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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. What does UCR stand for?
Usual Customary Reasonable
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Catastrophic

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

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3. Drawn against the issuing bank

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4. A civilian health and medical program of the uniform services is called...
Tri-care
SS-5
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Traveler's checks

5. A sum of money provided in a insurance policy - payable for covered services is called...
Subscriber
Fee profile
benefits
Tri-care

6. One who belongs to a group insurance plan is called...
Subscriber
Patient
Accident
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.

7. A person who represents either party of an insurance claim is the____
Health maintenance organization
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
Subscriber
Adjuster

8. Must be signed when purchased

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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...
Prevents discrimination for people with disabilties
Subscriber
Co-payment
W-4

10. Consists of all the costs to run an office
Operating budget
7
Payables
A matrix

11. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
7
Legal
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
Coordination of benefits

12. The HIPAA Act concerns ___________ of a pat.
Blanket bonding
Legal
confidentiality
Petty Cash

13. Found in a Bank statement
Non-Sufficient Funds - no money in their account
The balance - checks paid - withdraws - deposits - any information not posted on last statement
An activity expands to fill the time allotted to it.
Comprehensive

14. The steps that must be taken when a medical office staff needs to correct a handwritten entry in a medical record.
Major medical
Draw red line through the mistake - Make the correction - Date & initial
SS-5
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

15. Name four management styles?
Fee profile
Directing - coaching - supporting - delegating
Cashier's checks
Catastrophic

16. Benefits that are made in the form of cash payments are known as...
Adjustments
indemnities
outpatient
Coordination of benefits

17. In the Learned Needs theory - what are the 3 core needs?
Participating - Non-participating - Limiting charge
Power - achievement - affiliation
When they get unsatisfactory lab or progress reports
premium

18. A health program for people age 65 and older under social security is called...
Medicare
Receipts
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Dread disease rider

19. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
Nonconsecutive filing
partial disabilities
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
W-2

20. Money by the physician to the vendor
SS-4
Catastrophic
Payables
Alcoholism

21. What are five signs of a great supervisor?
Daily
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
indemnities
Posting

22. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
SS-5
Dread disease rider
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
participating physician

23. What type of endorsement is used when a check is stamped: 'For Deposit Only?'
Cashier's checks
Restrictive
SS-5
Coordination of benefits

24. Name four types of common imparities
Comprehensive
Dual choice
SS-5
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.

25. What does the Americans with Disabilities Act prevent?
Prevents discrimination for people with disabilties
Wave
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
Patient giving permission to release their medical information.

26. A rider added to a policy to provide additional benefits for certain conditions is called...
benefits
inpatient
Physiologic - safety - love belonging - self- esteem - self- actualization
Dread disease rider

27. Application for a Social Security card
preexisting condition
Draw red line through the mistake - Make the correction - Date & initial
Workers compensation
SS-5

28. If 3 patients are scheduled at 1:00 pm and they are seen according to their arrival - this type of scheduling is called...
Fee profile
Patient giving permission to release their medical information.
Nonconsecutive filing
Wave

29. What is contained in a Policy and Procedral Manual for a medical office?
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
Patient giving permission to release their medical information.
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

30. Pareto's Law- ( 80/20) rule
Alcoholism
Fee profile
expectancy theory
The significant elements in any group usually constitute only a small portion of that group.

31. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
Ask permission to put them on hold & wait for a response
Time limit
explanation of benefits
Physiologic - safety - love belonging - self- esteem - self- actualization

32. Name the 3 columns used in conjunction with the Medicare fee schedule.
The significant elements in any group usually constitute only a small portion of that group.
Usual Customary Reasonable
Participating - Non-participating - Limiting charge
Adjustments

33. Anything that's owned
Fee profile
Tri-care
Asset
7

34. Put all the patients with similar symptoms/problems together
Clustering
Directing - coaching - supporting - delegating
W-2
Patient

35. When should a physician handle calls from patients?
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
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Receipts
When they get unsatisfactory lab or progress reports

36. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
explanation of benefits
Coinsurance
Power - achievement - affiliation
Open-office hours

37. 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).....
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Cashier's checks
Health maintenance organization
Receivables

38. Change in a posted account
inpatient
Draw and electronic line through it - Make the correction - Date & initial
Adjustments
Operating budget

39. The information in the chart belongs to the...
Patient
Coordination of benefits
Deductible
Adjustments

40. Found on an Encounter form
Account # - Date of service - ICD-9 - Balance
Co-payment
participating physician
Garbage in Garbage out

41. If a person is seen at the physicians office on a first come-first serve basis - this type of scheduling is called...
W-4
Open-office hours
Asset
Daily

42. Numbers read in a specific order
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Schedule same time & day for every week
Nonconsecutive filing
partial disabilities

43. Patient that leaves no forwarding address
Receivables
Patient
A skip
Tri-care

44. Guaranteed by the third party
Money Order
Receipts
Major medical
Co-payment

45. List of all financial transactions on a ledger
SS-4
Posting
Disbursement
Fee profile

46. Payment made periodically to keep and insurance policy in force is called...
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
Receipts
Medicare
premium

47. Money that's paid out
confidentiality
Disbursement
Adjuster
Draw and electronic line through it - Make the correction - Date & initial

48. Name four ways to control costs in a medical practice?
Fee profile
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.
Receivables
SS-5

49. The law of effect
SS-4
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
provider
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.

50. Chapter ___ Bankruptcy: Relieves you of all your debt (except student loans or if you owe federal - state - or city governments)
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Wave
Catastrophic
7

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Medical Office Management

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