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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. A person who represents either party of an insurance claim is the____
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
Adjuster
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
inpatient

2. An amount the insured must pay before policy benefits begin is called....
Deductible
SS-4
Alcoholism
When they get unsatisfactory lab or progress reports

3. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
Financial analysis report of went on that day
An activity expands to fill the time allotted to it.
Blanket bonding
participating physician

4. Insurance that protects you from loss
Blanket bonding
When they get unsatisfactory lab or progress reports
Certified checks
Subscriber

5. A recap sheet that accompanies a Medicare or Medicaid check - showing breakdown and explanation of payment on a claim is called...
The balance - checks paid - withdraws - deposits - any information not posted on last statement
explanation of benefits
Clustering
Restrictive

6. If a person is seen at the physicians office on a first come-first serve basis - this type of scheduling is called...
Dread disease rider
Open-office hours
Subscriber
Overseeing and implementing and compliance program - establish efficiently practice

7. A civilian health and medical program of the uniform services is called...
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Subjective - Objective - Assessment - Plan
Tri-care
A matrix

8. The steps used in petty cash (in order).
Consumer Protection Act
Voucher's checks
A skip
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances

9. Miles Law
inpatient
Dread disease rider
Where you stand depends on where you sit.
Directing - coaching - supporting - delegating

10. What are the four goals of a supervisor?
Subjective - Objective - Assessment - Plan
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
Schedule same time & day for every week
Receivables

11. A patient's financial statement
Schedule same time & day for every week
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Account
Draw and electronic line through it - Make the correction - Date & initial

12. The HIPAA Act concerns ___________ of a pat.
Physiologic - safety - love belonging - self- esteem - self- actualization
Dread disease rider
confidentiality
Payables

13. Employer identification #
SS-4
Physician or facility
Coinsurance
The balance - checks paid - withdraws - deposits - any information not posted on last statement

14. Times physicians aren't available
Fee profile
Open-office hours
A matrix
A skip

15. A compilation of average fees paid over time
An activity expands to fill the time allotted to it.
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Tri-care
Fee profile

16. What type of endorsement is used when a check is stamped: 'For Deposit Only?'
Physiologic - safety - love belonging - self- esteem - self- actualization
Restrictive
Alcoholism
Dread disease rider

17. Parkinson's Law
Coinsurance
Health maintenance organization
An activity expands to fill the time allotted to it.
explanation of benefits

18. Name the priority of order in which patients should be seen starting with the most important to the least important.
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Subjective - Objective - Assessment - Plan
Where you stand depends on where you sit.
Participating - Non-participating - Limiting charge

19. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
Draw red line through the mistake - Make the correction - Date & initial
Subjective - Objective - Assessment - Plan
Medicare
outpatient

20. A health program for people age 65 and older under social security is called...
Medicare
partial disabilities
Major medical
Legal

21. Benefits that are made in the form of cash payments are known as...
Consumer Protection Act
The balance - checks paid - withdraws - deposits - any information not posted on last statement
indemnities
preexisting condition

22. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
Posting
Prevents discrimination for people with disabilties
Account # - Date of service - ICD-9 - Balance
Coordination of benefits

23. Duties of a compliance officer
Health maintenance organization
Streaming
Overseeing and implementing and compliance program - establish efficiently practice
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.

24. 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....
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
A skip
Dual choice
preexisting condition

25. Put all the patients with similar symptoms/problems together
benefits
Consumer Protection Act
Posting
Clustering

26. The steps that must be taken when a medical office staff needs to correct a handwritten entry in a medical record.
explanation of benefits
Draw red line through the mistake - Make the correction - Date & initial
Grace period
Subscriber

27. If 3 patients are scheduled at 1:00 pm and they are seen according to their arrival - this type of scheduling is called...
An activity expands to fill the time allotted to it.
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
Wave
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages

28. Patient that leaves no forwarding address
13
Time limit
A skip
The balance - checks paid - withdraws - deposits - any information not posted on last statement

29. When should a physician handle calls from patients?
Patient giving permission to release their medical information.
When they get unsatisfactory lab or progress reports
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
premium

30. When a bill is being paid in more than 4 installments - a written disclosure must be completed. This Act is known as...
Wave
Time limit
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
Consumer Protection Act

31. The law of effect
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Financial analysis report of went on that day
Daily
People tend to be promoted until they reach a level beyond their competence.

32. 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).....
Workers compensation
Health maintenance organization
Patient giving permission to release their medical information.
Usual Customary Reasonable

33. 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...
Ask permission to put them on hold & wait for a response
Streaming
Power - achievement - affiliation
Co-payment

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

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35. The order to prepare an office to open.
Garbage in Garbage out
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
A matrix
SS-4

36. How often are bank deposits made in a medical office?
Account
Schedule same time & day for every week
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Daily

37. Consists of all the costs to run an office
Draw red line through the mistake - Make the correction - Date & initial
Prevents discrimination for people with disabilties
Operating budget
SS-4

38. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
Consumer Protection Act
Time limit
Where you stand depends on where you sit.
Claim

39. Numbers read in a specific order
Daily
Nonconsecutive filing
Coinsurance
Blanket bonding

40. Must be signed when purchased

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41. Chapter ___ Bankruptcy: Relieves you of all your debt (except student loans or if you owe federal - state - or city governments)
7
expectancy theory
Physiologic - safety - love belonging - self- esteem - self- actualization
Subscriber

42. Cash that's used for small purchases in an office
Petty Cash
confidentiality
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.

43. The Pygmalion Effect
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Fee profile
Adjustments
Directing - coaching - supporting - delegating

44. What is contained in a Policy and Procedral Manual for a medical office?
Coinsurance
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
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
Voucher's checks

45. 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.
Consumer Protection Act
Dread disease rider
Fee profile

46. Name the 3 columns used in conjunction with the Medicare fee schedule.
Participating - Non-participating - Limiting charge
An activity expands to fill the time allotted to it.
Directing - coaching - supporting - delegating
Petty Cash

47. Found on an Encounter form
Coinsurance
Account # - Date of service - ICD-9 - Balance
Asset
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments

48. Set appointment times
Asset
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
Streaming
7

49. One who belongs to a group insurance plan is called...
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
Payables
An activity expands to fill the time allotted to it.
Subscriber

50. What are the types of commitment as it applies to employees?
Receipts
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Blanket bonding
Consumer Protection Act

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Medical Office Management

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