Test 11/20/15

Front 1

Bronchoscopy means the same as:

Back 1

bronchoscopic examination

Front 2

A percutaneous lung biopsy is:

Back 2

removal of small bits of tissue by puncture of the suspected lesion through the skin

Front 3

A term for occurring in sudden, periodic attack is:

Back 3

paroxysmal

Front 4

Air and blood in the pleural cavity is called:

Back 4

pneumohemothorax

Front 5

Absence of voice is called

Back 5

aphonia

Front 6

A disease process that causes decreased ability of the lung to perform their ventilatory function and can result from several other chronic disorders of the respiratory organs is called:

Back 6

COPD

Front 7

A term that means "pertaining to the windpipe and the bronchi" is:

Back 7

tracheobronchial

Front 8

bradypnea means:

Back 8

abnormally slow breathing

Front 9

the trachea is the:

Back 9

windpipe

Front 10

Thoracic refers to the;

Back 10

chest

Front 11

plastic surgery of the nose is:

Back 11

rhinoplasty

Front 12

labored or difficult breathing is:

Back 12

dyspnea

Front 13

a machine for prolonged artifical respiration?

Back 13

ventilator

Front 14

the term pneumatically pertains to the:

Back 14

heart and lungs

Front 15

the lidlike structure that covers the voice box during the swallowing of food is called the:

Back 15

epiglottis

Front 16

A respiratory condition characterized by paroxysmal dyspnea and wheezing is called:

Back 16

Asthma

Front 17

A chronic disease characterized by increased size of alveoli and destructive changes of their walls called:

Back 17

emphysema

Front 18

Absence of breathing is termed:

Back 18

apnea

Front 19

rhinitis is inflammation of the:

Back 19

nose

Front 20

the term pulmonary refers to the:

Back 20

lungs

Front 21

Pharyngyitis is inflammation of the:

Back 21

throat

Front 22

Chronic laryngitis is most likely to cause what?

Back 22

aphonia

Front 23

material raised from inflamed membranes of the respiratory tract is called?

Back 23

sputum

Front 24

spirometry is

Back 24

the measurement of the amount of air taken into and expelled from the lungs

Front 25

the sudden blocking of an artery by a foreign material is called

Back 25

embolism

Front 26

pneumonia is

Back 26

inflammation of the lungs

Front 27

the throat is the

Back 27

pharynx

Front 28

tracheotomy means

Back 28

incision of the windpipe through the skin and muscles of the neck overlaying it

Front 29

the term for a whistling sound made during respiration is:

Back 29

wheeze

Front 30

the largest volume of air that can be expelled after maximal inspiration is called

Back 30

vital capacity

Front 31

abnormally fast breathing

and spell it

Back 31

hypernpea

Front 32

across the windpipe

and spell it

Back 32

transtracheal

Front 33

blood in the pleural cavity

and spell it

Back 33

hemothorax

Front 34

inflammation of the bronchi

and spell it

Back 34

bronchitis

Front 35

normal respiration

and spell it

Back 35

Eupnea

Front 36

pertaining to the windpipe

and spell it

Back 36

tracheal

Front 37

radiography of the bronchi

and spell it

Back 37

bronchography

Front 38

time limits stated in individual health insurance policies about an insurance company's obligation to pay benefits are the same for all insurance companies?

true or false?

Back 38

FALSE

Front 39

there is standardization of format for the explanation of benefit document for all private insurance carriers

true or false?

Back 39

false

Front 40

insurance companies are rated according to the number of complaints received about them

true or false?

Back 40

true

Front 41

The status of electronic insurance claims may be accessed quickly electronically or telephonically by digital response systems

true or false?

Back 41

True

Front 42

Inquiries about insurance claims may be in writing or by telephone

true or false?

Back 42

True

Front 43

In the case of medicare part B redetermination, carriers have been instructed to pay an appealed insurance claim if the cost of the hearing process is more than the amount of the claim

true or false?

Back 43

True

Front 44

Routine use of too many nonspecific diagnostic codes may result in downcoding

true or false?

Back 44

true

Front 45

in any type of overpayment situation, always cash the third-party payers check and write a refund check payable to the originator of the overpayment

true or false?

Back 45

true

Front 46

if the provider is notified by a commercial insurance carrier that an overpayment has been made investigate the refund request

true or false?

Back 46

true

Front 47

a level 1 medicare re determination (appeal) may be made either by telephone, in writing or by submitting a CMS-20027 form

true or false?

Back 47

true

Front 48

a peer review is usually done before the appeal process

true or false?

Back 48

false

Front 49

the highest level of a medicare re determination is with an administrative law judge hearing.

Back 49

false

Front 50

if an insured is in disagreement with the insurer for settlement of a claim, a suit must begin within...

Back 50

3 years

Front 51

if a payment problem develops with an insurance company and the company ignores claims and exceeds time limits to pay a claim, it is prudent to contact the

Back 51

state insurance commisioner

Front 52

the document together with the payment voucher that is sent to a physician who has accepted assignment of benefits is refereed to as an

Back 52

EOB

Front 53

AN INSURANCE CLAIMS REGISTER PROVIDES A

Back 53

follow-up procedure for insurance claims

Front 54

pending or resubmitted insurance claims may be tracked through a

Back 54

tickler file

Front 55

There are several way to file pending insurance claims. What is the best way to file so that timely follow-up can be made?

Back 55

File by patients last name

Front 56

A follow up effort made to an insurance company to locate the status of an insurance claim is called a/an

Back 56

inquiry

Front 57

if an insurance claim has been lost by the insurance carrier. the procedures to follow is to ...

Back 57

ask if there is a backlog of claims at the insurance office

Front 58

An example of a technical error on an insurance claim is

Back 58

Duplicate dates of servuce

Front 59

An insurance claim with an invalid procedure code would be

Back 59

rejected

Front 60

what would you do if an insurance carrier requests information about another insurance carrier

Back 60

provide the information

Front 61

what would you do if an insurance claim denial is received because a billed service was not a program benefit?

Back 61

Send the patient a statement with a notation of the response from the insurance company

Front 62

What should be done if an insurance company denies a service stating it was not medically necessary and the physician believes it was?

Back 62

re bill with a letter of explanation from the physician

Front 63

if an insurance company admits that a patient signed an assignments of benefits document and that it inadvertently paid the patient instead of the physician the insurance company should...

Back 63

pay the physician within 2-3 weeks and honor the assignment even before the company recovers its money from the patient.

Front 64

the total number of levels of predetermination that exist in the medicare program is

Back 64

five

Front 65

the first level of appeal in the medicare program is

Back 65

redetermination

Front 66

the correct method to send documents for a medicare reconsideation (level2) is by

Back 66

certified mail with return reciept requested

Front 67

a request for a medicare administrative law judge hearing can be made if the amount in controversy is at least

Back 67

$120

Front 68

an insured person cannot bring legal action against an insurance company until _____ days after a claim is submitted to the insurance company

Back 68

60

Front 69

Documentation from private insurance carriers sent to participating providers that accompanies payment and describes the response to claim is referred to by the acronym ________

Back 69

EOB

Front 70

Monitoring the activities of insurance companies and making sure that the interests of the policyholders are protected is the job of the insurance ____________.

and spell it

Back 70

commission

Front 71

all requests of the insurance commissioner must be submitted in writing and include the _________ signature.

and spell it

Back 71

patient's

Front 72

a suspense or follow-up file used to track pending insurance claims is also called a/an

_________

and spell it

Back 72

tickler

Front 73

overdue payment on an insurance claim is referred to as ________________

and spell it

Back 73

Delinquent claims

Front 74

An insurance claim that is pending because of need for additional information is also referred to as being in _________

and spell it

Back 74

suspended claim

Front 75

If the medical practice receives payment from an insurance company that is more than the contract rate, it is called a/an________

and spell it

Back 75

overpayment

Front 76

Generally, if a bill has not been paid, the physician rebills the patient every ____________ days.

Back 76

30

Front 77

if inadequate payment was received from an insurance company for a complicated procedure, the insurance billing specialist should file an __________ on behalf of the physician.

and spell it

Back 77

appeal

Front 78

It is often the practice administrator who is responsible for the business portion of the practice.

true or false?

Back 78

true

Front 79

a large percentage of reimbursement in a physician's office is generated from third-party payers.

true or false?

Back 79

true

Front 80

information provided on the patient registration form will prove critical to any billing and collection efforts.

true or false?

Back 80

true

Front 81

When no business or home telephone number is listed on the patient registration form, this may be an indication of a future nonpaying patient

true or false?

Back 81

true

Front 82

a collection rate of 80% to 85% should be a goal for the practice administrator in charge of collections in the physicians office.

true or false?

Back 82

false

Front 83

most medical practices operate with a set of fees that must be applied to all patients in the practice

true or false?

Back 83

true

Front 84

when a physician offers a discount, it must apply to the total bill, not just the portion that is paid by the patient

true or false?

Back 84

true

Front 85

it is legal to offer patients a cash discount when the entire fee is paid at the time of service

true or false?

Back 85

true

Front 86

in most situations, both private insurers and the federal government ban waiting the copayment portion of the patient's fee.

true or false?

Back 86

true

Front 87

you should not give patients the option of asking if they would like to pay not or have a bill sent

true or false?

Back 87

true

Front 88

in trying to collect an unpaid balance, a telephone interview is preferred to a personal interview

true or false?

Back 88

false

Front 89

If a patient writes "paid in full" on a check against an account that will not be paid in full with the check, the acceptance of the check indicates an acceptance of the "paid in full" remark

true or false?

Back 89

false

Front 90

one person or one department should handle all billing questions

true or false?

Back 90

true

Front 91

the best and most effective collection statements include and handwritten note

true or false?

Back 91

true

Front 92

refunds may be made by check on accounts in which payment was made by credit card

true or false?

Back 92

false

Front 93

a patient has $600 balance and agrees to a payment plan of $100 in six installments. If he or she skips the third installment and sends in $25 the following month, the physician can send the account to a collection agency

true or false?

Back 93

true

Front 94

when a physician continues to treat a patient with an overdue account, the courts have viewed this as an extension of cred. therefor patients who fall into this delinquent status should be referred elsewhere

true or false?

Back 94

true

Front 95

according to the FDCPA, debtors can never be contacted at work

true or false?

Back 95

false

Front 96

medicare accounts may not be written off until sequential statements have been sent with an increasing intensity in the collection message and genuine collection efforts has been made

true or false?

Back 96

true

Front 97

statements should not be sent to a patient who has filed for bankruptcy

true or false?

Back 97

true

Front 98

insurance billing specialists who handle checks or cash should be bonded and insured

true or false?

Back 98

true

Front 99

cash flow is

Back 99

the ongoing availability of cash in the medical practice.

Front 100

when insurance carriers do not pay claims in a timely manner, what effect does this have on the medical practice?

Back 100

Decreased cash flow

Front 101

what does the insurance billing specialist need to monitor and be able to evaluate the effectiveness of the collection process?

Back 101

accounts recievable

Front 102

accounts that are 90 days or older should not exceed

Back 102

15% to 18% of the total accounts receivable

Front 103

what should be done to inform a new patient of office fees and payment polices?`

Back 103

All of the above

Front 104

The patient is likely to be the most cooperative furnishing details necessary for a complete registration process

Back 104

before any services are provided

Front 105

professional courtesy means

Back 105

applying a discount (percentage) to the entire fee

Front 106

when collecting fees your goal should always be to

Back 106

collect as much as poddible

Front 107

the most common method of payment in the medical office is

Back 107

personal checks

Front 108

when the physicians office receives notice that a check was not honored the first thing to do is to

Back 108

call the bank or the patient

Front 109

accounts receivable are usually aged in time periods of

Back 109

30,60,90, and 120 days

Front 110

employment of billing service is called

Back 110

outsiurcing

Front 111

the first statement should be

Back 111

presented at the time of servuce

Front 112

the first telephone call to the patient to try to collect on an account should be made

Back 112

after there is no response from the third statement

Front 113

what is the name of the act designed to address the collection practices of the third party debt collectors and attorneys who regularly collect debts for others?

Back 113

fair debt collection practices act

Front 114

All collection calls should be placed

Back 114

after 8am and before 9pm

Front 115

which group accounts would a collector target when he or she begins making telephone calls?

Back 115

60-90 day accounts

Front 116

in making collection telephone calls to a group of accounts, how should the agents be organized to determine where to begin?

Back 116

organize the accounts according to amounts owed and start with the largest amount

Front 117

when writing a collection letter

Back 117

use a friendly tone and ask why payment hasnt been made

Front 118

if an insurance company seems to be ignoring all efforts to trace a claim, send a copy of the

Back 118

history of the account

Front 119

in a bankruptcy case, most medical bills are considered

Back 119

unsecured debt

Front 120

which type of bankruptcy is considered "wage earners bankruptcy?"

Back 120

chapter 13

Front 121

the unpaid balance due from patients for services that have been rendered is called ___________

spell it

Back 121

accounts recievable

Front 122

the patient information sheet is also known as the_________

spell it

Back 122

intake sheet

Front 123

the patient registration sheet should be updated at least every

spell it

Back 123

6 months

Front 124

the maximum time during which a legal collection suit may be rendered staging a debtor is referred to as a _______________

spell it

Back 124

statue of limitation

Front 125

patients accounts turned over to a collection agency should have a/an ____________________ sent by certified mail.

spell it

Back 125

letter of withdraw

Front 126

in dealing with an estate claim, a call to the ________ can be made periodically to check on the status of the estate.

spell it

Back 126

executor

Front 127

A/an _________ is a claim on the property of another as security for debt

spell it

Back 127

lien