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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. 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....
A matrix
Claim
Blanket bonding
Dual choice

2. 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...
Co-payment
participating physician
Schedule same time & day for every week
outpatient

3. If 3 patients are scheduled at 1:00 pm and they are seen according to their arrival - this type of scheduling is called...
Wave
Clustering
Time limit
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages

4. In the Learned Needs theory - what are the 3 core needs?
Wave
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Receipts
Power - achievement - affiliation

5. Benefits that are made in the form of cash payments are known as...
Voucher's checks
indemnities
Directing - coaching - supporting - delegating
provider

6. An appointment book is considered what kind of document?
premium
Usual Customary Reasonable
Legal
SS-5

7. One who belongs to a group insurance plan is called...
Subscriber
Deductible
13
Tri-care

8. Numbers read in a specific order
Non-Sufficient Funds - no money in their account
Alcoholism
Receivables
Nonconsecutive filing

9. The information in the chart belongs to the...
Financial analysis report of went on that day
Where you stand depends on where you sit.
Traveler's checks
Patient

10. Guaranteed by the third party
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Adjustments
Asset
Money Order

11. What is a release of information form?
Where you stand depends on where you sit.
SS-4
Patient giving permission to release their medical information.
Draw and electronic line through it - Make the correction - Date & initial

12. A civilian health and medical program of the uniform services is called...
Tri-care
Schedule same time & day for every week
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Deductible

13. The steps used in petty cash (in order).
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
A matrix
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.

14. Insurance that is meant to offset medical expenses resulting from a catastrophic illness is called....
Nonconsecutive filing
Draw and electronic line through it - Make the correction - Date & initial
A matrix
Major medical

15. Drawn against the issuing bank

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16. Name the priority of order in which patients should be seen starting with the most important to the least important.
Open-office hours
confidentiality
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Coordination of benefits

17. List of all financial transactions on a ledger
Adjuster
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Draw and electronic line through it - Make the correction - Date & initial
Posting

18. The Pygmalion Effect
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Account
Major medical
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances

19. Money owed to the physician from the patient
Fee profile
Receivables
Streaming
Account # - Date of service - ICD-9 - Balance

20. Anything that's owned
Asset
Wave
indemnities
The significant elements in any group usually constitute only a small portion of that group.

21. Employer identification #
Cashier's checks
confidentiality
Time limit
SS-4

22. When scheduling numerous return appointments for a patient - the MAA/MA must do what?
Schedule same time & day for every week
Traveler's checks
outpatient
Coinsurance

23. What are the five levels of Abraham Maslow's Hierarchy of needs
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Participating - Non-participating - Limiting charge
Physiologic - safety - love belonging - self- esteem - self- actualization
Disbursement

24. How often are bank deposits made in a medical office?
Petty Cash
Consumer Protection Act
Daily
Participating - Non-participating - Limiting charge

25. GiGo
Account
Garbage in Garbage out
Streaming
Dual choice

26. What are the four goals of a supervisor?
Financial analysis report of went on that day
Adjustments
Streaming
Patients quality of care - happy employees -achievment of goals -proficient and profitable.

27. Put all the patients with similar symptoms/problems together
Disbursement
Clustering
Power - achievement - affiliation
Non-Sufficient Funds - no money in their account

28. Duties of a compliance officer
Patient giving permission to release their medical information.
Overseeing and implementing and compliance program - establish efficiently practice
Legal
When they get unsatisfactory lab or progress reports

29. The HIPAA Act concerns ___________ of a pat.
Money Order
Account
confidentiality
Our expectations for others condition our behavior toward them - which in turn affects how they behave.

30. Set appointment times
Streaming
Usual Customary Reasonable
Time limit
Workers compensation

31. List the steps that must be taken when a medical office staff needs to correct a computerized entry in a medical record.
Draw and electronic line through it - Make the correction - Date & initial
Voucher's checks
Posting
Receipts

32. Filed with income taxes
Coinsurance
W-2
Adjustments
Time limit

33. Pareto's Law- ( 80/20) rule
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Receivables
Usual Customary Reasonable
The significant elements in any group usually constitute only a small portion of that group.

34. A patient's financial statement
Account
The balance - checks paid - withdraws - deposits - any information not posted on last statement
premium
Catastrophic

35. What does UCR stand for?
Consumer Protection Act
Usual Customary Reasonable
Claim
Traveler's checks

36. In insurance - greater coverage of diseases or an accident - and greater indemnity payment in comparison with a limited clause is called...
Comprehensive
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Claim
Draw red line through the mistake - Make the correction - Date & initial

37. Patient that leaves no forwarding address
Certified checks
A skip
Daily
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.

38. List six motivational theories
Co-payment
participating physician
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Clustering

39. Money by the physician to the vendor
Voucher's checks
SS-5
The significant elements in any group usually constitute only a small portion of that group.
Payables

40. Name four ways to control costs in a medical practice?
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.
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Disbursement
Payables

41. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
participating physician
Financial analysis report of went on that day
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
13

42. Name four types of common imparities
Operating budget
Dual choice
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Physiologic - safety - love belonging - self- esteem - self- actualization

43. Money that's paid out
Major medical
Legal
Disbursement
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.

44. Verifies that the account has enough money to cover the amount of the check
Financial analysis report of went on that day
Certified checks
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Prevents discrimination for people with disabilties

45. Change in a posted account
Draw and electronic line through it - Make the correction - Date & initial
Adjustments
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Garbage in Garbage out

46. The most common disease of the impaired physician.
Disbursement
Alcoholism
Where you stand depends on where you sit.
Petty Cash

47. Times physicians aren't available
The balance - checks paid - withdraws - deposits - any information not posted on last statement
A matrix
preexisting condition
Participating - Non-participating - Limiting charge

48. The Peter Principle
Draw and electronic line through it - Make the correction - Date & initial
Draw red line through the mistake - 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
People tend to be promoted until they reach a level beyond their competence.

49. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
Wave
Financial analysis report of went on that day
outpatient
Patient

50. Payment made periodically to keep and insurance policy in force is called...
Financial analysis report of went on that day
Physiologic - safety - love belonging - self- esteem - self- actualization
premium
Cashier's checks

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Medical Office Management

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