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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 request for payment under an insurance contractor bond is called a(an)...
expectancy theory
Claim
Legal
Account # - Date of service - ICD-9 - Balance

2. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
outpatient
premium
Health maintenance organization
Dread disease rider

3. An unexpected event which may cause injury is called...
Account # - Date of service - ICD-9 - Balance
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Accident
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.

4. The steps used in petty cash (in order).
Receipts
Account # - Date of service - ICD-9 - Balance
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
provider

5. Verifies that the account has enough money to cover the amount of the check
Account
Certified checks
Receivables
Physician or facility

6. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
Workers compensation
Draw red line through the mistake - Make the correction - Date & initial
participating physician
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

7. 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).....
Draw red line through the mistake - Make the correction - Date & initial
Health maintenance organization
Claim
Fee profile

8. Times physicians aren't available
A matrix
Consumer Protection Act
Operating budget
benefits

9. Miles Law
Where you stand depends on where you sit.
Garbage in Garbage out
Operating budget
Consumer Protection Act

10. A recap sheet that accompanies a Medicare or Medicaid check - showing breakdown and explanation of payment on a claim is called...
explanation of benefits
Directing - coaching - supporting - delegating
Dual choice
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.

11. A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is called...
Streaming
The significant elements in any group usually constitute only a small portion of that group.
Workers compensation
Accident

12. Money by the physician to the vendor
Payables
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
Disbursement
Financial analysis report of went on that day

13. Duties of a compliance officer
Alcoholism
Daily
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Overseeing and implementing and compliance program - establish efficiently practice

14. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
Dread disease rider
Time limit
W-2
Cashier's checks

15. The most common disease of the impaired physician.
Alcoholism
Blanket bonding
confidentiality
Money Order

16. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
Physiologic - safety - love belonging - self- esteem - self- actualization
partial disabilities
Schedule same time & day for every week
A skip

17. Name the priority of order in which patients should be seen starting with the most important to the least important.
Participating - Non-participating - Limiting charge
Physician or facility
Dual choice
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments

18. A civilian health and medical program of the uniform services is called...
Dual choice
confidentiality
Tri-care
Nonconsecutive filing

19. A patient's financial statement
Adjuster
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Account
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

20. Filed with income taxes
W-2
Participating - Non-participating - Limiting charge
Draw red line through the mistake - Make the correction - Date & initial
Overseeing and implementing and compliance program - establish efficiently practice

21. 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
Participating - Non-participating - Limiting charge
Wave

22. The HIPAA Act concerns ___________ of a pat.
Garbage in Garbage out
Physiologic - safety - love belonging - self- esteem - self- actualization
confidentiality
Voucher's checks

23. List six motivational theories
Restrictive
Accident
Disbursement
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

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....
Dual choice
Participating - Non-participating - Limiting charge
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Comprehensive

25. 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...
expectancy theory
Grace period
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.
Alcoholism

26. What are the types of commitment as it applies to employees?
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
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.
Receipts

27. Copy of a transaction
Receipts
Account
W-2
Ask permission to put them on hold & wait for a response

28. Found on an Encounter form
Account
Grace period
Streaming
Account # - Date of service - ICD-9 - Balance

29. Attached with a stub that explains payment activity

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30. GiGo
Operating budget
Overseeing and implementing and compliance program - establish efficiently practice
confidentiality
Garbage in Garbage out

31. Put all the patients with similar symptoms/problems together
Clustering
SS-5
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
expectancy theory

32. What is a release of information form?
Patient giving permission to release their medical information.
Receipts
Blanket bonding
Participating - Non-participating - Limiting charge

33. Set appointment times
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Grace period
Payables
Streaming

34. One who belongs to a group insurance plan is called...
provider
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Subscriber
Patients quality of care - happy employees -achievment of goals -proficient and profitable.

35. In the Learned Needs theory - what are the 3 core needs?
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Power - achievement - affiliation
W-2
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.

36. The information in the chart belongs to the...
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Prevents discrimination for people with disabilties
Wave
Patient

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

38. What does UCR stand for?
Usual Customary Reasonable
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Health maintenance organization
Voucher's checks

39. Form you fill out when hired
Prevents discrimination for people with disabilties
W-4
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Participating - Non-participating - Limiting charge

40. The Peter Principle
W-2
People tend to be promoted until they reach a level beyond their competence.
Prevents discrimination for people with disabilties
Schedule same time & day for every week

41. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
Draw and electronic line through it - Make the correction - Date & initial
Coinsurance
Daily
Clustering

42. NSF
Non-Sufficient Funds - no money in their account
Draw and electronic line through it - Make the correction - Date & initial
The balance - checks paid - withdraws - deposits - any information not posted on last statement
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.

43. Name the 3 columns used in conjunction with the Medicare fee schedule.
indemnities
Participating - Non-participating - Limiting charge
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
When they get unsatisfactory lab or progress reports

44. When should a physician handle calls from patients?
Streaming
outpatient
A matrix
When they get unsatisfactory lab or progress reports

45. What does the Americans with Disabilities Act prevent?
SS-5
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
Prevents discrimination for people with disabilties

46. Chapter ___ Bankruptcy: Relieves you of all your debt (except student loans or if you owe federal - state - or city governments)
W-2
provider
7
Money Order

47. 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
Wave
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
W-4

48. Name six types of supervisors
Schedule same time & day for every week
Open-office hours
Power - achievement - affiliation
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.

49. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
A matrix
inpatient
W-2
Coordination of benefits

50. What does SOAP stand for?
Subjective - Objective - Assessment - Plan
Health maintenance organization
Non-Sufficient Funds - no money in their account
Deductible

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Medical Office Management

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