MED 131 Final Exam Review

Necessary in order to authorize release of medical information to an insurance carrier

Network of providers & hospitals that contract services at discounted fees to insurance companies on nonexclusive basis

Which section of the CPT book includes coding and lacerations

When a person has both Medicare & Medicaid insurance, charges are submitted first to:

Which is completed using data from the patient's EHR in most offices today

When an error has been made & you need to correct a medical record, what must be done

Term that applies to the accounting formula that measures the speed at which outstanding accounts are paid

What type of report is generated when one provider requests the services of another provider in the care of a patient

When is the recommended time for deposits

Health insurance was designed for what reason

Term used to determine whether a service or procedure is covered & if the insurance plan approves it medically necessary

Which is a unwritten promise to pay a supplier for property or merchandise purchased on credit or for a service rendered

Which best describes accounts that occasionally go to an outside collection agency

Claim form used for filing inpatient admissions claims, outpatient & ER dept services, and drug & alcohol facilities

Which copy notations should the writer include at the bottom of a letter to send a copy to another individual

Financial report that shows cumulative profit & total expenses by reporting patient income, outside revenue sources, etc

Which of the following organizations developed ICD-10-CM in 1992

What type of report chronicles the details of a surgical procedure

Which best describes the primary use of cross-reference filing

Which of the following terms is applied when more than one policy covers an individual

Best describes the process of sorting through records & removing those that are not active

Codes used as supplements to basic CPT system & are required when reporting services & procedures to Medicare patients

Voice recognition software, automatic speech recognition, or language recognition software, does what?

Separating components of a procedure & reporting them as billable codes to increase reimbursement rates

Which measures the speed with which outstanding accounts are paid

Amount of money the insured must pay out-of-pocket for medical services before the policy begins to pay

Type of insurance coverage for persons injured on the job

After a patient's NSF check is returned, posted, & an entry is made in the adj. column, the patient account balance...

How many indexing units apply to the name and title, John W. Williams, M.D.

In order to become a CMT, you must take a voluntary examination from the:

Accounting function to determine costs for the clinic to perform services & is an integral part of managerial accounting

Which is used to gauge the effectiveness of the clinic's billing practices?

Collection technique used as a last resort in the collection of unpaid balances

A unit identifies each part of a name. The key unit is also known as what?

Used to code for procedures & services done in ambulatory care settings

Describes policies that are supplementary to Medicare insurance

On completion of the processing of the claim, the insurance company sends what to the insured person

With divorced parents and blended families, which parent is considered the guarantor & is responsible for payment

What can medical assistants do to help patients that may not be able to pay their medical bill for various reasons

The legal standard if there is no written record of a temperature, a visit, a history, a physical, or a lab report

When the ins. carrier is deliberately billed a higher rate service than what was performed to get greater reimbursement

Applies to medical insurance for dependents of active duty or retired military personnel & their dependents

Billing that occurs by dividing up all accounts alphabetically into groups & then sending them out at different times

Section of the CPT book includes coding of immunizations & chemotherapy

Part of history & physical examination report that contains info about the patient's symptoms, problems, or conditions

Which applies to Medicare coverage that pays for outpatient services

Bookkeeping & accounting systems that simplifies third-party payment processing for the medical practice & patient

Must be documented in writing if there is an agreement between the provider & patient to pay in more than 4 installments

The most appropriate action when balancing a petty cash account

Which best classifies the adjustment column in the accounting process and its effect on the balance due

Which is a recommended method used to figure the accounts receivable ratio

On the ledger card, which column is used for entering payments

Which is the most common type of referral used by managed care

Which accounting system is based on the principle that assets equal liabilities plus owner's equity

Which best describes a monthly billing system

Describes the accounting system that provides information primarily for entities external to the organization

Statement mailed to the patient summarizing how the insurance carrier determined the reimbursement

Which is known as the fee system that defines allowable charges that will be accepted by insurance carriers

Which describes a filing method that serves as a reminder for future actions

If your facility chooses not to purchase accounting software or to use computers, an alternative would be to use what

Which punctuation marks follows the salutation

Procedure a clinic has to ensure patient confidentiality which requires employee to sign a confidentiality agreement

The most appropriate format for recording a patient's name on a medical chart

Name of the form given to Medicare patients explaining that the cost of a procedure is the responsibility of the patient

When collecting a payment from the patient, what is the best time

What is the one main difference between SOMR and POMR

Describes when collection letters are sent after no payment

Which is considered primary information found on an outguide

Means an insurance policy pays a percentage of the balance after application of the deductible

Which should be used to check for patient eligibility

Occurs when insurance carriers pay more than anticipated, double pays for the same charges, etc.

What is known as a method of identifying how long an account has been overdue

Which is the first rule of purchasing

Recommended to do first when a claim is not paid within 1-6 weeks

Med ins for spouse & unmarried dependent children of veteran with permanent total disability from service-related injury

Pres. George Bush's 2004 Health Info Tech Plan included the goal that most Americans would have EHR's by what year

Which type of check has a stub attached that is used to indicate date and invoice numbers

Ratios calculated by dividing total expenses by the total number of procedures for 1 month