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Medical Office Management

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. What is contained in a Policy and Procedral Manual for a medical office?
Physiologic - safety - love belonging - self- esteem - self- actualization
Disbursement
explanation of benefits
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

2. An interval after a payment is due to the insurance company in which the policyholder may make payments - and still the policy remains in effect is called...
Money Order
Subjective - Objective - Assessment - Plan
Usual Customary Reasonable
Grace period

3. Insurance that is meant to offset medical expenses resulting from a catastrophic illness is called....
Major medical
Blanket bonding
Adjustments
Draw and electronic line through it - Make the correction - Date & initial

4. Money that's paid out
Time limit
Draw red line through the mistake - Make the correction - Date & initial
Disbursement
Comprehensive

5. Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called.....
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Consumer Protection Act
Catastrophic
Physician or facility

6. When should a physician handle calls from patients?
provider
When they get unsatisfactory lab or progress reports
Daily
indemnities

7. The theory about the importance of having and achieving a goal.
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Streaming
Tri-care
expectancy theory

8. 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...
expectancy theory
Co-payment
Physician or facility
Operating budget

9. If 3 patients are scheduled at 1:00 pm and they are seen according to their arrival - this type of scheduling is called...
Consumer Protection Act
Where you stand depends on where you sit.
Wave
Patient giving permission to release their medical information.

10. Name six types of supervisors
Financial analysis report of went on that day
Consumer Protection Act
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Subscriber

11. Duties of a compliance officer
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Restrictive
Overseeing and implementing and compliance program - establish efficiently practice
confidentiality

12. Money by the physician to the vendor
Coinsurance
Time limit
Receivables
Payables

13. Guaranteed by the third party
Adjuster
Operating budget
Money Order
Workers compensation

14. Put all the patients with similar symptoms/problems together
Clustering
Schedule same time & day for every week
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
SS-4

15. What does SOAP stand for?
Patient giving permission to release their medical information.
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Subjective - Objective - Assessment - Plan

16. The steps that must be taken when a medical office staff needs to correct a handwritten entry in a medical record.
Dread disease rider
Subjective - Objective - Assessment - Plan
Co-payment
Draw red line through the mistake - Make the correction - Date & initial

17. Application for a Social Security card
SS-5
Financial analysis report of went on that day
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.
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

18. A sum of money provided in a insurance policy - payable for covered services is called...
Daily
Participating - Non-participating - Limiting charge
benefits
Ask permission to put them on hold & wait for a response

19. Cash that's used for small purchases in an office
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
indemnities
Petty Cash

20. Name four management styles?
Workers compensation
Participating - Non-participating - Limiting charge
Daily
Directing - coaching - supporting - delegating

21. A compilation of average fees paid over time
Financial analysis report of went on that day
Fee profile
Usual Customary Reasonable
Dread disease rider

22. 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....
Dual choice
Physician or facility
Participating - Non-participating - Limiting charge
Dread disease rider

23. NSF
Non-Sufficient Funds - no money in their account
Coordination of benefits
13
Deductible

24. Miles Law
Where you stand depends on where you sit.
explanation of benefits
Nonconsecutive filing
Clustering

25. 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
Subscriber
Traveler's checks
Usual Customary Reasonable

26. A person who represents either party of an insurance claim is the____
Subjective - Objective - Assessment - Plan
Clustering
Tri-care
Adjuster

27. The information in the chart belongs to the...
Voucher's checks
Cashier's checks
SS-4
Patient

28. Parkinson's Law
An activity expands to fill the time allotted to it.
Daily
participating physician
Co-payment

29. What are the four goals of a supervisor?
W-2
provider
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
Ask permission to put them on hold & wait for a response

30. Name the 3 columns used in conjunction with the Medicare fee schedule.
Participating - Non-participating - Limiting charge
Garbage in Garbage out
Coordination of benefits
participating physician

31. Attached with a stub that explains payment activity

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32. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
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
Subscriber
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

33. Employer identification #
Overseeing and implementing and compliance program - establish efficiently practice
SS-4
participating physician
Schedule same time & day for every week

34. Drawn against the issuing bank

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35. A previous injury - disease or physical condition that existed before the health insurance policy was issued is called...
preexisting condition
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Comprehensive
SS-5

36. If a person is seen at the physicians office on a first come-first serve basis - this type of scheduling is called...
SS-5
Adjustments
Open-office hours
A skip

37. The original chart belongs to the...
Consumer Protection Act
Nonconsecutive filing
inpatient
Physician or facility

38. What are the types of commitment as it applies to employees?
Petty Cash
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
A matrix
Catastrophic

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

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40. Change in a posted account
A matrix
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Adjustments
Ask permission to put them on hold & wait for a response

41. Chapter ___ Bankruptcy: Debt re-payment plan (requires and attorney)
Payables
A skip
13
Co-payment

42. When talking to a patient & a second line rings - what must the MAA/MA do before placing a person on hold?
Ask permission to put them on hold & wait for a response
Schedule same time & day for every week
Comprehensive
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.

43. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
Participating - Non-participating - Limiting charge
Alcoholism
Where you stand depends on where you sit.
participating physician

44. Found in a Bank statement
Draw and electronic line through it - Make the correction - Date & initial
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Schedule same time & day for every week
Tri-care

45. List six motivational theories
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
provider
Claim
confidentiality

46. What type of endorsement is used when a check is stamped: 'For Deposit Only?'
Usual Customary Reasonable
Receivables
Restrictive
Account # - Date of service - ICD-9 - Balance

47. An amount the insured must pay before policy benefits begin is called....
Legal
Prevents discrimination for people with disabilties
Open-office hours
Deductible

48. Name the priority of order in which patients should be seen starting with the most important to the least important.
Money Order
A skip
Physician or facility
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments

49. A request for payment under an insurance contractor bond is called a(an)...
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
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
Physiologic - safety - love belonging - self- esteem - self- actualization
Claim

50. Numbers read in a specific order
A matrix
Nonconsecutive filing
Adjuster
premium