Question 1

What should you do if you discover that a patient of your physician employer is under the care of another physician for the same ailment?

Accepted Answer

A)   Notify your physician.
B)   Honor the patient's choice and say nothing.
C)   Notify the other physician.
D)   None of the above.E) A) and B)
F) A) and C)

Question 2

Front office medical duties have become increasingly important because

Accepted Answer

A)   diagnostic and procedure coding must be reviewed for its correctness and completeness.
B)   the number of office visits for patients has increased.
C)   the number of patients belonging to managed care plans has decreased.
D)   the number of doctors has decreased.E) B) and C)
F) A) and C)

Question 3

An NPP is a ______________________________.

Accepted Answer

non-physic...

Question 4

Generally, a high school diploma is not required for an insurance billing specialist.

Accepted Answer

A) True 
 B)False

Question 5

A claims assistance professional

Accepted Answer

A)   works for the consumer.
B)   helps patients file insurance claims.
C)   neither a nor
D)   venipunctures.E) B) and C)
F) None of the above

Question 6

Respondeat superior, which literally means "let the master answer," is also known as ____________________ liability.

Accepted Answer

The answer of Respondeat superior, which literally means "let the...

Question 7

MATCHING
Determine whether the following statements are (a)  illegal, (b)  unethical, or (c)  both illegal and unethical. You may use the three choices as many times as needed.

-Reporting incorrect information to Medicare.

Accepted Answer

A)  Illegal
B)  Unethical
C)  Both illegal and unethicalD) B) and C)
E) A) and C)

Question 8

AHIMA publishes

Accepted Answer

A)   diagnostic and procedure coding competencies for outpatient services.
B)   diagnostic coding and reporting requirements.
C)   diagnostic medical terminology.
D)   both a and bE) C) and D)
F) All of the above

Question 9

In a medical practice, front office duties have lost importance.

Accepted Answer

A) True 
 B)False

Question 10

The amount of money an insurance billing specialist earns is dependent on which of the following factors?

Accepted Answer

A)   Knowledge
B)   Experience
C)   Size of employing institution
D)   All of the aboveE) B) and D)
F) None of the above

Question 11

Insurance companies never require the patient to submit the claim form.

Accepted Answer

A) True 
 B)False

Question 12

It is illegal to report incorrect information to government-funded programs such as Medicare, Medicaid, and TRICARE.

Accepted Answer

A) True 
 B)False

Question 13

The Internet Healthcare Coalition has developed

Accepted Answer

A)   the AAMA Code of Ethics.
B)   the eHealth Code of Ethics.
C)   the AMA Code of Ethics.
D)   the AHIMA Code of Ethics.E) All of the above
F) A) and D)

Question 14

To report incorrect information to a Medicare fiscal intermediary is ____________________.

Accepted Answer

The answer of To report incorrect information to a Medicare...

Question 15

In 1980 the AMA adopted a modern code of ethics called the ______________________________.

Accepted Answer

Principles...

Question 16

Medical etiquette refers to

Accepted Answer

A)   consideration for others.
B)   moral principles or practices.
C)   laws.
D)   the Oath of Hippocrates.E) A) and B)
F) C) and D)

Question 17

It is ____________________ to report incorrect information to private insurance carriers because this can possibly damage the individual and the integrity of the database.

Accepted Answer

The answer of It is ____________________ to report incorrect information...

Question 18

The primary goal of an insurance claims assistance professional (CAP) is to assist the consumer in obtaining maximum benefits and to tell the patient what checks to write to providers to make sure there are no overpayments.

Accepted Answer

A) True 
 B)False

Question 19

What is the name of the modern code of ethics that the American Medical Association (AMA)  adopted in 1980?

Accepted Answer

A)   The Modern Standards of Conduct Code
B)   The Principles of Medical Ethics
C)   The Oath of Hippocrates
D)   The American Medical Association Code of EthicsE) A) and B)
F) A) and C)

Question 20

MATCHING
Determine whether the following statements are (a)  illegal, (b)  unethical, or (c)  both illegal and unethical. You may use the three choices as many times as needed.

-Reporting incorrect information to a private insurance carrier.

Accepted Answer

A)  Illegal
B)  Unethical
C)  Both illegal and unethicalD) A) and B)
E) A) and C)

Exam 1: Role of an Insurance Billing Specialist

To report incorrect information to a Medicare fiscal intermediary is ____________________.

Correct AnswerverifiedShow Answer

The Internet Healthcare Coalition has developed

Correct AnswerverifiedShow Answer

It is illegal to report incorrect information to government-funded programs such as Medicare, Medicaid, and TRICARE.

Correct AnswerverifiedShow Answer

Generally, a high school diploma is not required for an insurance billing specialist.

Correct AnswerverifiedShow Answer

The amount of money an insurance billing specialist earns is dependent on which of the following factors?

Correct AnswerverifiedShow Answer

AHIMA publishes

Correct AnswerverifiedShow Answer

It is ____________________ to report incorrect information to private insurance carriers because this can possibly damage the individual and the integrity of the database.

Correct AnswerverifiedShow Answer

In 1980 the AMA adopted a modern code of ethics called the ______________________________.

Correct AnswerverifiedPrinciples...View AnswerShow Answer

A claims assistance professional

Correct AnswerverifiedShow Answer

Medical etiquette refers to

Correct AnswerverifiedShow Answer

What is the name of the modern code of ethics that the American Medical Association (AMA) adopted in 1980?

Correct AnswerverifiedShow Answer

Insurance companies never require the patient to submit the claim form.

Correct AnswerverifiedShow Answer

MATCHING Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed. -Reporting incorrect information to a private insurance carrier.

Correct AnswerverifiedShow Answer

MATCHING Determine whether the following statements are (a) illegal, (b) unethical, or (c) both illegal and unethical. You may use the three choices as many times as needed. -Reporting incorrect information to Medicare.

Correct AnswerverifiedShow Answer

What should you do if you discover that a patient of your physician employer is under the care of another physician for the same ailment?

Correct AnswerverifiedShow Answer

In a medical practice, front office duties have lost importance.

Correct AnswerverifiedShow Answer

The primary goal of an insurance claims assistance professional (CAP) is to assist the consumer in obtaining maximum benefits and to tell the patient what checks to write to providers to make sure there are no overpayments.

Correct AnswerverifiedShow Answer

Front office medical duties have become increasingly important because

Correct AnswerverifiedShow Answer

An NPP is a ______________________________.

Correct Answerverifiednon-physic...View AnswerShow Answer

Respondeat superior, which literally means "let the master answer," is also known as ____________________ liability.

Correct AnswerverifiedShow Answer

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Principles...
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non-physic...
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