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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. The Pygmalion Effect
Fee profile
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Schedule same time & day for every week
Subjective - Objective - Assessment - Plan

2. Copy of a transaction
Receipts
Accident
Voucher's checks
Asset

3. 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
Health maintenance organization
Money Order
Overseeing and implementing and compliance program - establish efficiently practice

4. The information in the chart belongs to the...
Grace period
Patient
Payables
partial disabilities

5. A injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ...
Clustering
Usual Customary Reasonable
partial disabilities
Receipts

6. What are the five levels of Abraham Maslow's Hierarchy of needs
premium
Streaming
Physiologic - safety - love belonging - self- esteem - self- actualization
The significant elements in any group usually constitute only a small portion of that group.

7. If a person is seen at the physicians office on a first come-first serve basis - this type of scheduling is called...
Petty Cash
explanation of benefits
Open-office hours
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances

8. A doctor who agrees to accept an insurance companies pre-established free as the maximum amount to be collected is called...
13
outpatient
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
participating physician

9. Parkinson's Law
outpatient
Daily
An activity expands to fill the time allotted to it.
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.

10. If 3 patients are scheduled at 1:00 pm and they are seen according to their arrival - this type of scheduling is called...
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
Operating budget
Wave
Restrictive

11. Anything that's owned
Schedule same time & day for every week
Streaming
Asset
An activity expands to fill the time allotted to it.

12. To prevent the insured form receiving a duplicate payment for losses under more than one insurance policy is called...
partial disabilities
Claim
Coordination of benefits
W-4

13. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
Coordination of benefits
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Draw red line through the mistake - Make the correction - Date & initial
Coinsurance

14. Money owed to the physician from the patient
Power - achievement - affiliation
Catastrophic
Receivables
13

15. 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
Patient giving permission to release their medical information.
participating physician
Deductible

16. Found on an Encounter form
W-4
Account # - Date of service - ICD-9 - Balance
confidentiality
inpatient

17. The theory about the importance of having and achieving a goal.
expectancy theory
Consumer Protection Act
Account
Asset

18. A person who represents either party of an insurance claim is the____
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
When they get unsatisfactory lab or progress reports
Adjuster
Our expectations for others condition our behavior toward them - which in turn affects how they behave.

19. Guaranteed by the third party
Money Order
partial disabilities
outpatient
Restrictive

20. A bed patient in a hospital is called a...
Tri-care
Account # - Date of service - ICD-9 - Balance
inpatient
The significant elements in any group usually constitute only a small portion of that group.

21. The order to prepare an office to open.
premium
Patient
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Schedule same time & day for every week

22. Name four management styles?
Directing - coaching - supporting - delegating
Claim
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Physiologic - safety - love belonging - self- esteem - self- actualization

23. An amount the insured must pay before policy benefits begin is called....
Deductible
A skip
Certified checks
Catastrophic

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

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25. Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called.....
Catastrophic
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
Medicare
Subscriber

26. Money by the physician to the vendor
Cashier's checks
Payables
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Workers compensation

27. A request for payment under an insurance contractor bond is called a(an)...
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
People tend to be promoted until they reach a level beyond their competence.
Time limit
Claim

28. Employer identification #
preexisting condition
SS-4
Money Order
Receivables

29. Insurance that is meant to offset medical expenses resulting from a catastrophic illness is called....
Streaming
Account
Major medical
Accident

30. When should a physician handle calls from patients?
Schedule same time & day for every week
Coinsurance
When they get unsatisfactory lab or progress reports
Physician or facility

31. What are the four goals of a supervisor?
Subscriber
Money Order
Fee profile
Patients quality of care - happy employees -achievment of goals -proficient and profitable.

32. Numbers read in a specific order
Non-Sufficient Funds - no money in their account
13
Nonconsecutive filing
Voucher's checks

33. Times physicians aren't available
A matrix
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances
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

34. Verifies that the account has enough money to cover the amount of the check
Non-Sufficient Funds - no money in their account
Certified checks
Clustering
Power - achievement - affiliation

35. How often are bank deposits made in a medical office?
preexisting condition
Accident
Receivables
Daily

36. Pareto's Law- ( 80/20) rule
7
Medicare
Daily
The significant elements in any group usually constitute only a small portion of that group.

37. Change in a posted account
Deep commitment - personal commitment - concerned but limited sense of power(CLSP) - formal commitment - retired on the job - alienated - actively hostile.
confidentiality
Adjustments
Asset

38. Cash that's used for small purchases in an office
Daily
Financial analysis report of went on that day
Tri-care
Petty Cash

39. A person or institution that gives medical care is a...
Health maintenance organization
Draw and electronic line through it - Make the correction - Date & initial
provider
Account

40. What is a day-end summary?
Medicare
Financial analysis report of went on that day
Catastrophic
Subjective - Objective - Assessment - Plan

41. Filed with income taxes
W-2
Catastrophic
expectancy theory
Receivables

42. 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).....
Health maintenance organization
Fee profile
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Daily

43. Attached with a stub that explains payment activity

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44. An appointment book is considered what kind of document?
Prevents discrimination for people with disabilties
7
Legal
When they get unsatisfactory lab or progress reports

45. A previous injury - disease or physical condition that existed before the health insurance policy was issued is called...
Restrictive
inpatient
The balance - checks paid - withdraws - deposits - any information not posted on last statement
preexisting condition

46. A civilian health and medical program of the uniform services is called...
Adjustments
Open-office hours
Tri-care
Usual Customary Reasonable

47. Application for a Social Security card
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
The significant elements in any group usually constitute only a small portion of that group.
Overseeing and implementing and compliance program - establish efficiently practice

48. Insurance that protects you from loss
Dread disease rider
Blanket bonding
W-2
Schedule same time & day for every week

49. The most common disease of the impaired physician.
Subjective - Objective - Assessment - Plan
Alcoholism
Non-Sufficient Funds - no money in their account
Where you stand depends on where you sit.

50. List of all financial transactions on a ledger
7
benefits
Patient
Posting

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Medical Office Management

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