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39 Cards in this Set
- Front
- Back
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in order to work competently as a medical claims specialist in a physician's office one needs:
A. to learn to do medical transcription B. to know procedural and diagnostic coding C. to take the Hippocratic D. certification as a medical assistant |
to know procedural and diagnostic coding
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information that must be included in the medical record is determined by:
A. CMS B. the patient's insurance company C. HIPAA D. the state |
the state
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medical ethics will typically address standards of
A. law B. courtesy C. safety D. conduct |
conduct
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everything that a medical claims specialist learns about a patient's condition must remain:
A. accurate B. confidential C. historical D. inclusive |
confidential
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which of the following skills would NOT be required for accurate filing of claims?
A. computer programming B. medical terminology C. basic mathematics D. keyboarding |
computer programming
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all of the following are expected as part of a professional image EXCAPT
A. conservative business attire B. clean, well groomed hair C. clean hands and nails D. a strong pleasant fragrance |
a strong pleasant fragrance
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if an error is made in a patient's chart, what should be done to the incorrect information prior to adding the correct information nearby:
A. white it out B. scratch it out C. draw a single line through it D. erase it |
draw a single line through it
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which of the following in NOT typical knowledge expected of an insurance billing specialist
A. how to prevent fraudulent claims B. what constitutes abuse when processing insurance claims C. how to respond to a subpoena of records D. how to fix a fax machine |
how to fix a fax machine
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a legally enforceable document composed by an insurance company describing an agreement is a (n)
A. application B. policy C. health plan D. eligibility verification form |
policy
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the patient-physician contract begins when the
A. physician schedule permits B. patient receives a physical exam C. physician completes the medical record D. physician agrees to treat the patient |
Physician agrees to treat the patient
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scanners for directly reading claims into a computer's memory are called
A. direct scanning devices B. bar codes C. electronic readers D. OCR devices |
OCR devices
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when a fax is used to transmit medical records, the patient must sign a
A. release B. contract C. letter D. record |
release
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who should interpret reports and laboratory tests to the patient?
A. the physician B. the medical billing specialist C. the medical assistant D. the nurse |
the physician
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per the internal revenue service, the longest period of time a business needs to maintain accounting record is
A. 10 years B. 1 year C. 7 years D. 6 months |
7 years
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a writ requiring the appearance of a person at a trial or other proceeding is a
A. subpoena duce's tecum B. subpoena C. pleading D. witness |
subpoena
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precautions for use of a physician's signature stamp include all but which one of the following
A. it should be available to all employees B. it should be kept in a locked location C. only bonded staff should have access D. there should be just one stamp per physician |
it should be available to all employees
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an insurance billing specialist should be able to do all but which of the following
A. define common insurance terms B. advise patients which insurance companies offer the best insurance C. handle insurance claims to minimize rejection by carries D. ask appropriate questions to complete a patient record |
advise patients which insurance companies offer the best insurance
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when physicians evaluate other physicians, this process is called
A. peer review B. physician evaluation C. utilization review D. certification evaluation |
peer review
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the following are names of parts of a computer EXCEPT
A. hard disk B. monitor C. CPU D. transcriber |
transcriber
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ROM and RAM refer to a computer's
A. speed B. memory C. disk D. brand |
memory
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a transmission device for sending electronic data is called a
A. hard drive B. keyboard C. modem D. word processor |
modem
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which of the following is not an area of expected expertise for the medical billing specialist
A. ICD-9 coding B. CPT coding C. counseling D. claims processing |
counseling
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the following should be considered when selecting and setting up a computer system except.
A. electrical modifications B. cost C. décor D. storage capacity |
décor
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medical ethics has to do with
A. consideration for others B. customs in the medical profession C. conduct, courtesy and manners D. making right and wrong decisions |
making right and wrong decisions
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computer data regarding patient medical records is considered
A. confidential B. efficient C. transient D. accurate |
confidential
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a destructive computer program that attaches itself to other programs is called a (N)
A. revision B. update C. malignancy D. virus |
virus
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back-up refers to
A. saving data B. working cautiously C. ergonomic furniture D. extra staff |
saving data
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a 1099 form is used to report income to the
A. IRS B. social security administration C. AMA D. state department of revenue |
IRS
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computer memory can be measured in
A. bytes B. wattage C. volts D.amperes |
bytes
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a self- employed billing specialist will need all of the following for successful start-up except which one
A. sufficient funds for at least 6 months B. casual attitude toward customers C. full-time commitment to the job D. dedication to doing things right |
casual attitude toward customers
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a self-employed claims processor might expect to invest in a new
A. computer B. home C. car D. wardrobe |
computor
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self-employed insurance billing specialist can deduct all but which one of the following expenses from their income taxes
A. business travel expenses B. subscriptions to professional magazines C. social entertaining D. depreciation of office equipment |
social entertaining
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if a self-employed insurance specialist plans to use a business name, he or she must
A. purchase a sign B. file a DBA form C. purchase business cards D. purchase a business vehicle |
file a DBA form
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brains of the computer which controls memory and processing functions are called the
A. CPU B. CRT C. CD-ROM D. LCD |
CPU
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intentional misrepresentation of facts in order to deceive or mislead others is
A. abuse B. a misdemeanor C. fraud D. embezzlement |
fraud
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a separate part of a computer keyboard that handles numerical functions only is a (N)
A. keypad B. hot key C. alternate key D. function key |
keypad
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storage in a computer is called
A. a disk B. chips C. capacity D. memory |
memory
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a list of items displayed on a computer screen from which the operator can choose a function is termed a
A. window B. menu C. directory D. Hard drive |
menu
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which of the following types of volatile computer memory allows information to be stored and accessed quickly from random locations
A. ROM B. GB C. ASCII D.RAM |
Ram
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