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Business Practices Final Review
Business Practices Final Review
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1
All are considered A/R
except
out of pocket payments
insurance payment
copayments
payroll
2
Accounting systems include all
but
which of the following?
formula (assets minus liabilities equals net worth)
practice manager
double-entry
single-entry
3
Charges that are deemed uncollectible by any business.
assets
write off
equity
liability
4
This is an amount beyond what is currently in the account.
deposit record
under balance
endorsement
overdraft
5
A check you have written that does not appear on your bank statement is:
overdraft
outstanding check
blank check
bank check
6
Always cross-reference the code or codes found in the index with the actual code descriptions.
True
False
7
A payment of services rendered by someone other than the patient
First Party payment
Third Party payment
Second Party payment
reimbursment
8
Cash for small, unanticipated purchases is provider cash
True
False
9
A/R balance divided by Average monthly gross=
EOB ratio
P/C ratio
A/P ratio
A/R ratio
10
_________is defined as a disagreement that occurs in groups when differences are expressed
accomidating
negotiating
conflict
compromising
11
Person entitled to benefits of an insurance policy are called the policy holder
False
True
12
Authorization, by the patient, for payment to be made directly by the insurance to the provider for services.
Advance Beneficiary Notice (ABN)
Affordable care act
Assignments of benefits
HIPPA
13
The accounts receivable (A/R) ratio has a goal of 6 months
True
False
14
The giving of authority.
contract
confirmation
authorization
informed consent
15
Medicaid is Health care coverage for individuals of limited or low-income
True
False
16
When did ICD-10-CM become effective?
October 15,2015
October 1, 2015
January 15, 2015
January 1, 2023
17
What is the process to bring checkbook and bank statement into agreement
reconciling
balance
negotiable
transaction
18
Medicare pays 20% of allowed amount after the deductible is satisfied
False
True
19
An arrangement by which a tasks ,operation, or job that can be conducted by the office is contracted to another company
2nd Party
3rd Party
outsourced
1st Party
20
To give up; forgo; waiving of a right or claim;
Obliterate
pass
Wavier
Forfeit
21
The maximum amount an insurer will pay for any given service.
premium
allowed amount
payment
reimbursement
22
Used to notify a Medicare beneficiary that it is unlikely that Medicare will pay
HIPPA
Advance Beneficiary Notice (ABN)
Assignments of benefits
Affordable care act
23
This is a slip containing an itemized list of checks or cash deposited, the date, and the depositor’s signature.
withdrawal slip
deposit slip
deposit record
currency
24
The person to whom money is paid is the payee.
False
True
25
The person to whom money is paid is the payer.
True
False
26
Capable of being discussed and terms arranged
denomination
contract
negotiable
reconciling
27
CPT Codes deal with the diagnostic coding
False
True
28
When a person or company knowingly deceives Medicar to receive inappropriate payment from the program.
felony
wrong
fraud
unethical
29
All are Sexual Harassment and the Hostile Work Environment Acts
except:
Title VII of the Civil Rights Act
The Age Discrimination in Employment Act (ADEA)
The Americans with Disabilities Act
Affordability Act
30
A printed description of the benefits provided by the insurer to the beneficiary
EOD
EBO
EOB
ABN
31
A PPO is a contract between a policyholder, and an insurance carrier to reimburse the policyholder.
True
False
32
In an ICD-10 code the decimal point goes after the 4th didgit.
False
True
33
Meaning the patient does not have enough money in the bank account to cover the amount of the check.
third party
sufficent
Broke
insufficent
34
_______involves the entire process of identifying, recording, and communicating economic events.
Accounting
banking
bookkeeping
reconciling
35
What are the first 3 letters/numbers called in an ICD-10 code?
modifier
category
etiology
extension
36
Medicaid is a federal program providing health care coverage for individuals over the age of 65 or who are disabled.
True
False
37
One of the manager’s role with HIPAA includes conducting audits and analyze PHI security
False
True
38
How many codes are there in ICD-10-CM?
55,000
70,000
14,000
45,000
39
A patient ledger within a practice management system (EHR) may be called an account____________
history
receivable
statement
payable
40
An organization of physicians who network together to offer discounts to purchasers of health care insurance.
ABN
PPO
EOB
HMO
41
The standard claim form designed by the Centers for Medicare and Medicaid Services is CNS-1500
True
False
42
A document that serves as proof that the terms of a transaction have been met.
voucher
invoice
bank statement
records
43
The money and items of value in a business is it's assets
False
True