signs of a great supervisor?
Non-Sufficient Funds - no money in their account
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Disbursement
SS-4

11. Name four management styles?
Dual choice
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.
Coordination of benefits
Directing - coaching - supporting - delegating

12. The steps used in petty cash (in order).
Receipts
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
explanation of benefits
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.

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

14. The most common disease of the impaired physician.
Catastrophic
Alcoholism
Daily
Subjective - Objective - Assessment - Plan

15. What is a day-end summary?
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.
Directing - coaching - supporting - delegating
Financial analysis report of went on that day
Consumer Protection Act

16. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
Grace period
A skip
Time limit
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

17. When talking to a patient & a second line rings - what must the MAA/MA do before placing a person on hold?
Participating - Non-participating - Limiting charge
Ask permission to put them on hold & wait for a response
When they get unsatisfactory lab or progress reports
Co-payment

18. What is contained in a Policy and Procedral Manual for a medical office?
Alcoholism
Where you stand depends on where you sit.
Adjuster
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

19. The original chart belongs to the...
Power - achievement - affiliation
Physician or facility
Tri-care
Prevents discrimination for people with disabilties

20. Copy of a transaction
Receipts
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Draw and electronic line through it - Make the correction - Date & initial
Restrictive

21. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
SS-5
indemnities
Disbursement
Coinsurance

22. The Peter Principle
Legal
People tend to be promoted until they reach a level beyond their competence.
The balance - checks paid - withdraws - deposits - any information not posted on last statement
When they get unsatisfactory lab or progress reports

23. Chapter ___ Bankruptcy: Relieves you of all your debt (except student loans or if you owe federal - state - or city governments)
Tri-care
Account # - Date of service - ICD-9 - Balance
7
Catastrophic

24. Verifies that the account has enough money to cover the amount of the check
People tend to be promoted until they reach a level beyond their competence.
SS-4
Certified checks
Power - achievement - affiliation

25. A patient's financial statement
The balance - checks paid - withdraws - deposits - any information not posted on last statement
outpatient
Account
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.

26. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
7
outpatient
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
SS-4

27. The law of effect
Workers compensation
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Account
Ask permission to put them on hold & wait for a response

28. The information in the chart belongs to the...
Comprehensive
Nonconsecutive filing
Patient
Alcoholism

29. One who belongs to a group insurance plan is called...
Major medical
Subscriber
Posting
Money Order

30. What are the types of commitment as it applies to employees?
Money Order
Dual choice
premium
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

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

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32. Form you fill out when hired
Prevents discrimination for people with disabilties
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-4
A matrix

33. Pareto's Law- ( 80/20) rule
Coinsurance
The significant elements in any group usually constitute only a small portion of that group.
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Clustering

34. Money that's paid out
Disbursement
When they get unsatisfactory lab or progress reports
SS-4
Payables

35. Consists of all the costs to run an office
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
A skip
Operating budget
Where you stand depends on where you sit.

36. A rider added to a policy to provide additional benefits for certain conditions is called...
preexisting condition
Dread disease rider
Alcoholism
Overseeing and implementing and compliance program - establish efficiently practice

37. GiGo
Posting
Patient giving permission to release their medical information.
Health maintenance organization
Garbage in Garbage out

38. In the Learned Needs theory - what are the 3 core needs?
Physician or facility
Power - achievement - affiliation
A skip
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.

39. List six motivational theories
Catastrophic
SS-5
Coordination of benefits
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

40. Name four ways to control costs in a medical practice?
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
benefits
Garbage in Garbage out
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.

41. Must be signed when purchased

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42. Times physicians aren't available
People tend to be promoted until they reach a level beyond their competence.
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Health maintenance organization
A matrix

43. Guaranteed by the third party
Accident
People tend to be promoted until they reach a level beyond their competence.
Money Order
provider

44. What type of endorsement is used when a check is stamped: 'For Deposit Only?'
indemnities
Wave
Restrictive
Accident

45. A person or institution that gives medical care is a...
provider
Medicare
Certified checks
Participating - Non-participating - Limiting charge

46. Found on an Encounter form
Account # - Date of service - ICD-9 - Balance
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
benefits
Overseeing and implementing and compliance program - establish efficiently practice

47. Duties of a compliance officer
Overseeing and implementing and compliance program - establish efficiently practice
Prevents discrimination for people with disabilties
Dual choice
People tend to be promoted until they reach a level beyond their competence.

48. A previous injury - disease or physical condition that existed before the health insurance policy was issued is called...
A matrix
Financial analysis report of went on that day
preexisting condition
Fee profile

49. A bed patient in a hospital is called a...
Workers compensation
7
inpatient
Ask permission to put them on hold & wait for a response

50. What are the five levels of Abraham Maslow's Hierarchy of needs
Co-payment
Physiologic - safety - love belonging - self- esteem - self- actualization
premium
Dread disease rider

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Medical Office Management

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