NCCT - Medical Office Management - Part C - Financial Management
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NCCT - MEDICAL OFFICE MANAGEMENT - PART C - FINANCIAL MANAGEMENT
- 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
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