Question 1

Payment for medical services is accomplished in which of the following ways?

Accepted Answer

A) Internal insurance or other third-party billing 
B) Payment at the time of service 
C) Outside billing and collection assistance 
D) All of the above 
A) Internal insurance or other third-party billing 
B) Payment at the time of service 
C) Outside billing and collection assistance 
D) All of the above D

Question 2

The smallest percentage of people who do not pay their medical bills consists of people who:

Accepted Answer

A) are disorganized and irresponsible 
B) are dissatisfied with the physician's services 
C) spend more than they earn 
D) never intend to pay 
A) are disorganized and irresponsible 
B) are dissatisfied with the physician's services 
C) spend more than they earn 
D) never intend to pay D

Question 3

Which of the following statements best describes the concept of "professional courtesy"?

Accepted Answer

A) A referral system in which physicians send patients to colleagues for consultation and treatment 
B) Charging reduced or no fee for services rendered to other medical professionals 
C) Not undercharging for services and thus lowering the insurance company fee schedules 
D) Reducing fees charged for treatment of friends and family members 
A) A referral system in which physicians send patients to colleagues for consultation and treatment 
B) Charging reduced or no fee for services rendered to other medical professionals 
C) Not undercharging for services and thus lowering the insurance company fee schedules 
D) Reducing fees charged for treatment of friends and family members B

Question 4

Which of the following types of billing sends statements at given times of the month, such as one quarter of the accounts receivable the first week, and so on through the month?

Accepted Answer

A) Monthly billing 
B) Cycle billing 
C) Third-party billing 
D) Twice-a-month billing 
A) Monthly billing 
B) Cycle billing 
C) Third-party billing 
D) Twice-a-month billing

Question 5

The balances due to a creditor on an account is known as __________.

Accepted Answer

payables
Payables ar

Question 6

Amounts paid on patient accounts are called __________.

Accepted Answer

receipts
P

Question 7

Under which circumstances would a cycle billing system be most advantageous for the medical office?

Accepted Answer

A) Most companies in the area pay employees at the end of each month. 
B) The patient load is moderate, and most of them pay at the time of their visits. 
C) The physician wants to stabilize cash flow. 
D) All billing is handled by an outside service. 
A) Most companies in the area pay employees at the end of each month. 
B) The patient load is moderate, and most of them pay at the time of their visits. 
C) The physician wants to stabilize cash flow. 
D) All billing is handled by an outside service.

Question 8

Refunds after all payments are made on an account usually result in a patient balance of __________.

Accepted Answer

zero
0
After a refun

Question 9

John Esters agreed to pay his balance of $201 in three equal payments.What will his balance be after the first payment?

Accepted Answer

$134
$201

Question 10

The medical assistant does not need to know anything about outside credit services for which patients can apply.

Accepted Answer

A) True 
 B)False

Question 11

A credit balance exists when a patient has overpaid.

Accepted Answer

A) True 
 B)False

Question 12

Which factor is not usually considered by physicians when determining how much to charge for a procedure?

Accepted Answer

A) Time required 
B) Amount of knowledge and decision making involved 
C) Type of procedure 
D) Patient's ability to pay 
A) Time required 
B) Amount of knowledge and decision making involved 
C) Type of procedure 
D) Patient's ability to pay

Question 13

If the physician believes that the insurance company will pay only $185 of the $255 fee, he should bill the insurance company:

Accepted Answer

A) $255 and advise the patient that he or she will be billed for the balance after the insurance pays the claim 
B) ill the insurance company $185 and bill the patient $255 
C) $185 and write off the $70 
D) $295 and bill the patient $70 
A) $255 and advise the patient that he or she will be billed for the balance after the insurance pays the claim 
B) ill the insurance company $185 and bill the patient $255 
C) $185 and write off the $70 
D) $295 and bill the patient $70

Question 14

Repeated telephone collection calls are acceptable if the patient owes a balance.

Accepted Answer

A) True 
 B)False

Question 15

When using the telephone to collect accounts, the medical assistant should:

Accepted Answer

A) call at whatever time the patient can be reached 
B) try to get a definite commitment on a date that payment will be made 
C) insist on payment within 2 weeks 
D) apologize for calling and requesting payment 
A) call at whatever time the patient can be reached 
B) try to get a definite commitment on a date that payment will be made 
C) insist on payment within 2 weeks 
D) apologize for calling and requesting payment

Question 16

Credit information is not as confidential as patient medical information.

Accepted Answer

A) True 
 B)False

Question 17

Why might a physician receive only $185 for a procedure for which he billed the insurance company $255?

Accepted Answer

A) The physician's fee profile has increased since it was set by the company. 
B) The insurance company's fee schedule allows only $185. 
C) The fee of $225 is above the maximum range charged by the other physicians in the area. 
D) All of the above are correct. 
A) The physician's fee profile has increased since it was set by the company. 
B) The insurance company's fee schedule allows only $185. 
C) The fee of $225 is above the maximum range charged by the other physicians in the area. 
D) All of the above are correct.

Question 18

Joe Britton is a new patient, and his first office visit was $258.He paid his co-pay of $25, but his insurance denied the claim.What does he owe?

Accepted Answer

$233
$258

Question 19

Which of the following statements does not describe an advantage of using small claims court to collect delinquent accounts?

Accepted Answer

A) It is faster than regular court action. 
B) A lawyer must be hired to represent the physician. 
C) The claim takes less time to prepare and present than a lawsuit. 
D) Using the small claims courts is relatively inexpensive. 
A) It is faster than regular court action. 
B) A lawyer must be hired to represent the physician. 
C) The claim takes less time to prepare and present than a lawsuit. 
D) Using the small claims courts is relatively inexpensive.

Question 20

Ms.Jackson paid $25 on her account, which had a balance of $248; $66 is written off the account.What is the remaining balance?

Accepted Answer

$157
$248

Exam 22: Professional Fees, Billing, and Collecting

Payment for medical services is accomplished in which of the following ways?

The smallest percentage of people who do not pay their medical bills consists of people who:

Which of the following statements best describes the concept of "professional courtesy"?

Which of the following types of billing sends statements at given times of the month, such as one quarter of the accounts receivable the first week, and so on through the month?

The balances due to a creditor on an account is known as __________.

Amounts paid on patient accounts are called __________.

Under which circumstances would a cycle billing system be most advantageous for the medical office?

Refunds after all payments are made on an account usually result in a patient balance of __________.

John Esters agreed to pay his balance of $201 in three equal payments.What will his balance be after the first payment?

The medical assistant does not need to know anything about outside credit services for which patients can apply.

A credit balance exists when a patient has overpaid.

Which factor is not usually considered by physicians when determining how much to charge for a procedure?

If the physician believes that the insurance company will pay only $185 of the $255 fee, he should bill the insurance company:

Repeated telephone collection calls are acceptable if the patient owes a balance.

When using the telephone to collect accounts, the medical assistant should:

Credit information is not as confidential as patient medical information.

Why might a physician receive only $185 for a procedure for which he billed the insurance company $255?

Joe Britton is a new patient, and his first office visit was $258.He paid his co-pay of $25, but his insurance denied the claim.What does he owe?

Which of the following statements does not describe an advantage of using small claims court to collect delinquent accounts?

Ms.Jackson paid $25 on her account, which had a balance of $248; $66 is written off the account.What is the remaining balance?

Becoming a Successful Student

The Healthcare Industry

The Medical Assisting Profession

Professional Behavior in the Workplace

Interpersonal Skills and Human Behavior

Medicine and Ethics

Medicine and Law

Computer Concepts

Telephone Techniques

Scheduling Appointments

Patient Reception and Processing

Office Environment and Daily Operations

Written Communications and Mail Processing

The Paper Medical Record Formerly Medical Records Management

The Electronic Medical Record

Health Information Management

Privacy in the Physicians Office

Basics of Diagnostic Coding

Basics of Procedural Coding

Basics of Health Insurance

The Health Insurance Claim Form

Banking Services and Procedures

Financial and Practice Management

Medical Practice Management and Human Resources

Medical Practice Marketing and Customer Service

Infection Control

Patient Assessment

Patient Education

Nutrition and Health Promotion

Vital Signs

Assisting With the Primary Physical Examination

Principles of Pharmacology

Pharmacology Math

Administering Medications

Emergency Preparedness and Assisting With Medical Emergencies

Assisting in Ophthalmology and Otolaryngology

Assisting in Dermatology

Assisting in Gastroenterology

Assisting in Urology and Male Reproduction

Assisting in Obstetrics and Gynecology

Assisting in Pediatrics

Assisting in Orthopedic Medicine

Assisting in Neurology and Mental Health

Assisting in Endocrinology

Assisting in Pulmonary Medicine

Assisting in Cardiology

Assisting in Geriatrics

Principles of Electrocardiography

Assisting With Diagnostic Imaging

Assisting in the Clinical Laboratory

Assisting in the Analysis of Urine

Assisting in Phlebotomy

Assisting in the Analysis of Blood

Assisting in Microbiology and Immunology

Surgical Supplies and Instruments

Surgical Asepsis and Assisting With Surgical Procedures

Career Development and Life Skills

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