NCCT - Medical Office Management - Part C - Financial Management

50 Questions | Total Attempts: 3533

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NCCT - MEDICAL OFFICE MANAGEMENT - PART 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 PAYMENTS ARE KNOWN AS?
    • A. 

      INDEMNITIES

    • B. 

      DEDUCTIBLES

    • C. 

      MEDICAL CO-PAYS

    • D. 

      CASH ADVANCES

  • 7. 
    AN AMOUNT THE INSURED 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 & 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 ILLNESSES OR DISABILITIES IS CALLED?
    • A. 

      CATASTROPHIC

    • B. 

      SEVERE

    • C. 

      THIRD-PARY 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 BE KNOW 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 KNOW 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 & 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. 

      CHAMPUS

    • C. 

      WORKERS' COMPENSATION

    • D. 

      MEDICAID

  • 25. 
    A RECAP SHEET THAT ACCOMPANIES A MEDICARE OR MEDICAID CHECK, SHOWING BREAKDOWN & 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 & 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 & SERVICES, AND IS THE POLICYHOLDER FOR THE INSURER IS CALLED?
    • A. 

      INSURANCE AGENT

    • B. 

      CLAIM REPRESENTATIVE

    • C. 

      CARRIER

    • D. 

      MEMBER PHYSICIAN

  • 34. 
    A METHOD OF 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. 

      OCTOVER 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 STATEMENTS 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 & 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 & 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. 

      CUURENT PROCEDURE 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. 

      PREAUTHORIZATION

    • 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 ENVIRONMENTAL 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 & SUPPLIERS TO BILL MEDICARE, PART B COVERED SERVICES?
    • A. 

      HCPA-1000

    • B. 

      CPT

    • C. 

      CMS-1500

    • D. 

      UB92