An overdraft is when:

A check is more than the amount in the bank account

If a patient’s check is returned by the park marked NSF, it means

There is not enough money in the bank

You should not accept a check that is:

Written form more than the amount due

Information required to file a third party claim on CMS 1500 includes all but:

Co-pay receipt given to patient

As soon as cash money is received in the office, it should be?

Placed out of sight in a secure location

When preparing deposit slip, if there are more checks that can be listed on front of slip, you should

Use the back, total amount and bring it forward

Patients should be given a receipt :

When they make payment in any form

First step in collection process is..

Advise Pt. Of office policy re: payment when they call for appt.

When 3rd party payer identifies an error on claim form, the claim is:

Rejected with a request to resubmit the form with corrections

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1
The check routing symbol is commonly ___ on a personal check
Written as a percentage
Written as a fraction
Italicized and underlined
Hyphenated
2
An overdraft is when:
You do not use a personal check
A check is more than the amount in the bank account
You open a savings account
Earned interest is waived
3
A professional courtesy discount is an example of what?
Balance
Adjustment
Overpayment
Deposit
4
A___ check is a check presented too long after it was written to be honored by the bank
Stale
Voucher
Traveler’s
Post dated
5
The accounts receivable ratio has a goal of ?
Two months or more
One month or more
Two months or less
One month or less
6
Which of the following would not be required step in utilizing medical necessity guidelines
Look over entire encounter form and progress note
Review order from provider
Reviewing diagnostic findings
Reviewing family history
7
If a patient’s check is returned by the park marked NSF, it means
Check cleared and funds were deposited
Patient forgot the sign the check
Numerical amount on check doesn’t match written amount
There is not enough money in the bank
8
Process of transferring information from one record to another is called:
Balancing
Conferring
Posting
Journalizing
9
Health insurance offered by private companies to persons eligible for Medicare as a supplement is called
TRICARE
MEDIGAP
CHAMPVA
Medicaid
10
Which of the following is not included in the company details on an invoice?
Invoice number
Company email address
Company name
Company address
11
If you stop payment on a check, the bank will?
Contact the payer for permission before transferring cash
Freeze the account of the payee
Require payee to pay a fee to cash the check
Refuse to honor the check
12
The process of verifying that the amounts on the bank statement are consistent with amounts in check register is known:
Transferring
Capitalizing
Itemizing
Reconciling
13
CPT manual uses symbols to indicate info about a code, what does (+) mean
Revised code
Add on code
Modifier 51
New code
14
Medicare will____ pay for services considered medically reasonable and necessary.
None of the above
Not
Only
Sometimes
15
You should not accept a check that is:
Marked paid in full and pays account in full
Written form more than the amount due
In corrected and has 7 components that make check valid
Third party check from authorized insurance company
16
If you make collection call before or after legal hours in your state, you can be liable for ?
Harassment
Stalking
Assault
Filing false charges
17
In some cases Medicare will automatically send not covered amount to private secondary insurance, what is it called?
Crossover claim
Universal claim
Secondary claim
None of the above
18
Information required to file a third party claim on CMS 1500 includes all but:
Co-pay receipt given to patient
Relationship to insured
Insured name, address and telephone number
Access to photocopy of patient’s insurance card
19
As soon as cash money is received in the office, it should be?
Stored in envelope at reception desk
Placed out of sight in a secure location
Deposited into savings account
Deposited into checking account
20
When preparing deposit slip, if there are more checks that can be listed on front of slip, you should
Ask teller at the bank for extra long corporate deposit slip
Break up deposit into a series of smaller deposits
Use the back, total amount and bring it forward
Add amounts on calculator and write total without checks
21
Discounts must be generally authorized by the :
Provider
Medical assistant
Insurance company
CMS
22
Which of following is not necessary piece of info before calling to follow up on delinquent claim
Amount of co-pay received
Patients name, ID number or group number
Practice’s tax ID NUMBER
If patient is not the insured, the insured’s name
23
_______ means that the doctor agrees to accept the Medicare approved amount as full payment
Adjudication
Scrubbing
Assignment
Ambulatory payment classification
24
A______ endorsement states “ PAY TO THE ORDER OF”
Blank
Formal
Protective
Restrictive
25
AMA defines medical necessity as services that prudent physician would provide to prevent diagnose or treat an illness
Clinically appropriate
Not intended for economic benefit of health plan
In accordance with generally accepted standard
All of the above
26
Patients should be given a receipt :
When they pay by check
Only when they pay in cash
When they make payment in any form
When they charge bill to credit card
27
Information required to post on patient account includes all of the following except..
Date claim was submitted
Date of insurance payment or adjustment
Check number of payment
Name of insurance co. sending payment
28
First step in collection process is..
Withhold statements for patient with accounts over 90 days
Firmly demand payment in person and on telephone
Use certified collection agency
Advise Pt. Of office policy re: payment when they call for appt.
29
A check paid directly from checking account through the internet is:
Limited check
Certified check
Electronic check
Cashier’s check
30
Which form is also known as UB-04 FORM?
CMS 1450
EOB form
CMS 1500
FCC FORM 159-C
31
Specific provisions in TILA explains in great detail who and what is covered by regulation and gives specific disclosure
Practice and compliance department
Fair debt collection practices
Quality control department
Regulation Z
32
Which of the following is the best gross collection ratio?
0.5
1.0
0.0
0.75
33
Daily ____is an integral part of financial responsibilities in the practice
Balancing
Visit capture
Claims scrubbing
Claims management
34
When 3rd party payer identifies an error on claim form, the claim is:
Rejected and barred from resubmission
Rejected with a request to resubmit the form with corrections
Paid with penalty fee subtracted
Held unidentifiable until medical office calls
35
Which of the following is a term defined as normal growth and development
Antagonize
Viability
Idle
Expended
36
When patients without health insurance are seen, they are classified as
Private
Reimbursement
Pro bono
Self-pay
37
Fair Debt Collection Act does not cover which type of debt?
Business
Family
Household
Personal
38
Standard claim form for (CMS) Medicare is ..
COB
CMS-1500
ACA
Fee disclosure
39
What is the correct way to write $5.62
Five and 62/100
Five.62
Five and sixty-two
Five sixty-two
40
Physicians who treat Worker’s Comp patients are required to register with state board…
Every 5 years
On annual basis
Only once, unless they move their practice
When they need to file a claim
41
What is required to generate a referral for Pt. With managed care plan
Patient must first see primary
Provider must obtain verification of eligibility
All of the above
Provider must generate referral in order to see specialist
42
Total amount of cash and checks including credit and debit card payments, should be manually recorded on a?
Credit sheet
Debit sheet
None of the above
Cash control sheet
43
Truth in Lending Act requires disclosure of finance charges if allowing patient to pay in more than___installments
2
4
6
8
44
Method of payment often used by insurance companies
Cryp tonic
EFT
Limited
Certified
45
Since 2005, providers have been urged to:
Bill patients directly, seek reimbursement on their own
Have patient pay full balance before leaving the office
Send claims electronically
Send claims manually
46
When coding, the primary reason for office visit is listed first and other reasons are listed in what order?
Alphabetic order
Numeric order
Chronological order
Order of importance
47
Which of the following statements is not true when making a collection call?
Call between 7am and 10 pm
Ask for patient by full name when placing a call
Get right to the point of the call
When you are certain you’re speaking to correct person identify yourself
48
Accounts are considered current if within___ days of billing date
120
60
90
30
49
There are certain circumstances warrant a statement being withheld, which of following is not
Families of patients who have passed away
Relatives of provider
Worker’s comp
Account of government assisted patients
50
All checks received in the office, in person or by mail should be protected by endorsement
By making photocopy for audit process
All of the above
Immediately at time received
With a date and time stamp
51
A____ is also known as statement of financial position
Equity form
Income statement
Balance sheet
Liabilities statement
52
A(n) ____ form lists the procedures in a medical,office and their respective codes
Ledger
Credit
Confidentiality
Encounter
53
In 2019, the penalty per violation of federal anti-kickback statute was?
$52,308
$20,504
$10,461
$102,522 per violation
54
Primary insurance info will be place in _____ of CMS-1500 for secondary billing
FECA NUMBER BLOCK
Block 9
Resubmission code block
NUCC BLOCK
55
Who publishes CPT codes?
American public health (APHA)
WHO
AMA
Dept of Health and Human Services
56
Which of the following statements is/are true?
When person is covered by indemnity plan, practice will file claim
If provider provides service not covered by Medicare, must sign ABN
All of the above
If patient has HMO provider will file a claim on their behalf
57
Check must include some form of which phrase to be negotiable?
In God we trust
Pay to the order of
Who ever it may concern
For deposit only
58
The______ demonstrates value of a business
Accounts payable
Liabilities
Net worth
Assets
59
Process of billing secondary insurance company
Billing at same time you bill initial claim to primary
Check the set to bill link
After payment is received from primary, create new bill with secondary info
Click unprinted paper claims link
60
Which of the following is a step to verify insurance coverage?
Complete the fields and verify correct patient info
All of the above are necessary
Access website for patient’s insurance carrier
Determine if insurance is managed care
61
When patient arrives at the office you should copy ____ of the insurance card
Both sides
Only the front
Neither side
Only the back
62
First step in completing a claim form:
Check for photocopy of Pt. Insurance card
Correctly complete boxes 1 to 3 on the form
Write providers tax ID number in appropriate space
Check to see if Pt. Signature is on file
63
When depositing checks by mail, they should be endorsed by _____
Restrictive
Blank
Personal
Stamped
64
Traditional type of insurance keeps evolving, if you choose to pay higher premiums and seek choice of provider
None of the above
Primary care insurance
Fee for service
Preferred provider selection
65
The patient’s gratitude for service received is highest:
Prior to arrival at medical office
During month following the service
During the week following the service
At the time of service
66
The best collection opportunity after face to face contact is by?
Email
Sending collection letter
Mailing a statement
Phone
67
If Medicare employee continues to work, and company has 20 or more employees then..
Group plan is primary and Medicare is secondary
Group plan does not have to pay
Group plan is sole payer
Medicare is billed as primary and group is secondary
68
Computer generated statement is considered efficient collection method. This statement will show the amount due that
Over 30 days
Over 60 days
Current
All of the above
69
If a mistake is made when writing a check, write_____ across the check and stub
DO NOT USE
OMIT
ERROR
VOID
70
Which level of HCPCS includes codes for products and supplies not included in CPT MANUAL?
Level II
Level IV
Level 1
Level III
71
Which of the following is not a type of savings account?
Personal checking
Money market
Regular/Passbook
Custodial account
72
When following up on a delinquent claim, if the carrier tells you it is still in process, you should:
Resubmit claim by fax
Resubmit the claim by mail
Send the patient a statement
Request anticipated date of payment
73
Which type of HMO is made up of providers who practice in their own office and have their own staff and operations
Group model
Staff model
Independent practice organizations
PPO
74
Where in CPT MANUAL would you find info about modifiers?
Appendix A
Alphabetic index
Appendix C
Tabular List
75
Components of pegboard system include…
Physicians day sheet
Transaction slip
All of the above
Patient ledger card
76
When a statement is received from a supplier, you should…
Mail a check for no more than 50 percent of the amount due
Promptly mail a check for full amount
Refrain from sending payment until second notice is sent
Verify that everything on invoice was received
77
Special circumstances exist for MA concerning collections. These include all but ?
Patients whose account is less than wa days old
Patients under bankruptcy
Skip patients
Deceased patients
78
It is recommended that you use which of following words when composing collection letter
Failed
Overlooked
Neglected
Ignored
79
When provider does not accept assignment from Medicare, the most patient can be charged is ____%.
150
115
100
85
80
Money due to the practice is known as?
Year to date reports
Accounts payable
Accounts receivable
Account aging
81
The main rule which says reason for patient visit is coded first is called?
Omission rule
Birthday rule
Reason rule
Indexing rule
82
When pt’s insurance gives you ability to check electronically the amount of co-payment
Electronic eligibility
Real time assessment
Electronic funds transfer
Real time adjudication
83
This is a digital or virtual currency that uses cryptography for security
E-check
Internet check
Virtual voucher
Cryptocurrency
84
Deposits should always be delivered to the bank
On the same day at the same time every week
At the same time of day
On the same day every week
Different times and days of the week
85
The ____ formula demonstrates cost of a specific procedure or service
Cost benefit analysis
Cost ratio
Gross collection ratio
Net collection ratio
86
Precautions must be taken when determining banking procedures. Which of following is a banking concern?
Possible loss of funds
Identity of patients
HIPAA VIOLATIONS
All of the above
87
If Petty cash fund was originally $50 and has been depleted to $3, how much should the check be written for?
$53
$100
$47
$50
88
A bank statement obtained through ATM contains the last____ transactions
15
20
5
10
89
Once patient is ready to leave the hospital this is used to ensure patient is discharged to appropriate setting
Discharge planning
Capitation
Utilization review
Diagnostic planning
90
The ______ is a method of reimbursement in which Medicare payment is based on predetermined fixed amount
Conversion factor
Geographic practice cost index
Diagnosis related group
Prospective payment system
91
Easiest and fastest method of searching for an account in practice management is ?
Chronological
Alpha
Numeric
Omega
92
Which of the following is considered 3rd party insurance plan
Group health plans
All of the above
Medicare
Court ordered health care
93
Which type of insurance does not require a referral to Specialist?
Indemnity
HMO
All require a referral
PPO
94
Non profit organization to improve patient care and quality of their health plan is…
HMO
ACA
HIPAA
NCQA
95
Ambulatory payment classification APC is
Unit of payment under outpatient prospective payment system
Government’s method of paying outpatient Medicare services
When physicians reimbursed using CPT CODING
All of the above
96
Accounting systems include all but which of the following…
Double entry
Single entry
Formula assets - liabilities = net worth
Practice manager
97
An outsourced billing service does not ____ statements
Create
Mail
Sort
Print
98
It is typically responsibility of ____ to produce values in cost benefit analyses
Bookkeeper
Office manager
MA
Accountant
99
Computerized accounting systems :
Offer only two types of reporting options
Automatically update records as info is entered into system
Are more expensive for the practice than manual systems
Offer more room for errors
100
Part__ of Medicare is for payment of office visits, labs and X-rays
B
C
D
A

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