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