Question 1

It is common for small-group practices to outsource:
A)billing and accounts receivable.
B)insurance coverage verifications.
C)appointment scheduling and patient reminders.
D)medical records management.

Accepted Answer

The answer of It is common for small-group practices to...

Question 2

The percentage of all healthcare providers who are physicians and nurses is:
A)25%.
B)40%.
C)50%.
D)60%.

Accepted Answer

The answer of The percentage of all healthcare providers who...

Question 3

The duties and responsibilities of an admitting clerk may include:
A)registering and greeting patients.
B)having patients complete paperwork.
C)dealing with patients who may be upset or irritable.
D)submitting insurance claims .

Accepted Answer

The answer of The duties and responsibilities of an admitting...

Question 4

A practice with three physicians would generally be categorized as a:
A)solo practice.
B)private practice.
C)small-group practice.
D)large-group practice.

Accepted Answer

The answer of A practice with three physicians would generally...

Question 5

The duties and responsibilities of a medical collector may include:
A)contacting patients or insurance carriers to obtain payment of balances owed.
B)compiling medical charts, reports, and correspondence.
C)reviewing medical records for compliance with regulations.
D)accurately coding diagnoses and procedures.

Accepted Answer

The answer of The duties and responsibilities of a medical...

Question 6

A medical receptionist is considered back office staff in a physician's office.

Accepted Answer

A) True 
 B)False

Question 7

The duties and responsibilities of a privacy compliance officer may include all of the following EXCEPT:

Accepted Answer

A) posting payments or making adjustments to patient accounts. 
B) answering questions about privacy regulations. 
C) explaining DNR orders to patients and their family members. 
D) data entry of patient demographics.

Question 8

The healthcare professional who contacts patients or insurance carriers to collect money owed to the medical facility is the:
A)medical office assistant.
B)medical coder.
C)payment poster.
D)medical collector.

Accepted Answer

The answer of The healthcare professional who contacts patients or...

Question 9

Explain how managed care has created a demand for trained and certified medical billers.

Accepted Answer

The answer of Explain how managed care has created a...

Question 10

Allied health employees make up 40% of all healthcare professionals.

Accepted Answer

A) True 
 B)False

Question 11

A group of physicians with different specialties may practice together at one outpatient facility known as a:
A)free clinic.
B)small-group practice.
C)multispecialty clinic.
D)private hospital.

Accepted Answer

The answer of A group of physicians with different specialties...

Question 12

A large-group practice is a specialized practice that is likely to:
A)employ more nurses than doctors.
B)include a physical therapist as part of the medical team.
C)employ in-house staff to handle claims and accounts receivable.
D)contract with an outside firm to handle claims and accounts receivable.

Accepted Answer

The answer of A large-group practice is a specialized practice...

Question 13

To achieve certification as a Certified Medical Billing Specialist (CMBS), an individual must have 5 or more years of job experience.

Accepted Answer

A) True 
 B)False

Question 14

Match between columns
                        Premises: The position that is responsible for registering and greeting patients
The position that manages the coding of diagnoses, procedures, and services
The position that obtains precertification and/or prior authorization of services
The position that contacts patients or insurance carriers to collect money owed to the medical facility
The position that handles administrative duties and is responsible for making a physician’s office function smoothly
The position whose duties include reading Explanation of Benefits documents from insurance carriers and posting payments or adjustments to the appropriate accounts
The position that reviews records for completeness, accuracy, and compliance with regulations
The position that submits insurance claims and enters patient data and charge information
The position that analyzes patient accounts to discern whether or not a refund is required
The position that is responsible for answering questions or explaining such topics as privacy regulations and living wills to patients and their family members

Accepted Answer

The Answer of medical collector and insurance verification representative and is...

Question 15

The Certified Medical Billing Specialist (CMBS) certification is awarded through the:
A)American Health Information Management Association.
B)Medical Association of Billers.
C)National Center for Competency Testing.
D)National Healthcareer Association.

Accepted Answer

The answer of The Certified Medical Billing Specialist (CMBS) certification...

Question 16

A candidate for Certified Medical Billing Specialist (CMBS) certification is motivated to:
A)improve his or her medical billing knowledge.
B)assist providers in obtaining maximum reimbursement for services.
C)develop new coding and documentation skills.
D)do all of the above.

Accepted Answer

The answer of A candidate for Certified Medical Billing Specialist...

Question 17

The Certified Professional Coder (CPC) certification is designed to evaluate a medical coder's knowledge of all of the following EXCEPT:
A)medical terminology.
B)math concepts.
C)coding concepts.
D)human anatomy.

Accepted Answer

The answer of The Certified Professional Coder (CPC) certification is...

Question 18

A physician who chooses not to handle billing and insurance claims within his or her facility may contract with a(n):
A)patient account services (PAS) facility.
B)centralized billing office (CBO).
C)small group practice.
D)third party administrator (TPA)

Accepted Answer

The answer of A physician who chooses not to handle...

Question 19

The National Center for Competency Testing awards the:
A)National Certified Medical Office Assistant (NCMOA) certificate.
B)Certified Medical Administrative Assistant (CMAA) certificate.
C)Certified Medical Billing Specialist (CMBS) certificate.
D)Certified Coding Associate (CCA) certificate.

Accepted Answer

The answer of The National Center for Competency Testing awards...

Question 20

personnel make up 60% of all healthcare professionals.

Accepted Answer

The answer of personnel make up 60% of all healthcare...

Exam 1: Introduction to Professional Billing and Coding Careers

It is common for small-group practices to outsource: A)billing and accounts receivable. B)insurance coverage verifications. C)appointment scheduling and patient reminders. D)medical records management.

The percentage of all healthcare providers who are physicians and nurses is: A)25%. B)40%. C)50%. D)60%.

The duties and responsibilities of an admitting clerk may include: A)registering and greeting patients. B)having patients complete paperwork. C)dealing with patients who may be upset or irritable. D)submitting insurance claims .

A practice with three physicians would generally be categorized as a: A)solo practice. B)private practice. C)small-group practice. D)large-group practice.

A medical receptionist is considered back office staff in a physician's office.

The duties and responsibilities of a privacy compliance officer may include all of the following EXCEPT:

The healthcare professional who contacts patients or insurance carriers to collect money owed to the medical facility is the: A)medical office assistant. B)medical coder. C)payment poster. D)medical collector.

Explain how managed care has created a demand for trained and certified medical billers.

Allied health employees make up 40% of all healthcare professionals.

A group of physicians with different specialties may practice together at one outpatient facility known as a: A)free clinic. B)small-group practice. C)multispecialty clinic. D)private hospital.

To achieve certification as a Certified Medical Billing Specialist (CMBS), an individual must have 5 or more years of job experience.

Match the following:

The Certified Medical Billing Specialist (CMBS) certification is awarded through the: A)American Health Information Management Association. B)Medical Association of Billers. C)National Center for Competency Testing. D)National Healthcareer Association.

A candidate for Certified Medical Billing Specialist (CMBS) certification is motivated to: A)improve his or her medical billing knowledge. B)assist providers in obtaining maximum reimbursement for services. C)develop new coding and documentation skills. D)do all of the above.

The Certified Professional Coder (CPC) certification is designed to evaluate a medical coder's knowledge of all of the following EXCEPT: A)medical terminology. B)math concepts. C)coding concepts. D)human anatomy.

A physician who chooses not to handle billing and insurance claims within his or her facility may contract with a(n): A)patient account services (PAS) facility. B)centralized billing office (CBO). C)small group practice. D)third party administrator (TPA)

The National Center for Competency Testing awards the: A)National Certified Medical Office Assistant (NCMOA) certificate. B)Certified Medical Administrative Assistant (CMAA) certificate. C)Certified Medical Billing Specialist (CMBS) certificate. D)Certified Coding Associate (CCA) certificate.

personnel make up 60% of all healthcare professionals.