1
Q
Nonsharp waste, containing blood or body fluids,disgard it in the special:
A
Biohazard waste bag.
2
Q
When filing a CMS 1500 24C is
A
Place of service (POS) code for an ER visit.
3
Q
Any adjustments to a providers usual charges must be supported by:
A
Written office policy.
4
Q
The health insurance model that offers the most flexibility for patients is:
A
Traditional health insurance.
5
Q
Speaking directly to the patient is crucial when
A
Speaking on the phone.
6
Q
The primary care physician who must approve all other physicians and/or specialty visits is known as the
A
GateKeeper.
7
Q
A semicolon indicates that:
A
Modifying terms and descriptions follow.
8
Q
When receiving a box of supplies, the document included with the merchandise is known as:
A
The packing slip.
9
Q
__________ is where the main text of current procedural terminology listed in one procedure found.
A
Tubular index
10
Q
A code used to submit an insurance claim for two or more procedures that frequently occur together
A
A bundled code
11
Q
Evaluations and management codes range from 99201 to 99499 and have further subsections that include:
A
Hospital visits, office visits, and skilled nursing care.
12
Q
A claim that has been denied for inaccurate information is called a:
A
Dirty claim.
13
Q
The most Care a hospital patient receives is billed using
A
ICD-10-PCS codes
14
Q
Frequency of purchase is:
A
Buying cycle
15
Q
The reason the MA needs to get information about a new patient’s insurance when making an appointment this allows the MA to
A
Make sure the facility accepts the patient’s insurance plan.
16
Q
Who should be personally escorted to the examination and treatment room, and given detailed instructions about what they are to do?
A
New patients, consultations, and established patients.
17
Q
A phone call or conversation where two or more people from different locations participate and are included in the discussion
A
Conference
18
Q
Insurance policy that covers employees of companies to compensate employment related injuries.
A
Workers compensation
19
Q
It’s important that MA’s who work at a facility with electronic records also understand how to work with paper records because in some situations:
A
Paper records may still be used along with electronic records.
20
Q
Two common ways to group patients into billing cycles is:
A
Alphabetically by last name and by date of service.
21
Q
_________ is the federal government program to insure dependents of military personnel to receive treatment from civilian doctors.
A
Tricare
22
Q
Emergency medication and equipment should be stored in the ________ for easy access in the medical field.
A
Crash cart
23
Q
Where messages from a patient will be saved when entered into the EHR system.
A
The patient’s health record.
24
Q
_______ is dizziness.
A
Vertigo
25
Time is one of the physician's most valuable assets.
True
26
A disease or disorder named after the person who discovered it.
Eponym
27
A filing system in which an alphabetical cross reference must be consulted to locate specific file is called a:
Indirect filing system.
28
Forms often included in a new patient's packet are:
Medical questionnaire and patient privacy form.
29
A patient _______ is created for every visit.
Encounter summary
30
A statement from an insurance company describing the amount allowed, amount paid, and the amount applied to a person's deductible.
Explanation of benefits
31
__________ are used in healthcare because they provide a uniform way to communicate about diagnosis and treatment.
Coding systems
32
CPT coding guidelines in the medicine section are divided into:
Subcategories based on body systems.
33
The best way to decide whether patients need special assistance in disrobing is:
To ask the patient if you can be of assistance.
34
The proper way to lift a heavy box is:
Make sure your feet are firmly placed a shoulder-width apart, bend your knees and squat down to the base of the object looking straight ahead, remembering to keep your back straight.
35
The tubular list is divided into:
21 chapters.
36
A disadvantage of paper records is that they:
Require a lot of storage space.
37
MA's may record _______ or ________ to the practice, and _______ or _______ for the practice.
Credit or income;
Debts or expenses
38
When sending a text or email about appointment reminders you should include:
Patient's name, time and date, and doctor's name.
39
These forms should be included in a patient's records.
Consent forms, both general and for procedures/surgeries.
40
An insurance claim can be rejected because:
Services provided do not match the patients diagnosis.
41
An important general guideline for responding to disasters in the workplace is:
Knowing the locations of all exits and stairways.
42
____________ is based on a billing formula.
Anesthesia coding
43
Patients are usually asked to arrive to their appointments:
15-30 minutes before their appointment.
44
Each hour Dr. Diggs has two patients scheduled, he spends an average of 15 minutes with each patient to leave time for walk in patients to be seen. This is an example of:
Modified wave scheduling
45
Patient portals may be available as:
Smartphone apps.
46
If an office provides an online scheduling option the MA's role is often to:
Monitor and approve appointment requests.
47
When billing for supplies, materials, and certain procedures use:
CPT manual HCPS
48
Secondary insurance goes into block _____ of a CMS claim form.
9
49
What contains information about emergency response actions?
A Safety data sheet (SDS)
50
Measures exposure to radiation.
Dosimeter
51
A company that sells supplies or equipment to the medical office.
Vendor
52
The periodic installment of payments monthly, quarterly, or annually, of a specific amount of money to a company for insurance coverage.
Premium
53
RACE acronym means:
Remove patient
Activate alarm
Contain fire
Extinguish
54
The letter U in the ICD-10-CM is reserved by:
The W.H.O. to assign new diseases with uncertain etiology.
55
RBRVS consists of three parts including:
Provider work, charge based overhead, and charge based professional liability expenses.
56
Patients are billed _______ for outstanding balances.
Monthly
57
If a provider uses a code for an encounter with a lower level of complexity then what is actually involved then:
The provider will not be fully paid for the services provided.
58
If there's a fire and the door feels hot and there's no other way out of the room you should:
Block the space under the door with a wet towel or clothing and wait for help.
59
If a patient does not show up for an appointment the MA must:
Document the missed appointment.
60
This term refers to the collecting of information from the health record including summary of diagnosis statements and/or procedures performed.
Abstract
61
In relation to EHR a firewall:
Prevents unauthorized access.
62
When medical providers submit billing codes to insurance companies for more expensive services than the ones the patient actually received.
Upcoding
63
____________ is systemic and caused by a severe infection.
Septic shock
64
In ICD-CM, CM stands for:
Clinical modification
65
Every ICD-10-CM code begins with a:
Alphabetic letter
66
Nothing by mouth.
NPO
67
Before receiving healthcare services not covered by Medicare, a Medicare beneficiary must sign:
An advanced beneficiary notice.
68
What appears in bold letters in the code books?
"Main term"
69
__________ are a priority in an evacuation event.
People in immediate danger
70
When it's 8 a.m. in San Francisco, it's ______ a.m. in Miami.
11 a.m.
71
Focal onset seizures impact:
One area of the brain.
72
Traditional insurance plans that pay all or a portion of the claim, and the patient may choose a provider of his or her choice.
Fee for service plans
73
When a patient is paying cash the MA must always:
Count the money in front of the patient and then provide a receipt.
74
The principal advantage of using the wave method when designing the scheduling process is that it:
Allows flexibility to accommodate the unpredictable.
75
___________ means medical attention that continues smoothly from one provider to another so that the patient receives the most benefit.
Continuity of care
76
Medicare is divided into four parts part A covers:
Hospital visits.
77
When unbundling is done intentionally it is considered to be:
Abuse
78
When filing a CMS 1500, 24B represents the:
Place of service (POS) code for doctor office visits.
79
_______________ are all common types of filing equipment found in a medical office
Automated files, lateral files, and rotary circular files
80
The medical record should only be released with a:
Written release from the patient.
81
When informing a patient that you must postpone their appointment because of the absence of the provider:
It's good practice to give them the option of seeing another provider.
82
An oriented medical record is arranged:
According to the patient's treatment or diagnosis.
83
_____________ are enclosed in parentheses.
(non-essential modifiers)
84
The radiology report is delivered by electronic health record and is marked "stat" the MA must:
Notify the physician immediately.
85
The CMS-1500 provides a space for inpatient hospitalization, admission and discharge dates in block:
18
86
OSHA enforces the
OSH act.
87
Special symbols that provide additional information in the CPT codes.
Conventions
88
This category of CPT code is most commonly used for routine outpatient visits.
Evaluations and management
89
Three elements are included in MDM these three things are:
Number of diagnosis, amount of time data taken, and complications or morbidity.
90
According to the rule of 9 burns to both sides of the left arm is considered:
9% body burn
91
A patient visits their doctor after jamming their finger in a basketball game. Their x-ray shows zero fractures, and a splint is applied. Which code is used for this?
ICD-10-CM, CPT, & HCPCS level II.
92
The best way to organize appointment scheduling so that it best supports the success of the practice is to:
Consider the preferences of the doctor.
93
The study of the cause of a disease.
Etiology
94
Never draw two lines through charting to correct errors.
True
95
60 packages of gauze has been ordered, 2 packages have been received, and 58 packages are on backorder. This is an example of:
Backorder
96
Prioritizing treatment best describes
Triage
97
Medicare has four parts, part C covers:
Options for a private plan.
98
Section III is for reporting:
Additional diagnosis.
99
Shows the length of time that has passed since a charge was posted to an account.
An aging report.
100
Fulcrum and level term relates to:
Body mechanics
101
Another name for making decisions about patient needs and priorities.
Triage
102
A patient mustang this to allow an insurance company to make payments directly to a healthcare provider.
Assignment of benefits form.
103
The most important reason for telling the doctor when a charting error is discovered later is to:
Protect the patient's health and well-being.
104
A __________ must be entered on a claim for services that require pre-authorization.
Pre-authorization number
105
A doctor sees cancer patients on Monday, Tuesday, and Wednesday, and other patients on Thursday, and Friday. This is an example of:
Cluster scheduling
106
The process of obtaining a dollar amount approved for a medical procedure of service that is to be scheduled is:
Pre-certification
107
Smartphones and cell phones are starting to present an issue in the office setting due to:
Problems with ensuring confidentiality.
108
__________ is not a common poisoning.
Arsenic
109
An insurance company is likely to deny the claim if a procedure code on a claim:
Does not relate clearly to the diagnosis code.
110
A patient scheduled for a 30-minute appointment is likely:
A new patient.
111
____________ is most likely to be given to an emergency patient experiencing a myocardial infarction (MI).
Nitroglycerin
112
A lingering effect after an illness has subsided.
Sequalae
113
There are government managed care plans.
True
114
Angry patient should be:
Removed from the reception area as quickly as possible.
115
For routine doctor office charges, the sliding scale should be used in the same way for all patients.
True
116
Describes a patient's walk.
Gait
117
____________ is billed by using a formula of basic unit value, plus time units, plus modifying units, and two factors for physical status, and qualifying circumstances.
Anesthesia services
118
Refers to the contract between the health plan and the provider for monthly payment on a regular basis.
Capitation
119
What must be true of facilities backup systems for electronic health records?
It must be HIPAA compliant.
120
A ___________ software may be used to schedule patients.
Practice management system
121
If a medical office offers a year-long payment plan on a large Bill, the patient must be told :
The total cost of the plan including any interest.
122
Contains information about how long to wash skin for accidental splashes to disinfect skin.
Safety data sheets (SDS)
123
Not elsewhere classified.
NEC
124
A __________ is an organization that accepts the claim data from the provider, reformats the data to meet the specifications outlined by the insurance plan, and submits the claim.
Clearinghouse
125
The most secure location for prescription pads is:
Under lock and key.
126
The process of cleaning equipment and instruments with detergent to reduce the number of microbes.
Sanitization
127
___________ or not to examine the patient's records or to make any corrections.
Family members
128
The use of __________ in the medical office can help you pronounce patients names correctly.
Phonetic writing
129
The cause of a disorder is it's:
Etiology
130
____________ pays allowable charges for the maximum amount of money paid for services.
Third party payer
131
Abbreviation POS in billing represents the:
Place of service
132
Medicare part D covers:
Prescriptions
133
Refers to the payment of insurance claims for an expense or services rendered.
Reimbursement
134
Is limited in nature cannot reasonably be prevented and occurs as a result of another use or disclosure that is permitted.
An incidental disclosure
135
A log of incoming calls with messages, dates, times, the caller's name, and who they ask for is:
A telephone log
136
Body mechanics can:
Help save energy and prevent injuries.
137
People are most likely to respond appropriately in emergency situations if they have:
Prepared and practiced by taking an active role in drills.
138
Methods for organizing a medical record are:
Chronologically, problem-oriented, and source oriented.
139
Fainting is
Syncope
140
A type of plan when a large business or corporation provides money to cover their employees medical claims.
Self-funded
141
Forms that contain name and addresses of nearest relatives, names of spouse if applicable, and social security number.
New patient information forms
142
Speaking to the physician and using medical terms in front of the patient is:
Jargon
143
HCPCS
Healthcare common procedure coding system
Unit Exams
flashcards
Decks in class (10)
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