1.
Which of the following is not one of the patient's rights provided by HIPAA:
Correct Answer
C. Right to obtain the original medical record
Explanation
Patients have a right to obtain a copy of the medical record but not to receive the original record. A cost can be incurred by the patient to obtain copies of their medical record. The original medical record should not leave the facility.
2.
Why is it usually poor policy to accept third-party checks from patients?
Correct Answer
D. You cannot verify the reliability of the maker
Explanation
Accepting third-party checks from patients is usually poor policy because you cannot verify the reliability of the maker. This means that there is a risk of the check being fraudulent or bouncing, leading to potential financial loss for the healthcare provider. It is important to ensure the legitimacy of the payer when accepting checks to protect the practice's financial stability.
3.
The non-profit organization that assists healthcare facilities by providing accreditation:
Correct Answer
C. JCAHO
Explanation
JCAHO, also known as the Joint Commission on Accreditation of Healthcare Organizations, is a non-profit organization that assists healthcare facilities by providing accreditation. They evaluate healthcare organizations based on their compliance with quality and safety standards, and their accreditation is widely recognized as a symbol of excellence in healthcare. OSHA, on the other hand, is the Occupational Safety and Health Administration, which focuses on ensuring safe and healthy working conditions for employees in various industries. ABHES and JCHAO are not relevant organizations in the context of healthcare accreditation.
4.
The medical assistant should collect which of the following when a new patient comes to the office?
Correct Answer
D. All of the above
Explanation
When a new patient comes to the office, it is important for the medical assistant to collect all of the mentioned items. The patient information sheet helps in gathering necessary details about the patient's medical history, contact information, and any specific concerns. A copy of the insurance card, front and back, is required to verify the patient's coverage and facilitate billing. Collecting a copy of the driver's license helps in confirming the patient's identity and maintaining accurate records. Therefore, collecting all of the mentioned items is necessary for proper documentation and efficient healthcare administration.
5.
The process is done before claims submission to examine claims for accuracy and completeness is to:
Correct Answer
B. Audit
Explanation
The process of auditing is done before claims submission to examine claims for accuracy and completeness. Auditing involves a thorough review and evaluation of the claims to ensure that they are correct and meet all the necessary requirements. This helps in identifying any errors or discrepancies in the claims before they are submitted, allowing for necessary revisions or rejection if needed.
6.
The division of the federal government that enforces privacy standards is:
Correct Answer
C. OCR
Explanation
Office of Civil Rights (OCR) is the federal government division that enforces the privacy standards.
7.
Which standard size letterhead is appropriate for most business correspondence?
Correct Answer
C. 8 1/2 x 11 inches
Explanation
The standard size letterhead that is appropriate for most business correspondence is 8 1/2 x 11 inches. This size is widely used and accepted in the business world and is compatible with standard printers and copiers. It provides enough space to include all necessary information and allows for easy filing and storage.
8.
Acting in anticipation of future problems is:
Correct Answer
B. Being proactive
Explanation
To be proactive means that you are preparing for future incidents.
9.
The medical record should be released only with a:
Correct Answer
C. Written release from the patient
Explanation
The correct answer is written release from the patient because releasing medical records without the patient's consent can violate their privacy rights. A written release ensures that the patient has given explicit permission for their medical records to be shared with the designated party. Verbal orders from the physician or office manager may not be sufficient documentation and can lead to potential legal issues.
10.
Which letter style combines efficiency with an attractive page layout?
Correct Answer
A. Modified-block
Explanation
The modified-block letter style combines efficiency with an attractive page layout. In this style, the date, closing, and signature block are aligned to the right, while the rest of the letter is aligned to the left. This layout creates a clean and professional appearance, making it visually appealing. Additionally, the modified-block style allows for efficient writing and editing, as it provides a clear structure and organization for the content of the letter.
11.
How would you properly index the name "Amanda M. Stiles-Duncan" for filing?
Correct Answer
A. Stilesduncan, Amanda M.
Explanation
The correct answer is "Stilesduncan, Amanda M." This is the proper way to index the name "Amanda M. Stiles-Duncan" for filing. The last name "Stiles-Duncan" is combined without a space and placed before the first name "Amanda M.". This follows the convention of filing names by the last name first, followed by the first name.
12.
Which of the following is not objective information?
Correct Answer
B. Family history
Explanation
Family history is not objective information because it is based on personal accounts and recollections of family members, which can be subjective and influenced by individual perspectives and biases. Objective information, on the other hand, refers to factual and observable data that can be measured and verified by multiple sources. Progress notes, diagnosis, and physical examination findings are examples of objective information as they are based on direct observations, measurements, and medical tests.
13.
How many diagnoses can be reported on the CMS-1500
Correct Answer
C. Four
Explanation
The CMS-1500 form can have up to four diagnoses reported.
14.
A document that explains what expenses were paid after submission to Medicare and sent to the physician's office is called a(n):
Correct Answer
A. Remittance advice
Explanation
The physicians office receives a remittance advice that explains what expenses were paid after submitting claims to Medicare. A patient would receive a Medicare explanation of benefits. (EOMB).
15.
Which of the following is the usual business envelope size:
Correct Answer
B. No. 10
Explanation
No. 10 is the usual business envelope size because it is the most commonly used size for mailing letters and documents. It measures 4 1/8 inches by 9 1/2 inches, providing enough space for standard letter-size papers to fit comfortably. This size is widely accepted by postal services and is commonly available in stationery stores.
16.
Arrange these names in alphabetic order (scroll down to view names). Select the sequence of the numbers that reflect the correct alphabetic order.
(1) Woods-Jones, Stephanie
(2) Ross, Kim
(3) Mitchell, Pat
(4) Jones, Sandra
Correct Answer
D. (4), (3), (2), (1)
Explanation
The correct alphabetic order of the names is Jones, Sandra; Mitchell, Pat; Ross, Kim; Woods-Jones, Stephanie.
17.
When working under a managed care plan, physicians agree to:
Correct Answer
C. Accept fees that are predetermined by the plan
Explanation
When working under a managed care plan, physicians agree to accept fees that are predetermined by the plan. This means that they agree to receive a set amount of payment for their services, as determined by the managed care plan. This helps to standardize and control costs within the plan, ensuring that physicians are compensated fairly and consistently for their services. It also allows the plan to negotiate and establish predetermined fees with healthcare providers, which can help to lower overall healthcare costs for patients.
18.
Which if the following is not true regarding HIPAA laws:
Correct Answer
B. Few boundaries are set on the use and release of health records
Explanation
HIPAA laws actually set strict boundaries on the use and release of health records. These laws ensure that patients have more control over their medical records and can make informed choices regarding how their personal health information is used. Violators of HIPAA laws are held accountable if patient privacy rights are compromised. Therefore, the statement "Few boundaries are set on the use and release of health records" is not true.
19.
The amount of money paid to keep an insurance policy in force is the:
Correct Answer
A. Premium
Explanation
The amount of money paid to keep an insurance policy in force is called the premium. This is the regular payment made by the policyholder to the insurance company in exchange for coverage. The premium amount can vary depending on factors such as the type of insurance, the level of coverage, the policyholder's age and health, and any additional risks associated with the insured item or individual.
20.
Leaders who are structured and organized and who ensure that their subordinates understand their duties are called:
Correct Answer
C. Transactional
Explanation
A transactional leader is structured and organized and ensure that their subordinates understand their duties.
21.
Information that is gained by questioning the patient or taken from a form is called _________ information.
Correct Answer
B. Subjective
Explanation
Information that is documented in the medical record that is from answers obtained by asking questions from the patient is considered to be subjective information.
22.
How many provisions does HIPAA contain?
Correct Answer
C. Three
Explanation
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 encompasses three primary provisions: Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification.
23.
Which part of Medicare covers prescription drug services?
Correct Answer
D. D
Explanation
Medicare part D is a prescription coverage plan that must be purchased separately to have prescription coverage.
24.
Who is the legal owner of the patient's medical record?
Correct Answer
B. The pHysician or agency where services were provided
Explanation
The correct answer is the physician or agency where services were provided. The medical record is considered the property of the healthcare provider or facility that created it. This is because the provider is responsible for documenting and maintaining accurate and confidential patient information. While the patient has the right to access their medical records and request copies, they do not legally own the physical or electronic record itself.
25.
The maximum amount of money that third-party payors will pay for a specific procedure or service is called the:
Correct Answer
B. Allowable charge
Explanation
The maximum amount for paid for services/treatment from third party payors is called the allowable charge.
26.
Which of the following should be included in a section of the office policy manual:
Correct Answer
D. All of the above
Explanation
All of the options listed (employee evaluations, confidentiality, tardiness and absenteeism) should be included in a section of the office policy manual. Including employee evaluations ensures that there is a formal process for assessing and documenting employee performance. Confidentiality guidelines are important to protect sensitive information and maintain trust within the organization. Tardiness and absenteeism policies help establish expectations for attendance and ensure productivity. Therefore, all of these topics are crucial to be addressed in the office policy manual.
27.
Health insurance designed for military dependents and retired military personnel is:
Correct Answer
B. TRICARE
Explanation
TRICARE is the correct answer because it is a health insurance program specifically designed for military dependents and retired military personnel. It provides comprehensive coverage for medical services, including doctor visits, hospital stays, prescription medications, and preventive care. TRICARE offers different plans and options to meet the healthcare needs of military families, ensuring that they have access to quality healthcare services.
28.
pHI stands for:
Correct Answer
B. Protected health information
Explanation
PHI stands for Protected Health Information. This term refers to any personal health information that is created, received, stored, or transmitted by a healthcare provider. This includes information such as medical records, billing information, and any other individually identifiable health information. The purpose of protecting this information is to ensure the privacy and security of patients' health data and to comply with laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA).
29.
Which of the following would most likely be a sentinel event?
Correct Answer
A. Mistaken patients identities
Explanation
A mistaken identity of a patient would be considered a sentinel event because serious consequences could happen to the misidentified patient. A sentinel event is defined as unexpected occurrence involving death or serious physical or psychological injury or the risk thereof. Sentinel events require immediate response and investigation.
30.
Which of the following items are parts of the physician's office budget?
Correct Answer
D. All of the above
Explanation
All of the items mentioned (medical equipment, rent or mortgage, taxes) are typically included in a physician's office budget. Medical equipment is necessary for providing healthcare services, rent or mortgage payments are required for the office space, and taxes are a regular financial obligation. Thus, all of these items are part of the physician's office budget.
31.
If Mr. Jones insurance has a $500 deductible and a $50 surgery copay, how much will his insurance pay on his bill of $4359.00?
Correct Answer
A. $3809.00
Explanation
Mr. Jones' insurance has a $500 deductible, which means that he has to pay the first $500 of the bill out of pocket. After that, the insurance will cover the remaining amount. In this case, the bill is $4359.00, so Mr. Jones will pay $500 and the insurance will cover the remaining $3859.00. However, Mr. Jones also has a $50 surgery copay, which means that he has to pay an additional $50. Therefore, the total amount that Mr. Jones' insurance will pay on his bill is $3859.00 - $50.00 = $3809.00.
32.
A claim that is printed and mailed to the carrier is called a _____ copy.
Correct Answer
C. Hard
Explanation
A claim that is printed and mailed to the carrier is called a hard copy because it refers to a physical copy of a document that is printed on paper. Unlike soft copies, which are digital files stored on electronic devices, hard copies are tangible and can be physically handled and stored. In the context of the given question, a printed and mailed claim would require a physical copy to be sent to the carrier, making "hard" the correct answer.
33.
Arrange these names in alphabetic order (scroll down to view names). Select the sequence of the numbers that reflect the correct alphabetic order.
(1) Morton, Dianne
(2) Marsh, Danielle
(3) McDouglass, Dillard
(4) MacDouglas, David
Correct Answer
D. (4), (2), (3), (1)
Explanation
The correct alphabetic order of the names is as follows:
(4) MacDouglas, David
(2) Marsh, Danielle
(3) McDouglass, Dillard
(1) Morton, Dianne
In this order, the names are arranged alphabetically based on the last name.
34.
Healthcare information is used to:
Correct Answer
D. All of the above
Explanation
Healthcare information is used to determine the number of patients entering a facility with the same diagnosis. This helps in understanding the prevalence of specific conditions and allows healthcare providers to allocate resources accordingly. Additionally, healthcare information is used to decide what equipment is needed to meet the needs of the patient population. By analyzing data on patient conditions and treatments, facilities can ensure they have the necessary equipment and technology to provide appropriate care. Lastly, healthcare information helps facilities plan for the future by providing insights into the needs of next week and next year. This allows for better resource allocation, staffing, and overall preparation.
35.
Cardinal rules for bookkeeping include:
Correct Answer
D. All of the above
Explanation
The cardinal rules for bookkeeping include good penmanship, legible records, and straight columns of figures. These rules are essential for maintaining accurate and organized financial records. Good penmanship ensures that the entries are clear and easy to read, minimizing the chances of errors or misinterpretation. Legible records allow for easy reference and analysis of financial information. Straight columns of figures help in maintaining consistency and preventing calculation errors. Therefore, all of the above options are correct as they contribute to effective bookkeeping practices.
36.
When preparing a file for a new patient, the medical assistant should:
Correct Answer
D. All of the above
Explanation
The correct answer is "All of the above". When preparing a file for a new patient, the medical assistant should ensure that the patient's name is spelled correctly, review the forms the patient filled out for completeness, and either copy the insurance card or make sure that insurance information is included. All of these steps are important in order to have accurate and complete patient information for proper documentation and insurance coverage.
37.
The federal and state-sponsored health insurance program for the medically indigent is called:
Correct Answer
B. Medicaid
Explanation
Medicaid is the correct answer because it is a joint federal and state program that provides health insurance coverage for low-income individuals and families who cannot afford healthcare. It is specifically designed to assist the medically indigent population by offering comprehensive medical benefits and services. Medicare, on the other hand, is a federal health insurance program for individuals aged 65 and older or those with certain disabilities. Medigap is a type of insurance that helps cover the gaps in Medicare coverage, and MediCal is a state-specific program in California that provides healthcare coverage for low-income individuals and families.
38.
A type of insurance that protects workers form loss wages after an industrial accident that happened on the job is called:
Correct Answer
B. Workers' compensation
Explanation
Workers' compensation is a type of insurance that provides protection to workers who have experienced an industrial accident while on the job. It specifically covers the loss of wages that may occur as a result of the accident. This insurance is designed to ensure that injured workers are financially supported during their recovery period and can continue to meet their financial obligations. It is different from other types of insurance like individual policies, unemployment insurance, and disability insurance, which may provide coverage for different types of risks or situations.
39.
Which of the following is NOT a method of organizing a medical record:
Correct Answer
C. Progressively
Explanation
"Progressively" is not a method of organizing a medical record. The other options mentioned, namely source-oriented, problem-oriented, and chronologically, are all commonly used methods of organizing medical records. "Progressively" does not align with any recognized method of organizing medical records, making it the correct answer.
40.
Which of the following statements best describes the concept of "professional courtesy"?
Correct Answer
B. Charging reduced or no fee for services rendered to other medical professionals
Explanation
Professional courtesy refers to the practice of charging reduced or no fee for services provided to other medical professionals. This is a way for healthcare professionals to show respect and support for their colleagues by providing them with discounted or complimentary services. It is a form of professional etiquette and a way to foster positive relationships within the medical community.
41.
The best method of patient identification is:
Correct Answer
B. A state-issued ID card or driver's license
Explanation
The best method of patient identification is a state-issued ID card or driver's license. This is because these forms of identification are government-issued and provide reliable and accurate information about the patient's identity. Birth certificates may not always be readily available or up-to-date, and student IDs are not as widely recognized as official identification. Social Security cards, while they contain personal information, are not typically used as a primary form of identification in healthcare settings. Therefore, a state-issued ID card or driver's license is the most appropriate and reliable method for patient identification.
42.
The properties owned by a business are called:
Correct Answer
A. Assets
Explanation
Assets are the properties owned by a business. These can include tangible assets such as buildings, equipment, and inventory, as well as intangible assets like patents and trademarks. Assets are important because they represent the value of a business and can be used to generate future income. They are recorded on the balance sheet and are typically categorized as current assets (expected to be used or converted into cash within one year) or non-current assets (expected to be used or converted into cash after one year).
43.
Which of the following identifying markers should the medical assistant attempt to remember about suspicious individuals?
Correct Answer
B. All of the above
Explanation
The medical assistant should attempt to remember all of the above identifying markers about suspicious individuals. Height, hair color and length, and clothing worn can all be important details that can help in identifying and providing accurate descriptions of individuals who may be involved in suspicious activities. By remembering and documenting these markers, the medical assistant can assist law enforcement or security personnel in their investigations.
44.
Which of the following documents list the order in which business is to be conducted during a meeting?
Correct Answer
A. Agenda
Explanation
An agenda is a document that lists the order in which business is to be conducted during a meeting. It outlines the topics to be discussed, the time allotted for each item, and the individuals responsible for presenting or leading the discussion. By following the agenda, the meeting can stay on track and ensure that all important matters are addressed. Bylaws are rules that govern the organization and are not specific to meeting order. Itinerary is a schedule of events and does not necessarily pertain to business meetings. Minutes are a record of what occurred during a meeting, but they do not dictate the order in which business is conducted.
45.
The physician's signature is located in block:
Correct Answer
C. 31
Explanation
The physician's signature is located in block 31.
46.
Which of the following expenses would be paid by Medicare Part B?
Correct Answer
C. pHysician office visits
Explanation
Medicare part B benefits cover physician office charges.
47.
Which of the following dates is written correctly for inclusion in the heading of a letter?
Correct Answer
C. May 1, 2007
Explanation
The correct answer is "May 1, 2007." This is the correct format for writing a date in the heading of a letter. It includes the month, day, and year in a clear and standardized format. The other options either omit the year or use a different format, which would not be appropriate for a formal letter heading.
48.
A system of recording, classifying, and summarizing financial transactions is called:
Correct Answer
B. Accounting
Explanation
Accounting is the correct answer because it refers to the process of recording, classifying, and summarizing financial transactions. It involves analyzing and interpreting financial data to provide information for decision-making and financial reporting. Bookkeeping, on the other hand, is a subset of accounting and focuses on the systematic recording of financial transactions. Accruing and depreciation are specific accounting concepts related to recognizing expenses and allocating the cost of assets over their useful lives, respectively.
49.
Which type of bonding covers all employees in a facility?
Correct Answer
C. Blanket-position bonding
Explanation
Blanket-position bonding refers to a type of bonding that covers all employees in a facility. This means that all employees, regardless of their position or schedule, are included in the bonding arrangement. It ensures that all employees are protected and covered under the bonding policy, providing a sense of security and trust within the organization.
50.
Complaints regarding patient privacy must be filed within how many days from when the patient knew or should have known that an act occurred?
Correct Answer
D. 180
Explanation
Complaints regarding patient privacy must be filed within 180 days from when the patient knew or should have known that an act occurred. This time frame allows patients to have a reasonable amount of time to become aware of any privacy breaches and take appropriate action. Filing a complaint within this timeframe ensures that the issue is addressed promptly and that the patient's privacy rights are protected.