Deck 2: Tools of the Trade: A Career as a Health (Medical)Insurance Professional

Question 1

In order to develop effective study skills,it is suggested that students generate a _________ chart.

A) career objective
B) time management
C) professional education
D) goal oriented

Answer 1

time management

Question 2

Organizing daily responsibilities according to their importance is called:

A) colonizing.
B) multitasking.
C) prioritizing.
D) categorizing.

Answer 2

prioritizing.

Question 3

When you have honest,ethical,and moral principles,you are said to have:

A) objectivity.
B) practicality.
C) flexibility.
D) integrity.

Answer 3

integrity.

Question 4

The nationally recognized job title for individuals who specialize in medical insurance claims submission is:

A) insurance billing specialist.
B) health insurance professional.
C) health information technician.
D) none; there is no nationally recognized title.

Question 5

The new version of HIPAA's standard for filing electronic claims is:

A) CMS-1500.
B) AXC4.
C) Version 5010.
D) 4010A1.

Question 6

Success in getting the most out of one's education and optimizing career potential facilitates:

A) lifelong learning.
B) autonomy.
C) career identity.
D) individuality.

Question 7

Sending and receiving information through mutually understood methods is called:

A) application.
B) comprehension.
C) communication.
D) interpretation.

Question 8

Career opportunities for a health insurance professional include:

A) physician's offices.
B) healthcare organizations.
C) nursing homes.
D) all of the above.

Question 9

If you are not influenced by personal feelings,biases,or prejudice,you have:

A) objectivity.
B) practicality.
C) flexibility.
D) integrity.

Question 10

College entry-level skills necessary for success as a health insurance professional include all of the following,except:

A) coding.
B) basic business math.
C) English and grammar skills.
D) keyboarding and computer skills.

Question 11

When you stick with a task until it is completed,you are:

A) diligent.
B) reticent.
C) obstinate.
D) obedient.

Question 12

One method of enhancing one's career as a health insurance professional is to acquire:

A) certification.
B) nationalization.
C) legalization.
D) specialization.

Question 13

In this chapter,experts in generating,submitting,and tracking insurance claims are referred to as:

A) medical assistants.
B) health insurance professionals.
C) medical office specialists.
D) physicians' assistants.

Question 14

To write down important lecture facts in one's own words is called:

A) outlining.
B) plagiarizing.
C) documenting.
D) paraphrasing.

Question 15

The key innovation that has dramatically transformed the health insurance industry that focuses on accuracy and efficiency rather than manual processes is the:

A) computer.
B) multiline telephone.
C) copy machine.
D) calculator.

Question 16

Understanding what you read is called:

A) application.
B) comprehension.
C) communication.
D) interpretation.

Question 17

Many of those who work in healthcare say the most important reward is:

A) earning a good salary.
B) getting promoted.
C) becoming certified.
D) helping people.

Question 18

The compliance date for all covered entities to convert to the new ICD-10 diagnostic coding system is no sooner than:

A) 2012.
B) 2013.
C) 2015.
D) 2020.

Question 19

When a covered entity can clearly demonstrate the ability to successfully create and receive compliant transactions using the new 5010 version,it is said to have:

A) preliminary endorsement.
B) appropriate acquisition.
C) Level I compliance.
D) compatibility.

Question 20

The focus of the health insurance professional's career is:

A) the insurance claim.
B) becoming certified.
C) patient account collections.
D) medical records documentation.

Question 21

Professional ethics are moral principles that are associated with a specific vocation.

Question 22

Healthcare providers in this country rely heavily on health insurance professionals.

Question 23

Health insurance professionals can enhance their career by becoming certified.

Question 24

List four types of business entities that typically hire health insurance professionals.

Question 25

Certification is the culmination of a process of formal recognition of the competence possessed by an individual in a specific area.

Question 26

The change to the new HIPAA transaction standards was made to better accommodate the ICD-9-CM codes.

Question 27

List six typical job responsibilities of a health insurance specialist.

Question 28

Health insurance professionals are currently in high demand in the United States.

Question 29

List the nine recommended steps listed in this chapter for pursuing and becoming successful in a career as a health insurance professional.

Question 30

List six on-the-job skills that a health insurance professional should possess.

Question 31

The ability to effectively perform one's job without direct supervision is called autonomy.

Question 32

Name four areas of certification available to the health insurance professional.

Question 33

HIPAA has created an opportunity for the healthcare industry to move from paper claims transactions to electronic transactions using one national standard format.

Question 34

One can typically expect to perform various duties when one becomes a health insurance professional.

Question 35

The basic goal of a health insurance professional is to ensure that providers and patients get paid correctly in a timely manner.

Question 36

Advancement opportunities as a health insurance professional are relatively limited.

Question 37

CMS mandates that insurance claims be submitted electronically using a specific format;however,there are exceptions to this rule.

Question 38

The nationally recognized title for a health insurance professional is "insurance biller/coder."

Question 39

Computers have dramatically changed the face of health insurance.

Question 40

There are as many different insurance claim forms as there are insurance companies.