Shared Flashcard Set

Details

Medical Insurance and Billing
Medical Insurance and Billing
39
Medical
Graduate
03/02/2011

Additional Medical Flashcards

 


 

Cards

Term
In order to work competently as medical claims specialist in a physician's office, one needs____?
Definition

 

to know procedural and diagnostic coding

Term
Medical ethics will typically address standards of _____?
Definition

 

 

conduct

Term
Everything that a medical claims specialist learns about a patient's condition must remain ________?
Definition

 

 

confidential

Term

Which of the following skills would NOT be required for accurate filing of claims?

  1. Computer programming
  2. Medical terminology
  3. Basic mathematics
  4. Keyboarding
Definition
Computer programming
Term

All of the following are expected as part of a professional image EXCEPT _______ ?

  1. conservative business attire
  2. clean,well groomed haird
  3. clean hands and nails
  4. a strong pleasant fragrance
Definition
a strong pleasant fragrance
Term

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?

  1. White it out
  2. Scratch it out
  3. Draw a single line through it
  4. Erase it
Definition
Draw a single line through it
Term

Which of the following is NOT typical knowledge expected of an insurance billing specialist?

  1. How to prevent fraudulent claims
  2. What constitutes abuse when processing insurance claims
  3. How to repsond to a subpoena of records
  4. How to repair a fax machine
Definition

 

How to repair a fax machine

Term

A legally enforceable document composed by an insurance company describing an agreement is a(n) __________?

  1. application
  2. policy
  3. heath plan
  4. eligibility verification form
Definition
policy
Term
The patient-physician contract begins when the __________?
Definition

 

 

physicians agrees to treat the patient

Term
Scanners for directly reading claims into a computer's memory are called ___________?
Definition

OCR Devices

or

Optical Characted Readers

Term

When a fax is used to transmit medical records, the patient must sign a _________?

  1. release
  2. contract
  3. letter
  4. record
Definition

 

 

Release

Term

Who should interpret reports and laboratory test to the patient?

  1. Physicians
  2. Medical Billing Specialist
  3. Medical Assistant
  4. Nurse
Definition

 

 

Physicians

Term

According to income tax regulations, accounting records should be kept for ________ ?

  1. 10 years
  2. 1 year
  3. 4 years
  4. 6 months
Definition

 

 

4 years

Term
A writ requiring the appearance of a person at a trial or other proceeding is a ________ ?
Definition

 

 

SUBPOENA

Term

Precautions for use of a physician's signature stamp include all but which one of the following?

  1. It should be available to all employees
  2. It should be kept in a locked location
  3. Only bonded staff members should have access
  4. There should be just one stamp per physician
Definition

 

 

It should be available to all employees

Term

An insurance billing specialist should be able to do all but which of the following?

  1. Define common insurance terms
  2. Advise patients which insurance companies offer the best insurance
  3. Handle insurance claims to minimize rejection by carriers
  4. Ask appropriate questions to complete a patient record
Definition
Advise patients which insurance
companies offer the best insurance
Term

When physicians evaluate other physicians, this process is called _________?

 

Definition

 

 

PEER REVIEW

Term

The following are names of parts of a computer EXCEPT _________ ?

  1. hard disk
  2. montior
  3. CPU
  4. transcriber

 

Definition

 

transcriber

Term
ROM and RAM refer to a computer's _______ ?
Definition

 

 

MEMORY

Term

Which of the following IS NOT an area of expected expertise for the medical billing specialist?

  1. ICD-9 Coding
  2. CPT Coding
  3. Counseling
  4. Claims Processing

 

Definition
Counseling
Term

A transmission device for sending electronic data is called a _______ ?

  1. hard drive
  2. keyboard
  3. modem
  4. word processor
Definition

 

MODEM

Term

The following should be considered when selecting and setting up a computer system EXCEPT _________?

  1. electrical modifications
  2. cost
  3. decor
  4. storage capacity
Definition

 

 

DECOR

Term
Medical ethics has to do with __________?
Definition

 

 

making right and wrong decisions

Term

Computer data regarding patient medical records is considered __________ ?

  1. Confidential
  2. efficient
  3. transient
  4. accurate
Definition

 

 

CONFIDENTIAL

Term

A destructive computer program that attached itself to other programs is called a(n) ___________?

  1. revision
  2. update
  3. malignancy
  4. virus
Definition

 

 

VIRUS

Term

Backing-up refers to ___________?

 

Definition

 

 

SAVING DATA

Term

A 1099 FORM is used to report income to the ________?

  1. IRS
  2. Social Security Administration
  3. AMA
  4. State Dept of Revenue
Definition

 

 

IRS

Term

Computer memory can be measured in _______?

  1. bytes
  2. wattage
  3. volts
  4. amperes
Definition

 

 

BYTES

Term

A self-employed billing specialist will need all of the following for successful start-up EXCEPT which one?

  1. Sufficient funds for at least 6 months
  2. Casual attitude toward customers
  3. Full-time commictment to the job
  4. Dedication to do things right
Definition

 

 

 

Casual attitude toward customers
Term

A self-employed claims processor might expect to invest in a new _______ for business.

  1. computer
  2. home
  3. car
  4. wardrobe
Definition

 

COMPUTER

Term

Self-employed insurance billing specialist can deduct all but which one of the following expenses.

  1. business travel expenses
  2. subscriptions to professional magazines
  3. social entertaining
  4. depreciation of office equipment
Definition

 

 

SOCIAL ENTERTAINING

Term
If self-employed insurance specialist plans to use a business name he or she must ______?
Definition

 

 

file a DBA form

Term

Brains of a computer which control memory and processing functions are called the _________ ?

  1. CPU
  2. CRT
  3. CD-ROM
  4. LCD
Definition

 

 

CPU

Term

Intentional misrepresentation of facts in order to deceive or mislead others is _________?

 

Definition

 

 

FRAUD

Term

A separate part of a computer keyboard that handles numerical functions only is a(n) _________?

  1. keypad
  2. hot key
  3. alternate key
  4. functions key
Definition

 

 

KEYPAD

Term

Storage in a computer is called ________?

  1. disk
  2. chips
  3. capacity
  4. memory
Definition

 

 

 

MEMORY

Term

A list of items displayed on a computer screen from whcih the operator can choose a functionsis termed a ______?

  1. window
  2. menu
  3. directory
  4. hard drive

 

Definition

 

 

MENU

Term

Memory that allows data to be stored and retrieved by specification is called ________?

  1. ROM
  2. retrievable memory
  3. byte
  4. RAM (random access memor) 
Definition

 

 

RAM (random access memor) 
Term
In addition to a medical data, the medical record may include ______?

1) personal data
2) financial data
3) social data
4) all answers are correct
Definition
all the answers are correct
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