I. Medical Office Management C. Financial Management

50 Questions | Total Attempts: 421

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Financial Management Quizzes & Trivia

NCCT MA Review QuestionI. Medical Office Management: C. Financial Management


Questions and Answers
  • 1. 
    A bed patient in a hospital is called a(n)                 .   
    • A. 

      Inpatient

    • B. 

      Outpatient

    • C. 

      Third Party Payer

    • D. 

      Provider

  • 2. 
    A person who represents either party of an insurance claim is the                 .
    • A. 

      Doctor

    • B. 

      Adjuster

    • C. 

      Provider

    • D. 

      Subscriber

  • 3. 
    A request for payment under an insurance contractor bond is called a(n)            .
    • A. 

      Insurance application

    • B. 

      Claim

    • C. 

      Dual choice request

    • D. 

      Total disability

  • 4. 
    Payment made periodically to keep an insurance policy in force is called                   .
    • A. 

      Time limit

    • B. 

      Premium

    • C. 

      Coinsurance

    • D. 

      Fee-for-service

  • 5. 
    A person or institution that gives medical care is a(n)                 .
    • A. 

      Third-party payer

    • B. 

      Provider

    • C. 

      Adjuster

    • D. 

      Insurance agent

  • 6. 
     Benefits that are made in the form of cash payment are known as                   .
    • A. 

      Indemnities

    • B. 

      Deductibles

    • C. 

      Medical co-pays

    • D. 

      Cash advances

  • 7. 
    An amount the insurer must pay before policy benefits begin is called              .
    • A. 

      Indemnity

    • B. 

      Extended benefits

    • C. 

      Deductible

    • D. 

      Catastrophic

  • 8. 
    An organization that offers health insurance at a fixed monthly premium with little or no deductible and works through a primary care provider is called a(n)                  .
    • A. 

      Preferred provider

    • B. 

      Health maintenance organization

    • C. 

      Member physician

    • D. 

      Private health provider

  • 9. 
    Health insurance that provides protection against the high cost of treating severe or lengthy illness or disabilities is called                       .
    • A. 

      Catastrophic

    • B. 

      Severe

    • C. 

      Third-party payer

    • D. 

      No correct answer

  • 10. 
    A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a(n)                    .
    • A. 

      Inpatient

    • B. 

      Outpatient

    • C. 

      Carrier

    • D. 

      Adjuster

  • 11. 
    An injury that prevents a worker from performing one or more of the regular functions of his job would known as a                     .
    • A. 

      Partial disability

    • B. 

      Permanent disability

    • C. 

      Total disability

    • D. 

      Resultant disability

  • 12. 
    A previous injury, disease or physical condition that existed before the health insurance policy was issued is called                      .
    • A. 

      Preexisting condition

    • B. 

      Prior exposure

    • C. 

      Foregoing condition

    • D. 

      No correct answer

  • 13. 
    One who belongs to a group insurance plan is called                     .
    • A. 

      Third-party payer

    • B. 

      Subscriber

    • C. 

      Carrier

    • D. 

      No correct answer

  • 14. 
     A sum of money provided in an insurance policy, payable for covered services is called                   .
    • A. 

      Deductible

    • B. 

      Benefits

    • C. 

      Dues payable

    • D. 

      Premium

  • 15. 
    To prevent the insured from receiving a duplicate payment for losses under more than one insurance policy is called                    .
    • A. 

      Fee-for-service

    • B. 

      Hospital benefits

    • C. 

      Coordination of benefits

    • D. 

      Non duplication benefits

  • 16. 
    When a patient has health insurance, the percentage of covered services that is the responsibility of the patient to pay is known as                          .
    • A. 

      Coinsurance

    • B. 

      Pre-defined policy

    • C. 

      Comprehensive

    • D. 

      In percent policy

  • 17. 
     Insurance that is meant to offset medical expenses resulting from a catastrophic illness is called                   .
    • A. 

      Primary insurance

    • B. 

      Major medical

    • C. 

      Whole life policy

    • D. 

      Comprehensive

  • 18. 
    An unexpected event which may cause injury is called                    .
    • A. 

      Dread disease rider

    • B. 

      Accident

    • C. 

      Adjuster

    • D. 

      No correct answer

  • 19. 
    A doctor who agrees to accept an insurance companies pre-established fee as the maximum amount to be collected is called                    .
    • A. 

      Subscriber

    • B. 

      Claim representative

    • C. 

      Participating physician

    • D. 

      Adjuster

  • 20. 
    Insurance plans that pay a physician's full charge if it does not exceed his normal charge or does not exceed the amount normally charged for the service is called                  .
    • A. 

      Usual, customary, and reasonable

    • B. 

      Comprehensive

    • C. 

      Dual choice

    • D. 

      No correct answer

  • 21. 
    A notice of insurance claim or proof of loss must be filed within a designated               or it can be denied.
    • A. 

      Waiting period

    • B. 

      Policy date

    • C. 

      Time limit

    • D. 

      Grace period

  • 22. 
    A health program for people age 65 and older under social security is called                  .
    • A. 

      Tri-Care

    • B. 

      Medicare

    • C. 

      Champva

    • D. 

      Workers' Compensation

  • 23. 
    A civilian health and medical program of the uniform services is called                     .
    • A. 

      Tri-Care

    • B. 

      Medicare

    • C. 

      Medicaid

    • D. 

      Workers' Compensation

  • 24. 
    A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is called                     .
    • A. 

      Tri-Care

    • B. 

      Champva

    • C. 

      Workers' Compensation

    • D. 

      Medicaid

  • 25. 
    A recap sheet that accompanies a Medicare or Medicaid check, showing breakdown and explanation of payment on a claim is called                 .
    • A. 

      Fee-for-service

    • B. 

      Explanation of benefits

    • C. 

      Coordination of benefits

    • D. 

      Dual choice

  • 26. 
    A type of insurance whereby the insured pays a specific amount per unit of service and the insurer pays the rest of the cost is called                    .
    • A. 

      Co-payment

    • B. 

      Coordination of benefits

    • C. 

      Deductible

    • D. 

      Indemnity

  • 27. 
    In insurance, greater coverage of diseases or an accident, and greater indemnity payment in comparison with a limited clause is called                    .
    • A. 

      Co-payment

    • B. 

      Comprehensive

    • C. 

      Deductible

    • D. 

      Major medical

  • 28. 
    A rider added to a policy to provide additional benefits for certain conditions is called                  .
    • A. 

      Hospital benefits

    • B. 

      Dread disease rider

    • C. 

      Preexisting condition

    • D. 

      No correct answer

  • 29. 
    An interval after a payment is due to the insurance company in which the policy holder may make payments, and still the policy remains in effect is called                .
    • A. 

      Extended benefits

    • B. 

      Grace period

    • C. 

      Coordination of benefits

    • D. 

      Lapse time

  • 30. 
    An agreement by which a patient assigns to another party the right to receive payment from a third party for the service the patient has received is called                   .
    • A. 

      Assignment of benefits

    • B. 

      Coordination of benefits

    • C. 

      Non duplication of benefits

    • D. 

      No correct answer

  • 31. 
    A skilled nursing facility for patients receiving specialized care after discharge from a hospital is called                       .   
    • A. 

      Extended care facility

    • B. 

      Post care facility

    • C. 

      Nursing home

    • D. 

      No correct answer

  • 32. 
    Payment for hospital charges incurred by an insured person because of injury or illness is called                          .
    • A. 

      Hospital benefits

    • B. 

      Catastrophic health benefits

    • C. 

      Extra help benefits

    • D. 

      No correct answer

  • 33. 
    An agent of an insurance company who solicits or initiates contracts for insurance coverage and services, and is the policyholder for the insurer is called                      .
    • A. 

      Insurance agent

    • B. 

      Claim representative

    • C. 

      Carrier

    • D. 

      Member physician

  • 34. 
    A method f charging whereby a physician presents a bill for each service rendered is called                    .
    • A. 

      Non duplication of benefits

    • B. 

      Fee-for-service

    • C. 

      Monthly statement

    • D. 

      No correct answer

  • 35. 
    The Tri-Care fiscal year is from                  .
    • A. 

      January 1 to December 31

    • B. 

      October 1 to September 1

    • C. 

      October 1 to September 30

    • D. 

      July 1 to June 31

  • 36. 
    The number on the Employees Withholding Exemption Certificate is                     .
    • A. 

      W-2

    • B. 

      W-4

    • C. 

      1040

    • D. 

      W-3

  • 37. 
    FICA provides benefits for                         .
    • A. 

      Medicare

    • B. 

      Social security

    • C. 

      Old age

    • D. 

      Aid to dependent children

  • 38. 
    As part of the office bookkeeping procedures, the physician's bank statement should be reconciled with the                           .
    • A. 

      Daily ledger

    • B. 

      Business ledger

    • C. 

      Personal ledger

    • D. 

      Checkbook

  • 39. 
    A record of debits, credits, and balances is referred to as a patient's                     .
    • A. 

      Sheet

    • B. 

      Chart

    • C. 

      Ledger

    • D. 

      Slip

  • 40. 
    A signature on the reverse side of a check is called                       .
    • A. 

      Kiting

    • B. 

      Endorsement

    • C. 

      Reconciliation

    • D. 

      Signature card

  • 41. 
    A form to itemize deposits made to savings or checking accounts is called                  .
    • A. 

      Deposit slip

    • B. 

      Money order

    • C. 

      Check guarantee

    • D. 

      No correct answer

  • 42. 
    To correct a handwritten error in a patient's chart, it is only acceptable to                       .
    • A. 

      White it out neatly and insert the correct information

    • B. 

      Write over the error

    • C. 

      Scratch through the error so it cannot be read

    • D. 

      Draw a line through the error, insert the correct information, date and initial it

  • 43. 
    Low income patients can be covered by what type of insurance?
    • A. 

      Medicaid

    • B. 

      Medicare

    • C. 

      Tri-Care

    • D. 

      Blue Cross/Blue Shield

  • 44. 
    The reference procedural code book that uses a numbering system developed by the AMA is called a(n)                                 .
    • A. 

      Reference manual

    • B. 

      Current procedural terminology

    • C. 

      Insurance claim manual

    • D. 

      Manual for current procedures

  • 45. 
                              is a method used for determining whether a particular service or procedure is covered under a patient's policy.
    • A. 

      Informed consent

    • B. 

      Pre-authorization

    • C. 

      Pre-certification

    • D. 

      No correct answer

  • 46. 
    The International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) is used to code                         .
    • A. 

      Procedures

    • B. 

      Diagnoses

    • C. 

      Services rendered

    • D. 

      Medications

  • 47. 
    In insurance coding using an "E" code designates                                  .
    • A. 

      A factor that contributes to a condition or disease

    • B. 

      Classification of environment events, such as poisoning

    • C. 

      The primary diagnosis

    • D. 

      Cancers

  • 48. 
    E/M codes are located in the                                   manual.
    • A. 

      CPT

    • B. 

      ICD-9-CM

    • C. 

      ICD-10-CM

    • D. 

      HCPC

  • 49. 
    Which codes can modifiers be added to, to indicate that a procedure or service has been altered in some way?
    • A. 

      CPT

    • B. 

      ICD-9-CM

    • C. 

      ICD-10-CM

    • D. 

      All of the choices

  • 50. 
    The                              form is used by non-institutional providers and suppliers to bill Medicare, Part B covered services.
    • A. 

      HCPA-100

    • B. 

      CPT

    • C. 

      CMS-1500

    • D. 

      UB92