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Study guide 1 Book
Study guide 1 Book
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1
You see a physician acting unethically. Your first course of action should be to tell:
The nursing board
The hospital director
Your supervisor
The medical board
2
Illegal practice of assigning codes for more serious procedures than the provider actually performed ^ reimbursement
Bundling
Kickbacking
Unbundling
Upcoding
3
To transfer database information between software packages, you would:
Manually copy the information from one application to the other
Use the export/import feature
Save the data as a network
Make the data publically available on the internet
4
Which ICD-10 block is for external causes of morbidity and mortality?
S
V
U
Z
5
Medicare Part D provides:
Gym memberships
Dental coverage
Prescription drug coverage
Transport to doctor's appointments
6
The idea that our actions should have the best overall consequences for the largest number of people is called:
Utilitarianism
Socialism
Justice
The Golden Rule
7
MD sees an established pt for an office visit involing evaluation & management. The visit involves a low level medical
99214
99215
99213
99205
8
Which part of Medicare is known as Medicare Advantage Plans?
Medicare Part B
Medicare Part C
Medicare Part D
Medicare Part A
9
What is the name of a filing system where files are kept in different places and departments?
offsite storage
centralized
serial-unit
decentralized
10
In HIPPA, PHI stands for ____ health information
protected
patient
private
personal
11
The process for getting permission before conducting a healthcare intervention on a person is called:
Risk management
Competency
Decision capacity
Informed consent
12
To be effective, passwords must be:
Difficult to guess
Short
Predicatable
Permanent
13
What does NSF stand for in accounting?
Non-sufficient funds
Non-standard format
Non-standard fee
Non-stop forwarding
14
Another word for compassion is:
Selfishness
sympathy
greed
generosity
15
When answering the phone, you should say your name and:
"How are you today"
Your phone number
Your facility's opening hours
The name of your facility
16
Who enforces HIPAA?
The Surgeon General
The Attorney General
The US Senate
The Department of Health and Human Services
17
Misfiles occur most frequently when using the ___ filing system
terminal digit
decentralized
middle-digit
straight numeric
18
According to NIST guidelines, how often should users be forced to change their passwords?
Every 180 days
Only when necessary
Every 90 days
Every year
19
Patient personal information:
Must never be discussed outside the hospital
May be discussed during coffee breaks
May be used for your personal advantage
May be discussed with other patients
20
With a terminal digit filing system, what is the primary digit of patient code 50-63-23?
5
23
50
63
21
CPT codes have how many digits?
3
5
6
4
22
When you find a document in the wrong record, you should:
advise the attending physician
delete the document and complete an incident report
remove the document and refile it in the correct record
leave the document in the record and write on it "wrong patient"
23
The DSM is a guide for diagnosing:
Mental disorders
Cancers
Skin problems
Heart attacks and strokes
24
A document that requires you to attend court and bring documents with you is called a:
Affidavit
Summons
Search warrent
Subpoena duces tecum
25
Which of these is a health program for military personnel?
SSDI
COBRA
TRICARE
SSI
26
A healthcare facility schedules appoint at 15 mins intervals. This type of appoint scheduling is called ___ scheduling
Tidal Wave
Stream
Open
Wave
27
What is the primary purpose of the health record?
To determind or audit funding levels
To document and support patient care service
To serve as evidence in legal proceedings
To assist in the accreditation of an individual or facility
28
Which of these is an example of an expendable supply?
ECG machine
Computer
Sofa
Pen
29
Which act prevents employers from retaliating against workers for complaining about unsafe working conditions?
Fair labor standards act
Federal employees compensation act
Uniformed services employment and reemployment rights act
Occupational safety and health act
30
What is a health insurance formulary?
The form filled in by patients to get reimbursed for their medical costs
The list of prescription drugs a health plan covers
The form filled in by a health provider for an insurance claim
A form used to determine whether an individual is eligible for health ins.
31
What is patient cycle time?
The amount of time patients spend in the waiting room
The time of day when the receptionist phones pts to remind them appoint
The amount of time the patient spends in an office visit
The amount of time the physician spends with a patient
32
___ is the illegal practice of billing for procedures separately that are normally covered by a single CPT code.
Bundling
Upcoding
Unbundling
Kickbacking
33
The amount of money an individual or business pays for an insurance policy
Insurance trust
Insurance payout
Insurance liability
Insurance premium
34
Which of these applies to HIPAA requirements?
Healthcare facilities must inform pt in writting about the disclosure of ID
Pt should be informed of available resources for resolving disputes
Pt should know the long-term costs of treatment choices
Pt should know the identity of people involved in their care
35
The duty to not do harm is also referred to as:
Non-maleficence
Respect
Fidelity
Justice
36
Is when a pt has more than one ins policy & policies are assessed to determine how much each policy will pay for medical
Coordination of benefits
Multiple insurance arrangement
Determination of payment
Policy assessment
37
The human/computer interface that allows people to enter and retrieve data to and from a system is called the:
Connection layer
Supporting layer
Infrastructure layer
Presentation layer
38
The capacity to influence others because they admire you and want to identify positively with you is known as:
referent power
coercive power
position power
reward power
39
Which of these debt collection techniques is illegal?
Sending letters and statements
Offering payment plans
Using collecting agencies
Calling the client late at night
40
In medicalbookkeeping, what does EOB stand for?
Explanation of benefits
Event order balance
End of budget
Employee and operations budget
41
The 4 D's of medical negligence are duty, dereliction, causation and:
Doctor
Danger
Denial
Damages
42
Law originating from court decisions is known as:
Public law
Common law
Tort law
Statue law
43
Which ideology is also known as duty-based ethics?
Deontology
Existentailism
Nihilism
Consequentialism
44
An arrangement where the patient pays for part of their medical expenses and the insurer pays for the rest is called a:
Premium
Modifier
Co-pay
Deductible
45
Money that customers owe to a company is called:
Accounts payable
Accounts dependable
Accounts receivable
Accounts unavailable
46
What is an annual health insurance deductible?
Amount of money the pt has to pay OOP each year before their ins pays
Amount deducted from worker's payback each year to pay for their health ins
Cash payment given to the insured person as a reward for having claim-free
Amount the pt can claim on their yearly tax return for health expenses
47
What is the name of the coding system used to classify diseases?
International Classification of Diseases
Identification Classification of Disease
Disease Identification System
Disease Classification System
48
The release of a medical record without a patient's permission is:
An example of assault and battery
Acceptable as long as the doctor signs off on it
An invasion of privacy
Acceptable in most medical institutions
49
Who is COBRA insurance for?
Members of the military
Unemployed people
People with low incomes
Disable people
50
On what date do Medicare deductibles reset?
January 1st
October 1st
April 1 st
March 1st
51
What is the justice pillar of medical ethics?
The treatment of all people equally and equitably
The respect for the patient's right to self-determination
The duty to do good
The duty to not harm the patient
52
According to ___, the best action is that one that brings about the best increase in utility
Utilitarianism
Stoicism
Consequentialism
Deontology
53
Which letter does HCPCS Level 2 use for diagnostic rediology services?
X
D
S
R
54
Informed consent means:
A pt medical records are available for healthcare workers to review
The pt agrees procedure after being told consequences associated with it
The pt has the right to see their medical records and test results
A doctor explains test results to the patient
55
What is deportment?
The way a person behaves and presents themselves
The failure to do the right thing
The interference of a worker's personal life with their job
Unprofessional behavior at work
56
The two-digit additions to CPT codes that describe extra details of a procedure are called:
ICD-10 codes
Supplemental codes
Service code
Modifiers
57
Email, telephone and videoconferencing are all examples of which element of the communication cycle?
Message
Channel
Sender
Receiver
58
A __ is a legal document in which a person specifies what actions should be taken for their health if they are no longer
Advance directive
Determination policy
Cy-pres doctrine
Blind trust
59
Legal docu that specifiesnature & level treatment that person wants receive in the event of later being unable to make
Alternate level of care directive
End of life directive
Delegated act
Advance directive
60
The pegboard system of bookkeeping is also called the:
General ledger system
Bespoke system
Write-it-once system
Forensic system
61
What do CPT codes describe?
Procedures
Patients
Diagnoses
Deaths
62
Pt has a health ins policy with a $500 deductible & $200 per day copay for hospital expenses. Pt is hospitalized 5 days
$1,500
$2,000
$3,000
$2,500
63
The block letter style is also called the ___ letter style.
Professional
Simplified
Full-block
Modified-block
64
What is the first step in Glover's seven-step process for dealing with ethical
Define the ethical question
Identify the facts
Identify principles and value at stake
Identify potential courses of action
65
Pt has health ins. pay 50% of allowed charges for OFN. Pt visits OFN & bill comes $100. Health ins allows only $50 visit
$25
$50
$75
$100
66
What is the most common letter style used in medical offices?
Full-block
Modified-block
Modified-block with indented paragraphs
Simplified
67
Which of these is an AMA Principle of Medical Ethics?
A MD shall not cause unncessary harm to patients
A MD shall refain from posting identifiable patient information online
A MD shall support access to medical care for all people
A MD shall give the pt the freedom to choose between treatment freely
68
When talking to children, use:
Simple words
Jargon
Technical language
Abbreviations
69
What is a superbill?
A medical bill of over $ 1 million
A detailed invoice outlining all the services received by a patient
A medical bill charged to more than one patient
Any large medical bill not covered by health insurance
70
Which type of insurance plan is generally the most affordable?
HMO
PPO
HPO
POS
71
Superbills are also called:
Ward reports
Insurance slips
Encounter forms
Progress notes
72
Which of these is an example of non-verbal communication?
Writing a note to your manager
Saying "No" to a patient
Nodding to show you agree with someone
Asking a patient to confirm her name
73
Which ICD-10 block is for diseases of the eye?
E
H
L
I
74
Which of these statements about upcoding is false?
Upcoding is a compliance risk
Upcoding is only an issue when it is intentional
Upcoding is the act of using a higher level CPT code in a claim
Upcoding is considered health care fraud
75
Being aggressive, making inappropriate jokes, and talking about irrelevant matter in meeting are all examples of:
Role dynamics
Task activities
Maintenance activites
Dysfunctional behaviors
76
"Do no harm" is part of which pillar of medical ethics?
Justice
Non-maleficence
Beneficence
Autonomy
77
Which of these is an output device?
Keyboard
Mouse
Printer
Microphone
78
A patient rolls up his sleeve for a blood draw. Which type of consent is this?
Explicit consent
Informed consent
Active consent
Implied consent
79
When dealing with blind patients, you should:
Narrate your actions
Provide written materials
Use an interpreter
Use simple language
80
Which form is used to submit a Medicare claim?
Form 1040
CMS 1500
Form 4506-T
W-4
81
Which federal health insurance program uses the HICN identifying number?
COBRA
CHIP
Medicare
Medicaid
82
Which of these is covered under Medicare Part B?
Skilled nursing facility care
Inpatient care in a hospital
Ambulance services
Prescripton drugs
83
What is an itemized statement of healthcare services?
A coding system used to classify healthcare services
A list of the most common services provided by a healthcare facility
A list of common disorders and diseases
A list of services provided to a patient and the amount of payment due
84
What does data privacy legislation deal with?
The collection, use, and disclosure of personal information
The privacy of health care workers
The control of private health care
The privatization of provincial health care
85
Billing occurs when MD bill a pt for the difference between the amount they charge & the amount that the pts insurance
Balance
Equity
Parity
Harmony
86
Current procedural terminology is divided into how many categories of codes?
5
3
4
6
87
Office uses 80 packs of exam gloves per mouth and each pack costs $ 2.50, then how much does the office spend each month
$200
$250
$150
$300
88
What do ICD codes represent?
Hospital Departments
Insurance Providers
Diseases
Procedures
89
What does the acronym CHAMPVA stand for?
Civilian Health Association for Medical Program of Veteran Affairs
Civic Healthpartners Medical Program of Veteran Affairs
Civilian Health and Medical Program of the Department of Veteran Affairs
Civic Healthpartners Medical Program of the Department of Veteran Affairs
90
Which of the following is proper telephone technique?
Do not identify yourself in case there are problems later
Wait for the phone to ring three or four times so as not to appear anxious
Be careful of your tone of voice used and keep answers simple
Do not take notes because it takes too much time
91
The date an insurance policy is set to being is known as the:
Effective date
Embarkation date
Coverage date
Disclosure date
92
Which of these patients should be attended to first?
A boy who was bitten by a dog that has been vaccinated against rabies
A man who had knee replacement surgery three days ago & now has swelling
A women with a temperature of 99.9*F
A women complaining of nausea twelve hours after a hysterectomy
93
Which ICD-10 block is for disease of the genitourinary system?
K
M
N
L
94
A health clinic has a petty cash fund that is topped up to $100. If there is $10 in the fund at the end of the month.
$90
$100
$10
$110
95
Which tier of drugs has the lowest copayments and are mostly generic medicines?
Tier 2
Tier 4
Tier 1
Tier 3
96
Indexing is:
essential for electronic records but not for paper records
not essential
essential for paper records but not for electronic records
essential for paper and electronic records
97
A nurse does not change a surgery patient's bandages for several days, which results in a serious infection
Vicarious liability
Comparative negligence
Gross negligence
Contributory negligence
98
A process that scrambles sensitive data, personal health information, so that it can be safely transmitted is known
Access control
Encryption
Conglomeration
Authentication
99
Which of these is an example of an administrative system safeguard?
Use of a surge protector on equipment
Locating equipment in a secure area
Automatic log-off after a period of inactivity
Back up and recovery procedures
100
In the double-entry system in bookkeeping, every transaction must have:
A fixed value and a variable value
A debit and a credit
Approval from two people
Two duplicate receipts
