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WEEK 7 - The Administrative Medical Assistant Flashcards | StudBud
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WEEK 7 - The Administrative Medical Assistant
WEEK 7 - The Administrative Medical Assistant
32 terms
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StudBud Administration
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1 play
Medical Billing & Reimbursement Banking Services & Procedures
Flashcards
32 cards
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Practice quiz
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Questions
32
Answers
1
What could result from delays in providing requested information in direct billing?
Civil monetary penalties
Upcoding by the insurance carrier
Termination of claims
Suspended reimbursements
2
Which of the following should be scanned or recorded into the patient’s billing information?
Birth Certificate
Credit Card
Social Security Card
Insurance Card
3
How is precertification obtained?
By coding the diagnosis and procedures to support precertification
By drafting a letter of request to the PCP
By contacting the health insurance company’s representative to request it
By obtaining the patient’s signature for approval of precertification
4
Which activity does the administrative medical assistant engage in when opening the office?
Eat breakfast.
Test blood samples.
Call patients to confirm their appts.
Check the voice mail or answering service message.
5
What type of claim is accepted by a clearinghouse?
Preauthorized
Electronic
Notarized
Paper
6
Pick the correct answer.
22
A+
Thomas Edison
Pineapple on pizza is good.
7
What is the benefit of a clearinghouse providing an audit of claims?
Confirming patient authorization for services rendered
Finding ways for the insurance carrier to save money
Identifying errors and ensuring completeness
Expediting reimbursement to providers
8
What are activity codes?
K
Codes designed to activate Player 1's movement.
Codes reflecting what the patient was doing at the time of injury.
Codes used in medical activities after hours.
9
What should a medical assistant (MA) be watching for immediately after an initial direct billing claim is sent?
Requests for additional information
Medical necessity authorization
Precertification approval
Copayment fees that may be applicable
10
How can medical billing software assist with the billing process?
The software can order lunch for the medical staff.
The software generates electronic claims.
The software verifies patient eligibility.
The software handles precertification requirements.
11
What does ICD-10-CM stand for?
International Classification of Diseases, 10th Rev, Clinical Modification
Intentional Classification of Diseases, 10th Rev, Clinical Modification
International Classification of Diuretics, 10th Rev, Clinical Modification
International Classification of Dilemmas, 10th Rev, Clinical Modification
12
Which abbreviations will the medical assistant recognize as acronyms that become pronounceable words?
SAT, ACT, VENTI
AIDS, ARDS, CABG
ARDS, BARDS, LIMS
HIPPA, ALS, TTO
13
How do you abstract diagnostics statements?
173 abstracts at a time.
Begin with a brief but precise statement of the problem or issue.
One abstract statement at a time.
Accurately identify main terms, essential modifiers, to prepare for coding
14
Why might a patient elect to have a higher deductible?
To eliminate copayments
To seek care from participating providers
To decrease the fee schedule amount
To reduce the monthly premium payments
15
What are morbidity codes?
Codes spefically designed to annotate morbidity within Oklahoma.
All of the above.
Standardized system for identifying & coding medical conditions & diseases
867-5309
16
What's the difference between ICD-9-CM & ICD-10-CM?
ICD-10-CM uses 3-4 numeric digits, ICD-9-CM used 7 alpha/numeric digits.
ICD-10-CM uses 7 alpha/numeric digits, ICD-9-CM used 3-4 numeric digits.
ICD-10-CM is one numerical digit different than ICD-9-CM.
None of the above.
17
Which is true regarding carrier-direct systems?
They charge providers usage fees on a monthly basis.
They transmit claims only to specific carriers.
They route electronic claims through clearinghouses.
There is a fee for providers to use.
18
Which statement describes a capsule?
Pill
Medicine transportation device.
Solid medication in a hard or soft gelatin shell.
Round, oblong, containers.
19
What does ICD-9-CM stand for?
Intentional Classification of Diseases, 9th Rev, Critical Modification
International Delight, 9th Rev, Coffee Creamer
International Classification of Diseases, 10th Rev, Clinical Modification
International Classification of Diseases, 9th Rev, Clinical Modification
20
What is the name of the insurance claim form used universally in medical billing?
Clearinghouse form
33-Block claim form
MCO Form
CMS-1500 form
21
What is a diagnostics statement?
A bill reflecting the patients financial obligation for diagnostics.
A statement of diagnostics.
A concise summary of a patients medical diagnosis.
Brief summary of completed diagnostic testing results.
22
Which phrase describes the oblique plane of the body?
Uses a diagonal cut through the body.
Uses a horizontal cut through the body.
Left to right center of mass.
Uses a vertical cut through the lower half of the body.
23
Which is an example of commonly used third-party payers that utilize direct billing?
Medical Offices
Medicare
Clearinghouses
Blue Cross Blue Shield
24
How are claims transmitted to third-party payers by a clearinghouse?
Individually
Alphabetically
Chronologically
In batches
25
How does a copayment affect the deductible for an insurance policy?
A copayment does not affect the deductible.
A copayment freezes the deductible.
A copayment decreases the deductible.
A copayment increases the deductible.
26
Which section of the prescription indicates when the patient should take the medicine?
On the back
Order number
Sig
Name
27
How can coinsurance offset the out-of-pocket costs for a patient?
By giving the patient a set amount of money each year for out of pocket fee
Influencing the fee schedule amount so the patient pays less out of pocket
By sharing the cost of covered medical services with the patient
By paying half of the copayment when patients arrive for office visits.
28
For which length of time should the records of patients who are minors be kept?
10 Years
7 Years
Patient reaches age of maturity & number of years for the statute of limits
Forever
29
What are obstructive codes?
List of alphanumeric digits for obstruction of justice.
Codes designed to obstruct Player 2's movement.
90847, 10012, & 00Z82
Codes related to conditions that obstruct airflow in the lungs or body.
30
What information might be obtained by a medical assistant (MA) when inquiring about a patient’s coverage?
The patient’s yearly deductible
The patient’s allowed amounts
The patient’s monthly premiums
The patient’s insurance claims from the previous year
31
Which resource provides the most current medication information?
Medication phamplet
Office manager
Medlineplus.gov
Google.com
32
Which term is used to describe a patient looking at the names of the other patients listed while signing the register?
Chronological disclosure.
Incidental disclosure.
Fraud
Accidental disclosure.
