NCCT Prep 2011 Book Medical Office Management Part C

50 Questions | Total Attempts: 53

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NCCT Quizzes & Trivia

This is on Financial Management


Questions and Answers
  • 1. 
    When a patient has health insurance, the percentage of covered services that is the responsibility of the patient to pay is known as _________
    • A. 

      In percent policy

    • B. 

      Coinsurance

    • C. 

      Comprehensive

    • D. 

      Pre-defined policy

  • 2. 
    A person or institution that gives medical care is a ________
    • A. 

      provider

    • B. 

      Insurance agent

    • C. 

      Third- party payer

    • D. 

      Adjuster

  • 3. 
    An amount the insured must pay before policy benefits begin is called_______
    • A. 

      Catastrophic

    • B. 

      Extended benefits

    • C. 

      Deductible

    • D. 

      Indemnity

  • 4. 
    A signature on the reverse side of a check is called _______
    • A. 

      Endorsement

    • B. 

      Signature card

    • C. 

      Kiting

    • D. 

      Reconciliation

  • 5. 
    E/M codes are located in the _________ manual.
    • A. 

      ICD-9-CM

    • B. 

      HCPC

    • C. 

      ICD-10-CM

    • D. 

      CPT

  • 6. 
    A bed patient in a hospital is called a(n) ________
    • A. 

      Third party payer

    • B. 

      Outpatient

    • C. 

      Provider

    • D. 

      Inpatient

  • 7. 
    An injury that prevents a worker from performing one or more of the regular functions of his job would be known as a ______
    • A. 

      Total disability

    • B. 

      Resultant disability

    • C. 

      Permanent disability

    • D. 

      Partial disability

  • 8. 
    An unexpected event which may cause injury is called ________
    • A. 

      Adjuster

    • B. 

      Accident

    • C. 

      Dread disease rider

    • D. 

      No correct answer

  • 9. 
    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. 

      Dual choice

    • B. 

      Understanding

    • C. 

      Usual, customary and reasonable

    • D. 

      Comprehensive

  • 10. 
    A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is called_______
    • A. 

      Workers' Compensation

    • B. 

      Tri-Care

    • C. 

      Medicaid

    • D. 

      Champus

  • 11. 
    A rider added to a policy to provide additional benefits for certain conditions is called _______
    • A. 

      Preexisting condition

    • B. 

      Hospital benefits

    • C. 

      Dread disease rider

    • D. 

      No correct answer

  • 12. 
    A recap sheet that accompanies a Medicare or Medicaid check, showing breakdown and explanation of payment on a claim is called _________
    • A. 

      Dual choice

    • B. 

      Explanation of benefits

    • C. 

      Fee- for- service

    • D. 

      Coordination of benefits

  • 13. 
    The number on the employees withholding Exemption Certificate is ________
    • A. 

      W-3

    • B. 

      W-2

    • C. 

      1040

    • D. 

      W-4

  • 14. 
    A skilled nursing facility for patients receiving specialized care after discharge from a hospital is called ________
    • A. 

      Nursing home

    • B. 

      Extended care facility

    • C. 

      Post care facility

    • D. 

      No correct answer

  • 15. 
    As part of the office bookkeeping procedures, the physician's bank statement should be reconciled with the______
    • A. 

      Personal ledger

    • B. 

      Daily ledger

    • C. 

      Checkbook

    • D. 

      Business ledger

  • 16. 
    Low income patients can be covered by what type of insurance?
    • A. 

      Blue Cross/Blue Shield

    • B. 

      Medicaid

    • C. 

      Medicare

    • D. 

      Tri-Care

  • 17. 
    The _________form is used by non-institutional providers and suppliers to bill Medicare, Part B covered services.
    • A. 

      CMS-1500

    • B. 

      CPT

    • C. 

      UB92

    • D. 

      HCPA-1000

  • 18. 
    A request for payment under an insurance contractor bond is called a(n) ________
    • A. 

      Total disability

    • B. 

      Insurance application

    • C. 

      Dual choice request

    • D. 

      Claim

  • 19. 
    Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called ________
    • A. 

      Catastrophic

    • B. 

      Third-party payer

    • C. 

      Severe

    • D. 

      No correct answer

  • 20. 
    One who belongs to a group insurance plan is called_______
    • A. 

      Carrier

    • B. 

      Third party payer

    • C. 

      Subscriber

    • D. 

      No correct answer

  • 21. 
    A health program for people age 65 and older under social security is called _______
    • A. 

      Champva

    • B. 

      Tri-Care

    • C. 

      Workers' Compensation

    • D. 

      Medicare

  • 22. 
    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. 

      Non duplication of benefits

    • B. 

      Assignment of benefits

    • C. 

      Duplication of benefits

    • D. 

      Coordination of benefits

  • 23. 
    A type of insurance whereby teh insured pays a specific amount per unit of service and the insurer pays the rest of the cost is called ______
    • A. 

      Indemnity

    • B. 

      Co-payment

    • C. 

      Major medical

    • D. 

      Deductable

  • 24. 
    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. 

      Carrier

    • B. 

      Member physician

    • C. 

      Insurance agent

    • D. 

      Claim representative

  • 25. 
    To correct a handwritten error in a patient's chart, it is only acceptable to
    • A. 

      Scratch through the error so it cannot be read

    • B. 

      White it out neatly and insert the correct information

    • C. 

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

    • D. 

      Write over the error