Medisoft Test Chapters 4 - 11

40 Questions  I  By Mearley
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Medisoft Test Chapters 4 - 11

  
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  • 1. 
    An established patient is one who has been seen by a physician in in the same practice within
    • A. 

      1 year.

    • B. 

      2 years.

    • C. 

      3 years.

    • D. 

      4 years.


  • 2. 
    What number identifies a patient?

  • 3. 
    A new patient is on who has not received services in the past _____ years.
    • A. 

      One

    • B. 

      Two

    • C. 

      Three

    • D. 

      Four


  • 4. 
    The individual that is not the patient but is the insurance policy holder is called the
    • A. 

      Third party payor

    • B. 

      Guarantor

    • C. 

      Next of kin

    • D. 

      None of these


  • 5. 
    A _____ plan is one where payments are made to the physician by managed care.
    • A. 

      Fee-for-service

    • B. 

      Capitated

    • C. 

      Point of service

    • D. 

      Open network


  • 6. 
    _____ that don't respond are written off under accounts receivable
    • A. 

      Collection accounts

    • B. 

      Uncollectable accounts

    • C. 

      Tax deductions

    • D. 

      Tax credits


  • 7. 
    A grouping of transactions for visits to physician's offices is known as a(n) _____.

  • 8. 
    A folder that contains all records pertaining to a patient is referred to as a(n) _____.

  • 9. 
    The first carrier to whom claims are submitted is called the _____.

  • 10. 
    Physician's notes about a patients conditions and/or diagnoses is a(n) _____.
    • A. 

      Record of treatment and progress

    • B. 

      Discharge orders

    • C. 

      Prognoses addendum

    • D. 

      All of these are correct


  • 11. 
    A physician who recommends another physician is a(n) _____.
    • A. 

      Referring provider

    • B. 

      Specialist

    • C. 

      Consulting physician

    • D. 

      Intending physician


  • 12. 
    A(n) _____ is the active duty service member on TRICARE/ government insurance.

  • 13. 
    Adjustments are changes to the patient's _____.
    • A. 

      Account

    • B. 

      Progress notes

    • C. 

      Vertebral column

    • D. 

      Admitting notes


  • 14. 
    ___ are the amount billed by a provider for particular services.

  • 15. 
    _____ are a group of procedure codes related to a single activity.
    • A. 

      TransLink codes

    • B. 

      MultiSyn codes

    • C. 

      MultiLink codes

    • D. 

      HealthLink codes


  • 16. 
    _____ are monies paid to the medical practice by the patient and/ or insurance carrier(s).
    • A. 

      Adjustments

    • B. 

      Payments

    • C. 

      Charges

    • D. 

      Write-offs


  • 17. 
    A _____ is a condition data must meet in order to be selected.
    • A. 

      Firewall

    • B. 

      Term

    • C. 

      Criterion

    • D. 

      Filter


  • 18. 
    _____ buttons are ones that simplify tasks in moving from one entry to another.
    • A. 

      Navigator

    • B. 

      Shortcut

    • C. 

      Task

    • D. 

      None of these is correct


  • 19. 
    _____ payments are ones made to a physician for services provided under a managed care plan.
    • A. 

      Capitated

    • B. 

      Mandated

    • C. 

      Fee-for-service

    • D. 

      Indeminity


  • 20. 
    A type of billing where patients are divided up into groups who receive statements throughout the month is known as _____ biliing.
    • A. 

      Bi-monthly

    • B. 

      Weekly

    • C. 

      Cycle

    • D. 

      Quarterly


  • 21. 
    An electronic document that show patient's dates of services, charges, amount paid/ and amount denied by the insurance carrier is known as a(n) _____.
    • A. 

      PHI

    • B. 

      ERA

    • C. 

      CMS

    • D. 

      CPT


  • 22. 
    A _____ is a document which specifies the amount the provider will be paid for each procedure.
    • A. 

      Service/ fee agreement

    • B. 

      Regional agreement

    • C. 

      Fee schedule

    • D. 

      Procedure schedule


  • 23. 
    A _____ statement is a list of patient procedures, dates, and amount patient owes.
    • A. 

      Patient

    • B. 

      Provider

    • C. 

      Third-party reimbursement

    • D. 

      Third-party obligation


  • 24. 
    A _____ schedule is a document stating the amount the payer agrees to pay for services based on contract rate of reimbursement.
    • A. 

      Charge

    • B. 

      Payment

    • C. 

      Adjustment

    • D. 

      Write-off


  • 25. 
    Remainder statements list of _____ that are owed after the insurance payment has been received.
    • A. 

      Charges

    • B. 

      Payments

    • C. 

      Adjustments

    • D. 

      Write-offs


  • 26. 
    A _____ statement is a list of all charges, whether or not insurance has paid for transactions.
    • A. 

      Remainder

    • B. 

      Aging

    • C. 

      Patient

    • D. 

      Standards


  • 27. 
    An aging report is a list of amount owed to practice organized by _____ .
    • A. 

      Time lapsed

    • B. 

      Hundred of dollars owed.

    • C. 

      Dates of services

    • D. 

      Providers


  • 28. 
    A report that shows the acitivies in a 24-hour period is referred to as a(n) _____.

  • 29. 
    A list of how long a payer has taken to respond to insurance claims is known as a(n) _____.
    • A. 

      Aging report

    • B. 

      Patient aging report

    • C. 

      Insurance aging report

    • D. 

      Unpaid claims report


  • 30. 
    A list of a patient's balance, date, amount of last payment and telephone number is the _____.
    • A. 

      Unpaid claims report

    • B. 

      Insurance aging report

    • C. 

      Patient aging report

    • D. 

      Aging report


  • 31. 
    The summary of activities for a patient on a given day is called the _____.
    • A. 

      Day sheet

    • B. 

      Patient day sheet

    • C. 

      Insurance day sheet

    • D. 

      Practice day sheet


  • 32. 
    The report of financial activities in a patient's account is known as the patient _____.
    • A. 

      Account history

    • B. 

      Transaction history

    • C. 

      Ledger

    • D. 

      Day sheet


  • 33. 
    A payment day sheet is a report that lists payments received by the _____.
    • A. 

      Third-party payer

    • B. 

      Insurance carrier

    • C. 

      Provider

    • D. 

      Patient


  • 34. 
    The practice analysis report analyzes _____ for a specific time period.
    • A. 

      Revenue

    • B. 

      Charges

    • C. 

      Adjustments

    • D. 

      Capital investments


  • 35. 
    The procedure day sheet is a report that lists the procedures performed on a given day in _____ order.
    • A. 

      Chart number

    • B. 

      Numerical

    • C. 

      Diagnosis

    • D. 

      None of these is correct


  • 36. 
    A collection agency is an outside firm that collects on _____ accounts.
    • A. 

      Delinquent

    • B. 

      Old

    • C. 

      New

    • D. 

      Slightly overdue


  • 37. 
    A _____ is a tool for tracking activities needed as part of the collection process.
    • A. 

      Collection agency

    • B. 

      Collection list

    • C. 

      Collection tracer report

    • D. 

      Uncollectable accounts


  • 38. 
    A _____ is a remider to follow up on an account.
    • A. 

      Tickler

    • B. 

      Thumbprint

    • C. 

      Yellow flag

    • D. 

      Red flag


  • 39. 
    The blocks of time in which the physician is unavailable for patients is called the _____.
    • A. 

      Office hour breaks

    • B. 

      Office hours schedule

    • C. 

      Office hour matrices

    • D. 

      Office hour no patent blocks


  • 40. 
    The listing of time slots for a specific provider for a specific day is known as the _____ schedule.
    • A. 

      Office hours

    • B. 

      Provider availablilty

    • C. 

      Appointment availability

    • D. 

      Staff meeting


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