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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. A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a...
Health maintenance organization
outpatient
A skip
Where you stand depends on where you sit.

2. Form you fill out when hired
expectancy theory
Major medical
explanation of benefits
W-4

3. In the Learned Needs theory - what are the 3 core needs?
Daily
partial disabilities
Power - achievement - affiliation
Money Order

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

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5. An unexpected event which may cause injury is called...
A matrix
Accident
Tri-care
Payables

6. What are the five levels of Abraham Maslow's Hierarchy of needs
Fee profile
Physiologic - safety - love belonging - self- esteem - self- actualization
indemnities
Account

7. Found on an Encounter form
Account # - Date of service - ICD-9 - Balance
benefits
Health maintenance organization
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.

8. Times physicians aren't available
A matrix
Open-office hours
Usual Customary Reasonable
Major medical

9. Name four types of common imparities
provider
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
preexisting condition
Co-payment

10. Consists of all the costs to run an office
Operating budget
explanation of benefits
Streaming
1. Establish a petty cash fund 2. Keep track of the money 3. Write out vouchers & receipts 4. Balances

11. List six motivational theories
Subjective - Objective - Assessment - Plan
confidentiality
Reinforcement theory - expectancy theory -theory X and theory Y - Hierarchy needs - two factors theory - learned needs theory.
Cashier's checks

12. The law of effect
Dual choice
Participating - Non-participating - Limiting charge
Behaviors immediately reward increase in frecuency - and behaviors immediately punished decrease in frecuency.
Certified checks

13. Insurance that is meant to offset medical expenses resulting from a catastrophic illness is called....
Major medical
Streaming
Blanket bonding
Disbursement

14. 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
Subjective - Objective - Assessment - Plan
Physiologic - safety - love belonging - self- esteem - self- actualization
Accident

15. The Peter Principle
confidentiality
The balance - checks paid - withdraws - deposits - any information not posted on last statement
People tend to be promoted until they reach a level beyond their competence.
Subjective - Objective - Assessment - Plan

16. The Pygmalion Effect
Garbage in Garbage out
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Receipts
Voucher's checks

17. The original chart belongs to the...
W-4
Legal
Physician or facility
Receipts

18. A bed patient in a hospital is called a...
inpatient
Streaming
Schedule same time & day for every week
Deductible

19. A notice of insurance claim or proof of loss must be filed within designated ___-or it can be denied.
partial disabilities
The significant elements in any group usually constitute only a small portion of that group.
Payables
Time limit

20. The steps that must be taken when a medical office staff needs to correct a handwritten entry in a medical record.
Dread disease rider
Draw red line through the mistake - Make the correction - Date & initial
Traveler's checks
Comprehensive

21. A previous injury - disease or physical condition that existed before the health insurance policy was issued is called...
W-4
A skip
preexisting condition
Our expectations for others condition our behavior toward them - which in turn affects how they behave.

22. GiGo
1. Emergency 2. Non emergency 3. Angry or irate patients 4. Scheduled appointments
Where you stand depends on where you sit.
Patient
Garbage in Garbage out

23. Name six types of supervisors
1. Check supplies 2. Check charts 3. Check answering machine & retrieve messages
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
Traveler's checks
Time limit

24. Numbers read in a specific order
inpatient
Nonconsecutive filing
Disbursement
Accident

25. When a patient has health insurance - the percentage of covered services that is the responsibility of the patient to pay is known as...
Receivables
Coinsurance
Tri-care
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.

26. One who belongs to a group insurance plan is called...
Operating budget
Coinsurance
Subscriber
Account

27. List the steps that must be taken when a medical office staff needs to correct a computerized entry in a medical record.
Wave
Draw and electronic line through it - Make the correction - Date & initial
Subscriber
Draw red line through the mistake - Make the correction - Date & initial

28. Payment made periodically to keep and insurance policy in force is called...
explanation of benefits
Physician or facility
benefits
premium

29. Parkinson's Law
W-4
Restrictive
An activity expands to fill the time allotted to it.
Coordination of benefits

30. What is a day-end summary?
Financial analysis report of went on that day
Dread disease rider
outpatient
Disbursement

31. When scheduling numerous return appointments for a patient - the MAA/MA must do what?
Consumer Protection Act
Coinsurance
Wave
Schedule same time & day for every week

32. A person who represents either party of an insurance claim is the____
Adjuster
Payables
SS-5
Restrictive

33. What does SOAP stand for?
Patient giving permission to release their medical information.
Our expectations for others condition our behavior toward them - which in turn affects how they behave.
Subjective - Objective - Assessment - Plan
Blanket bonding

34. Must be signed when purchased

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35. Money by the physician to the vendor
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.
Adjustments
Payables
Financial analysis report of went on that day

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

37. Money owed to the physician from the patient
Receivables
Clustering
preexisting condition
Dread disease rider

38. When a bill is being paid in more than 4 installments - a written disclosure must be completed. This Act is known as...
Ask permission to put them on hold & wait for a response
Consumer Protection Act
Alcohol abuse - drug abuse - psychiatric disorders - behavioral disorders.
13

39. Name four ways to control costs in a medical practice?
Problem supervisors - novice supervisors - the whimp - the task master - the phantom - the intimidator.
outpatient
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.
premium

40. 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
Overseeing and implementing and compliance program - establish efficiently practice
Subscriber
W-2

41. Change in a posted account
Receivables
Adjustments
Voucher's checks
Draw and electronic line through it - Make the correction - Date & initial

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).....
confidentiality
explanation of benefits
Catastrophic
Health maintenance organization

43. Set appointment times
Posting
partial disabilities
Schedule same time & day for every week
Streaming

44. Employer identification #
SS-4
explanation of benefits
participating physician
Fee profile

45. Application for a Social Security card
7
Adjustments
Nonconsecutive filing
SS-5

46. Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called.....
Clustering
Catastrophic
Traveler's checks
Non-Sufficient Funds - no money in their account

47. If a person is seen at the physicians office on a first come-first serve basis - this type of scheduling is called...
Patients quality of care - happy employees -achievment of goals -proficient and profitable.
confidentiality
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Open-office hours

48. What are five signs of a great supervisor?
Have intergrity - refuse to pick favorites -dont tolerate slackers -communicate openly and honestly -avoid gossip -give and receive feedback on projects and ideas.
Receipts
Grace period
Patient giving permission to release their medical information.

49. Guaranteed by the third party
Money Order
Directing - coaching - supporting - delegating
expectancy theory
Garbage in Garbage out

50. A patient's financial statement
Cashier's checks
Open-office hours
Account
W-2

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Medical Office Management

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