Latin for “he who acts through another acts for himself” is called…

qui facit per alium facit per se

To correct a handwritten error in a patients chart, it is only acceptable to…

draw a line through it, put correct info, date/initial it

In insurance coding using an “E” code designates…

classification of environmental events, such as poisoning

An organization that offers health ins. at a fixed monthly premium with little or no deductible

health maintenance organization

When handling a patient complaint which one of the following would be most appropriate?

take all complaints seriously and take thorough notes

When handling incoming mail the medical assistant should…

attach the envelope to the correspondence

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MA Certification: 3,4, and 5: law/etihcs; commun. equipt, and supp.; finantaial manag.

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Questions 129

Answers

1
Making a duplicate file to protect computer information from being lost is called making a
batch
saved disc
copy
back-up
2
When a patient has ins, the % of covered services that is the responsibility of the pt to pay
coinsurance
pre-defined policy
in percent policy
comprehensive
3
A skilled nursing facility for pts receiving specialized care after discharge
post care facility
nursing home
no correct answer
extended care facility
4
Latin for “he who acts through another acts for himself” is called…
locum tenems
res gestae
qui facit per alium facit per se
no correct answer
5
An agreement by which the pt assigns another party the right to receive payment
coordination of benefits
non duplication of benefits
assignment of benefits
no correct answer
6
Before placing a caller on hold it is appropriate to…
all answers are correct
wait for the caller to confirm they can wait
ask if you may put the caller on hold
obtain a return phone number
7
Insurance that is meant to offset medical expenses resulting from a catastrophic illness is
primary insurance
comprehensive
whole life policy
major medical
8
A form to itemize deposits made to savings or checking accounts is called…
money order
check guarantee
no correct answer
deposit slip
9
To correct a handwritten error in a patients chart, it is only acceptable to…
white it out neatly and insert correct information
scratch through the error so it cannot be read
write over the error
draw a line through it, put correct info, date/initial it
10
The International Classification of Disease revision, Clinical Modification is used to code…
services rendered
medications
procedures
diagnoses
11
The Tri-Care fiscal year is from…
January 1 to December 31
October 1 to September 30
July 1 to June 30
October 1 to September 1
12
A pt’s failure to act prudently and reasonably, or doing that which a reasonable person would
no correct answer
assumption of risk
breach of duty
contributory negligence
13
The breaking of a law, promise, or duty is called…
consent
statute
incompetent
breach
14
Permission granted by a person voluntarily and in his right mind is…
litigation
consent
breach
duty of care
15
Holding or detaining a person against his will is…
incompetent
false imprisonment
duty of care
crime
16
One who institutes a lawsuit is…
defendant
plaintiff
respondeat superior
litigation
17
A writ that commands a witness to appear at a trial and give testimony is a(n)…
habeas corpus
subpoena
tort et a travers
tort of appearance
18
Business or handwritten mail that weighs less than 11 ounces is known as __ class mail.
fourth
third
first
second
19
A recap sheet that accompanies a Medicare or Medicaid check, showing breakdown and exp of pmnt
dual choice
explanation of benefits
coordination of benefits
fee-for-service
20
A business letter written in full block style will have all lines…
at the left hand margin
indented 5 spaces
right justified
equally spaced vertically
21
An incoming call should be answered by the __ ring.
fourth
third
first
second
22
A computer, hard drive, and printer are known as…
processing equipment
hardware
visual displays
software
23
That which in natural and continuous sequence, produces an event, that would not have occurred
assault
assumption of risk
proximate cause
negligence
24
Payment made periodically to keep an insurance policy in force is called…
fee-for-service
coinsurance
time limit
premium
25
_is a method used for determining whether a particular service or procedure is covered
no correct answer
Preauthorization
Precertification
Informed Consent
26
A bed patient in a hospital is called a (n)
inpatient
third party payer
provider
outpatient
27
A major crime for which greater punishment is imposed other than a misdemeanor is…
licensure
civil law
felony
tort
28
In insurance coding using an “E” code designates…
a factor that contributes to a condition or disease
classification of environmental events, such as poisoning
the primary diagnosis
cancers
29
A fraudulent signature is called…
forgery
endorsement
fraud
forbearance
30
_ is a regulation that requires HCW to protect the privacy/confidentiality of pts’ health info.
OSHA
CMS
HIPAA
CLIA
31
What office instrument is designed to receive and send printed documents via the telephone?
wire service
fax machine
office scanner
copy machine
32
The term for technology that tells a computer what to do is known as the …
software
hardware
ram
disc space
33
A rider to a policy to provide additional benefits for certain conditions is called…
pre-existing disease
hospital benefits
no correct answer
dread disease rider
34
Which codes can modifiers be added to, to indicate that a procedure or service
ICD-9-CM
all of the choices
CPT
ICD-10-CM
35
An organization that offers health ins. at a fixed monthly premium with little or no deductible
private health provider
preferred provider
member physician
health maintenance organization
36
An injury that prevents a worker from performing their regular duties at work would be
partial disability
resultant disability
permanent disability
total disability
37
A system whereby large quantities of data can be accessed, searched, and sorted
electronic scheduling
word processing
data base management
research
38
Right and wrong conduct is known as…
empathy
ethics
licensure
criminal law
39
A newsletter that weighs less than one pound would be considered ___ class mail.
third
fourth
first
second
40
The ref procedural code book that uses a numbering system developed by the AMA is called a(n)…
manual for current procedures
current procedural terminology
reference manual
insurance claim manual
41
___ is the study of words and their relationship to other words in a sentence.
punctuation
grammar
etiquette
forum
42
An act that violates criminal law is called…
defamation
slander
libel
crime
43
The _form is used by non-institutional providers and suppliers to bill Medicare, Part B
HCPA-1000
CPT
CMS-1500
UB92
44
The final decision of a court in an action or suit is…
consent
licensure
judgement
contract
45
When handling a patient complaint which one of the following would be most appropriate?
take all complaints seriously and take thorough notes
refuse the pts who are complaining, the dr should handle it
if the patient is angry, match his/her anger level
no correct answer
46
A person who represents either party of an insurance claim is the
provider
adjuster
subscriber
doctor
47
the presumption or interference of neglect when an accident is otherwise unable to be explained
res judicata
locum tenems
res ipsa loquitur
res gestae
48
The withdrawal of physician from the care of a patient w/o reasonable notice of such discharge
reasonable care
abandonment
negligence
contract
49
A form of ins paid by the employer providing cash benefits to workers injured or disabled
Medicaid
Tri-care
Workers’ Compensation
Champus
50
An impartial panel est to listen to pt complaints about medical care is called a _committee.
medical grievance
civil law
medical ethics
no correct answer
51
When handling incoming mail the medical assistant should…
open only mail marked personal
attach the envelope to the correspondence
initial each piece of opened mail
all answers are correct
52
A person or institution that gives medical care is a (n)…
insurance agent
provider
adjuster
third-party payer
53
Failure to achieve an agreed upon result, even when the highest degree of skill has been used
negligence
proximate cause
ethics
breach of contract
54
E/M codes are located in the ___ manual.
ICD-9-CM
HCPC
ICD-10-CM
CPT
55
An unexpected event that may cause injury is called…
adjuster
no correct answer
accident
dread disease rider
56
When working with patients from a culture different than your own, one should…
encourage them to speak English
speak loudly so they will understand
show respect for their culture
refrain from making eye contact
57
Medical research is often published journals that are evaluated by members of medical community
promethium review
professional review
peer review
hospital review
58
A wrong committed against another person or the person’s property is a…
libel
defamation
tort
plaintiff
59
The time established for filing law suits is…
civil law
contract
statute of limitations
no correct answer
60
The most common type of medical tort liability is…
negligence
fraud and deceit
breach of contract
breach of confidence
61
In ins, greater coverage of dz or an accident, in comparison with a limited clause is called…
comprehensive
deductible
co-payment
major medical
62
Prior to answering an incoming call the medical assistants should…
finish up with previous call
release any anger
screen the call with caller ID
smile
63
Conduct/courtesy/manners that are customarily used in a medical office by medical staff are
medical etiquette
precocity
ethics
moral therapy
64
ins that provides protection against high cost of severe or lengthy illnesses or disabilities
catastrophic
severe
third-party payer
no correct answer
65
Unauthorized disclosure of information regarding any patient to a third party may result in
medical liability
defamation of character
civil law liability
invasion of privacy
66
Lack of physical or mental fitness is known as…
breach of duty
abandonment
competence
incompetence
67
One who belongs to a group insurance plan is called…
no correct answer
subscriber
third-party payer
carrier
68
A previous disease or physical cond. that existed before health insurance policy was issued is
no correct answer
preexisting condition
foregoing condition
prior exposure
69
Negligence by a professional person is called…
slander
invasion of privacy
tort
malpractice
70
A dr who agrees to accept an ins company’s pre-est fee as max amount to be collected is called…
claim representative
adjuster
subscriber
participating physician
71
The computers directional arrow keys…
start the machine
are used with the control key
move the cursor, right, left, up, or down
correct typing mistakes
72
An amount the insured must pay before policy benefits begin is called…
indemnity
deductible
catastrophic
extended benefits
73
Latin for “things done; deeds"
no correct answer
res gestae
locum tenems
tecum
74
An agreement between two or more parties for the doing or not doing of some definite thing is …
statute
felony
contract
litigation
75
A statement given concerning some scientific, technical, or professional matter by an expert
litigation
burden of proof
expert testimony
medical arbitration
76
A deliberate physical attack upon a person is called…
slander
assault
battery
contributory negligence
77
A health program for people age 65 and older under social security is called…
Workers’ Compensation
Medicare
Champva
Tri-care
78
Responsibility of an employer for the acts of an employee is…
civil law
respondeat superior
malpractice
libel
79
Which one of the following items is NOT needed when taking a routine phone message?
caller’s name
current days date
caller’s driver’s license
caller’s return phone number
80
Payment for hospital charges incurred by an insured person because of injury or illness is
extra help benefits
no correct answer
catastrophic health benefits
hospital benefits
81
To interrupt or discontinue a suit temporarily with the intention or resumption at a later date
deposition
civil law
suspension
judgment
82
A type of ins where the insured pays a specific amnt per unit of service
co-payment
deductible
indemnity
coordination of benefits
83
A Dr. must have the pt’s permission in writing to reveal any confidential info except for what
pregnancy
gunshot wound
drug addiction
anorexia
84
A signature on the reverse side of a check is called…
endorsement
reconciliation
signature card
kiting
85
A Latin term signifying that a person is not of sound mind is…
non compos mentis
res judicata
tecum
res gestae
86
In the health care field the acronym HIPAA stands for…
Health Insurance Portability and Accountability Act
History Inquiry of Professional Assertive Assistance
Health Inquiry for Permission of Accountability Association
Health Information Adjustment Association
87
When writing a business letter, the salutation should be followed by which punctuation mark?
colon
asterisk
coma
none
88
Which of the following insurance plans provides a fixed payment per month to the physician
fee for service
capitation
preferred provider
health maintenance
89
branch of study of moral issues, questions, and problems in the practice of medicine/biomedical
privileged communication
bioethics
philosophy
litigation
90
An unlawful threat or attempt to do bodily injury to another is …
libel
crime
assault
litigation
91
___ are defined as what are right and wrong.
ethics
laws
rules
guidelines
92
A record of debits, credits, and balances is referred to as a patients…
ledger
chart
slip
sheet
93
When caring for pts with physical disabilities, which of these is NOT an appropriate
speak loudly
provide ample space for pts using assistive devices
do not rush them
ask if they need assistance before giving assistance
94
The statement “A physician shall respect the law” is part of the …
preamble to the constitution of the United States
AMA Code of Principles
AAMA Code of Ethics
AMA Code of Ethics
95
Violation or omission of a legal or moral duty is called…
defamation
breach of duty
malpractice
negligence
96
A notice of ins claim of proof of loss must be filed within a designated _ or it can be denied.
time limit
policy date
grace period
waiting period
97
Injuring the name/reputation of another person by making false statements to a third person is…
empathy
negligence
ethics
defamation
98
FICA provides benefits for…
old age
social security
aid to dependent children
Medicare
99
What license must a physician have to dispense, prescribe, or administer controlled substances?
narcotic
lawyers
occupational
business
100
Testimony of a witness under oath and written down before trial for possible use in the case
citation
warrant
deposition
expert testimony
101
To prevent the insured from receiving a duplicate payment under more than 1 insurance policy
coordination of benefits
fee-for-service
non duplication benefits
hospital benefits
102
A person being sued is called the…
criminal law
plaintiff
tort
defendant
103
The computer key DEL command means…
delete
deliver
directory
discard
104
Consent to tx based on a full understanding of all risks of unpreventable results is
assumption of risk
proximate cause
contributory negligence
fraud
105
A person who is no longer under the care, custody, or supervision of a parent is called a(n)…
plaintiff
tort
defendant
emancipated minor
106
A patient receiving ambulatory care at a hospital or other health facility w/o being admitted
adjuster
outpatient
inpatient
carrier
107
The number on the Employees Withholding Exemption Certificate is…
W-2
W-3
1040
W-4
108
A statute that enforces private right/liabilities, as differentiated from criminal law is
medical arbitration
civil law
no correct answer
statute of limitations
109
The process of changing words into numbers so computers can be used in processing ins. claims
word manipulation
classification
coding
diagnostic numbering
110
A letter should be folded in __ using a #10 envelope.
half horizontally
fourths face down
thirds face up
half vertically
111
The ability to see things from another person’s point of view is…
empathy
respondeat superior
ethics
consent
112
A legal statement of how an individual’s property is to be distributed after death is…
tort
judgement
contract
will
113
Professional negligence is also called…
assumption of risk
dereliction of duty
medical malpractice
res ipsa loquitur
114
A violation of a pt right not to have their name, photo made public w/o giving consent is…
false imprisonment
statute
invasion of privacy
malpractice
115
A civilian health and medical program of the uniform services is called…
Tri-care
Medicaid
Workers’ Compensation
Medicare
116
Low income patients can be covered by what type of insurance?
Blue Cross/Blue Shield
Medicare
Medicaid
Tri-Care
117
A method of charging whereby a physician presents a bill for each service rendered is called…
fee-for-service
no correct answer
non-duplication of benefits
monthly statement
118
It is __ to deny treatment to HIV infected patients.
unethical
illegal
ethical
moral
119
A HCW is protected if it is determined he/she acted reasonable as compared with fellow workers.
statute
duty of care
reasonable care
respondeat superior
120
As part of the office bookkeeping procedures, the physician’s bank statement should be recorded
personal ledger
business ledger
daily ledger
checkbook
121
A request for payment under an insurance contractor bond is called…
dual choice request
claim
total disability
insurance application
122
A rule of conduct made by a government body is…
will
tort
law
contract
123
Info given by a pt to medical personnel which cannot be disclosed w/o consent
duty of care
privileged communication
respondeat superior
judgment
124
A sum of money provided in an insurance policy, payable for covered services is called…
benefits
dues payable
deductible
premium
125
Ins plans that pay a Dr. full charge if it doesn't exceed his normal charge or normally charged
comprehensive
dual choice
no correct answer
usual, customary, and reasonabledual choice
126
Body language, body posture, space and distance are all examples of …
non-verbal communication
written communication
verbal communication
all answers are correct
127
Referring to computers, the term “user friendly” refers to …
can the system be cost effective
how easy the system is to operate
how well written the manual is
how many documents the system will handle
128
Which one of the following might involve a decision based upon bioethics?
the use of fetal tissue transplantation for research
reporting to the authorities a suicidal patient
tx a 16 year old girl who is pregnant w/o parental consent
reporting physical, emotional, or mental abuse
129
Parcel post or ___ class mail is used for bound printed matter, film, & sound recordings.
third
first
second
fourth

MA Certification: 3,4, and 5: law/etihcs; commun. equipt, and supp.; finantaial manag. Flashcards | StudBud