Question 1

Policyholders receive insurance benefits when which of the following is filed?

Accepted Answer

A)  compensation forms 
B)  health care claims 
C)  encounter forms 
D)  patient information forms 
A)  compensation forms 
B)  health care claims 
C)  encounter forms 
D)  patient information forms B

Question 2

Practice management programs (PMPs) are used to ____.

Accepted Answer

A)  record certification of the medical office staff 
B)  bill insurance companies and patients 
C)  monitor the equipment used in the medical office 
D)  evaluate employees 
A)  record certification of the medical office staff 
B)  bill insurance companies and patients 
C)  monitor the equipment used in the medical office 
D)  evaluate employees B

Question 3

Copay is the shortened version of which term?

Accepted Answer

A)  cooperative payment 
B)  company payment 
C)  coinsurance 
D)  copayment 
A)  cooperative payment 
B)  company payment 
C)  coinsurance 
D)  copayment D

Question 4

_____ is the amount the insured must pay before receiving benefits from the insurance policy.

Accepted Answer

A)  deductible 
B)  payment to referring physician 
C)  benefits 
D)  optional service fees 
A)  deductible 
B)  payment to referring physician 
C)  benefits 
D)  optional service fees

Question 5

What side(s) of the patient's insurance identification card does a medical assistant usually scan or photocopy?

Accepted Answer

A)  The front 
B)  Neither side 
C)  The back 
D)  Both the front and back 
A)  The front 
B)  Neither side 
C)  The back 
D)  Both the front and back

Question 6

Health information technology is ___.

Accepted Answer

A)  computer software that is used for payroll within the medical office 
B)  computer software used to control the health care environment 
C)  computer hardware and software information systems that record, store, and manage patient information 
D)  computer hardware to evaluate employees 
A)  computer software that is used for payroll within the medical office 
B)  computer software used to control the health care environment 
C)  computer hardware and software information systems that record, store, and manage patient information 
D)  computer hardware to evaluate employees

Question 7

PM/EHR is a software program that combines ____.

Accepted Answer

A)  Procedural Codes and Diagnostic Codes 
B)  Payment Management and Electronic Human Resources 
C)  Physician Management and Electronic Health Resources 
D)  Electronic Health Record and Practice Management Program 
A)  Procedural Codes and Diagnostic Codes 
B)  Payment Management and Electronic Human Resources 
C)  Physician Management and Electronic Health Resources 
D)  Electronic Health Record and Practice Management Program

Question 8

Cost-containment practices are designed to __________.

Accepted Answer

A)  drive up health care costs. 
B)  hold down health care costs 
C)  have no effect on health care costs 
D)  increase health care costs over a designated period 
A)  drive up health care costs. 
B)  hold down health care costs 
C)  have no effect on health care costs 
D)  increase health care costs over a designated period

Question 9

When a health plan has approved a procedure before it is done, this process is called____.

Accepted Answer

A)  preauthorization 
B)  fees-for-services 
C)  adjunction 
D)  premium 
A)  preauthorization 
B)  fees-for-services 
C)  adjunction 
D)  premium

Question 10

Who pays for the excluded services?

Accepted Answer

A)  insurance policy 
B)  provider 
C)  patient 
D)  Medicare 
A)  insurance policy 
B)  provider 
C)  patient 
D)  Medicare

Question 11

___ is a type of managed care health plan in which a network of providers under contract with a managed care organization agree to perform services for plan members at discounted fees.

Accepted Answer

A)  Preferred Provider Organization 
B)  Proposed Provider Organization 
C)  Health Plan Organization 
D)  Care Provider Organization 
A)  Preferred Provider Organization 
B)  Proposed Provider Organization 
C)  Health Plan Organization 
D)  Care Provider Organization

Question 12

A copayment is due when the patient ___.

Accepted Answer

A)  next returns to the practice 
B)  receives the service 
C)  calls to join a new practice 
D)  has surgery 
A)  next returns to the practice 
B)  receives the service 
C)  calls to join a new practice 
D)  has surgery

Question 13

Health plans offer financial protection in the case of_____.

Accepted Answer

A)  Unemployment 
B)  Illness 
C)  Divorce 
D)  Loss of a spouse 
A)  Unemployment 
B)  Illness 
C)  Divorce 
D)  Loss of a spouse

Question 14

In exchange for the premium that the policyholder pays, the health plan agrees to pay amounts for medical services called _______.

Accepted Answer

A)  premium 
B)  benefits 
C)  deductible 
D)  coinsurance 
A)  premium 
B)  benefits 
C)  deductible 
D)  coinsurance

Question 15

___ are standards of conduct based on moral principles.

Accepted Answer

A)  ethics 
B)  conventions 
C)  norms 
D)  routines 
A)  ethics 
B)  conventions 
C)  norms 
D)  routines

Question 16

____ is the health plan for the dependents of veterans with permanent service-related disabilities.

Accepted Answer

A)  Health Keepers 
B)  Blue Cross/Blue Shied 
C)  CHAMPVA 
D)  Medicaid 
A)  Health Keepers 
B)  Blue Cross/Blue Shied 
C)  CHAMPVA 
D)  Medicaid

Question 17

A list of covered services that an insurance policy covers is called ____.

Accepted Answer

A)  remittance form 
B)  schedule of benefits 
C)  agenda form 
D)  timetable of benefits 
A)  remittance form 
B)  schedule of benefits 
C)  agenda form 
D)  timetable of benefits

Question 18

What should patients returning to a medical office periodically be asked to do with their patient information forms?

Accepted Answer

A)  take them home 
B)  update them 
C)  fill out a new form 
D)  email them to the payer 
A)  take them home 
B)  update them 
C)  fill out a new form 
D)  email them to the payer

Question 19

____ is for individuals with lower incomes who cannot afford medical care and is cosponsored by the federal and state governments.

Accepted Answer

A)  A prepaid healthcare plan 
B)  Medicaid 
C)  A sponsored plan 
D)  Medicare 
A)  A prepaid healthcare plan 
B)  Medicaid 
C)  A sponsored plan 
D)  Medicare

Question 20

Patient payments such as copayments are ____.

Accepted Answer

A)  part of the patient checkout process 
B)  part of the scheduling process 
C)  part of the Coding process 
D)  part of the Compliance process 
A)  part of the patient checkout process 
B)  part of the scheduling process 
C)  part of the Coding process 
D)  part of the Compliance process

Policyholders receive insurance benefits when which of the following is filed?

Practice management programs (PMPs) are used to ____.

Copay is the shortened version of which term?

_____ is the amount the insured must pay before receiving benefits from the insurance policy.

What side(s) of the patient's insurance identification card does a medical assistant usually scan or photocopy?

Health information technology is ___.

PM/EHR is a software program that combines ____.

Cost-containment practices are designed to __________.

When a health plan has approved a procedure before it is done, this process is called____.

Who pays for the excluded services?

___ is a type of managed care health plan in which a network of providers under contract with a managed care organization agree to perform services for plan members at discounted fees.

A copayment is due when the patient ___.

Health plans offer financial protection in the case of_____.

In exchange for the premium that the policyholder pays, the health plan agrees to pay amounts for medical services called _______.

___ are standards of conduct based on moral principles.

____ is the health plan for the dependents of veterans with permanent service-related disabilities.

A list of covered services that an insurance policy covers is called ____.

What should patients returning to a medical office periodically be asked to do with their patient information forms?

____ is for individuals with lower incomes who cannot afford medical care and is cosponsored by the federal and state governments.

Patient payments such as copayments are ____.

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters

Exam 1: From Patient to Payment Understanding Medical Insurance

Policyholders receive insurance benefits when which of the following is filed?

Practice management programs (PMPs) are used to ____.

Copay is the shortened version of which term?

_____ is the amount the insured must pay before receiving benefits from the insurance policy.

What side(s) of the patient's insurance identification card does a medical assistant usually scan or photocopy?

Health information technology is ___.

PM/EHR is a software program that combines ____.

Cost-containment practices are designed to __________.

When a health plan has approved a procedure before it is done, this process is called____.

Who pays for the excluded services?

___ is a type of managed care health plan in which a network of providers under contract with a managed care organization agree to perform services for plan members at discounted fees.

A copayment is due when the patient ___.

Health plans offer financial protection in the case of_____.

In exchange for the premium that the policyholder pays, the health plan agrees to pay amounts for medical services called _______.

___ are standards of conduct based on moral principles.

____ is the health plan for the dependents of veterans with permanent service-related disabilities.

A list of covered services that an insurance policy covers is called ____.

What should patients returning to a medical office periodically be asked to do with their patient information forms?

____ is for individuals with lower incomes who cannot afford medical care and is cosponsored by the federal and state governments.

Patient payments such as copayments are ____.

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters