EHR BY LETTY 84-110

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If a child covered by both a primary and secondary insurance is charged $350.00 for a procedure. The primary insurance pays $275.00. How is the remaining balance paid?

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True or false? Math skills are not important for the medical assistant because everything is done on the computer.

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A payment system in which payments to providers are fixed and based on the number of enrollees over a period of time regardless of the type or numbers of services provided is called:

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True or false? Each insurance carrier will have its own negotiated fee schedule.

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True or false? A medical office might have a separate fee schedule for patient’s paying out-of-pocket.

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True or false? Unless prohibited by law, a medical office may have more than one fee schedule established by different insurance carriers.

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True or false? During the patient interview, the medical assistant should document the patient’s statements into the progress note.

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True or false? A professional appearance including clean scrubs, groomed hair, and appropriate makeup will contribute to the professionalism of the medical office and gain the patient’s trust.

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In order to ensure that Casey is comfortable, the medical assistant should __________

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True or false? A day sheet tracks all of the patient transactions for one specific day in a medical office.

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True or false? Only payments made at the medical office are recorded on the day sheet.

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A medical assistant should record which of the following transactions on the day sheet?

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The total on the __________ should match the total on the bank deposit slip.

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In alphabetic filing, a patient’s first name is the __________ filing unit.

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True or false? Correspondence with a patient does not need to be included in the patient’s medical record.

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True or false? Workers’ compensation has its own fee schedule and a provider cannot bill a patient for the difference between their billed amount and workers’ compensation allowed amount.

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What services does workers’ compensation pay for?

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True or false? Services performed one month ago cannot be submitted for reimbursement.

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When a patient gives permission for the insurance carrier to pay the provider directly, this is called:

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True or false? The Explanation of Benefits (EOB) is not a bill, but a summary of the services submitted and insurance payments to the doctor’s office.

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__________ plans reimburse physicians according to the procedures performed.

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The cost-sharing measure in which the insured pays a percentage of the insurance carrier’s allowed amount is called:

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When a patient is covered under more than one policy, __________ is used to ensure the claim is not paid to more than 100%.

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True or false? Refunds owed to the patient can be provided as a standing credit balance or the medical assistant can issued a refund check to the patient.

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True or false? All office equipment should be documented on the office inventory and checked for regular maintenance and repair so they are in proper working order for patient use.

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True or false? It is important to know a patient’s insurance carrier before looking up the cost of a procedure in the fee schedule.

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Posting information to the day sheet would be considered a activity, whereas using the information from the day sheets and other forms to create a document that summarizes the medical office’s finances would be this type of activity:

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Billing statements should be sent to patients:

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A financial statement that records the charges, receipts and services rendered on a given day is a:

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Patient statements are generated:

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The abbreviation DOS stands for:

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Which of the following are CPT codes for the administration of the influenza vaccine?

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The procedural code for Diagnostic Mammogram of both breasts is __________

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True or false? The progress note is a summary of the procedures and diagnosis of the visit office.

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True or false? OTC stands for over-the-counter.

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A referral is:

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Mr. Caudill is feeling depressed about his new diagnosis. The medical assistant knows of another patient who was recently diagnosed with the same disorder and gives Mr. Caudill the patient’s phone number. Which of the following statements regarding the medical assistant’s actions are true:

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What does the acronym SOAPE represent?

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After a claim is processed, payment and the remittance advice (RA) are sent to the:

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True or false? The total amount of cash and checks needs to be documented at the bottom of the deposit slip.

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Which of the following statements regarding EFT is false?

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True or false? Checks are documented individually on a deposit slip.

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All checks prepared for a deposit must be:

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True or false? The medical assistant only needs to be aware of deposits and checks when reconciling a bank statement.

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True or false? The medical assistant only needs to document checks received from insurance carriers on the bank deposit slip.

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True or false? It is appropriate to charge a fee for NSF checks.

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f a patient mails a check payment without having sufficient funds, the medical office could:

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True or false? Postdated checks are not accepted as payment in the medical office.

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NSF stands for:

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What types of payment are most commonly used in the medical office?

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True or false? Cash and checks are listed separately on the deposit slip.

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Bank deposit slips should be prepared:

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True or false? A patient’s outstanding balances are accounts payable.

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True or false? The medical office may not impose a returned check fee for NSF checks because it is against insurance agreements.

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True or false? It is acceptable to insist on cash only payments from patients with previous NSF checks.

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True or false? Third party checks have a greater risk of being NSF.

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If the patient writes “payment in full” and the account is not fully paid, the medical assistant should scratch the documentation from the check.

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What precautions should be taken when accepting a check?

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Which detail should be documented on a check?

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True or false? The biller should not contact the patient about past due balances at their employment unless the work phone contact has been approved by the patient.

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True or false? The Federal Trade Commission (FTC) enforces the Fair Debt Collection Practices Act (FDCPA). This act encourages debt collectors to use abusive, unfair, or deceptive practices to collect past due monies.

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True or false? It is good practice to document the date and time you attempt to call patients about collections on accounts.

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True or false? The Internet is a good resource when trying to collect money owed from a patient who has moved without leaving a forwarding address.

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True or false? A blank prescription is documented as an in-office order in the Order Entry section of the patient record.

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True or false? The medical assistant must document the date and time of a phone message in order to determine the average turnaround time to complete messages.

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According to Amma Patel’s Phone Encounter, Ms. Patel called Walden-Martin: __________

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True or false? It is not important to document the time Ms. Patel plans to pick up her prescription.

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Which of the following orders can be generated by clicking the Add button beneath the Out-of-Office table?

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You can access a specific patient encounter by selecting __________

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The ICD-10 CM code for obesity is __________

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True or False? The certified medical assistant is permitted to prepare a non-medical prescription, such as an order for a fitness center, for provider approval using a documented order in the patient record.

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True or false? It is not necessary for the order to be documented in the patient record before the medical assistant can generate an order.

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In order to document the University Laboratory results for Ms. Yan, the medical assistant should: __________

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True or false? Z86.73 is part of the ICD-9 CM coding system.

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ICD-10 CM code Z79.01 is used to identify which patient condition?

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True or false? The date field within the Diagnostic/Lab Results tab is the date the medical office receives the results.

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True or false? The Problem List allows the user to enter both the ICD 9 CM code and ICD 10 code as part of the record.

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The ICD-10 CM code for Personal History of CVA is Z86.73. This code is also used for which condition?

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The ECG has a cost of $89.00. Where will the user obtain the charge for service to document on the Insurance Tracer?

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Which data elements are part of the Insurance Claim Tracer?

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True or false? The policy ID of the patient account is not part of the Insurance Claim Tracer.

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The Insurance Claim Tracer was generated: __________

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True or false? The date of service and date of claim are always different.

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True or false? The Insurance Claim Tracer is generated from the Correspondence function of SimChart for the Medical Office.

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The Insurance Claim Tracer is available in __________
.

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The status of the Ella Rainwater’s claim for this encounter is: __________

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The Alzheimer’s Disease handout is found under what category of the Patient Education record?

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True or false? Prior Authorization is located in the Form Repository.

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Which field of the Prior Authorization form signifies the patient’s eligibility of managed care services?

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Quiz on EHR BY LETTY 84-110, created by letty reyes on 10/01/2018.

EHR BY LETTY 84-110

EHR BY LETTY 84-110

If a child covered by both a primary and secondary insurance is charged $350.00 for a procedure. The primary insurance pays $275.00. How is the remaining balance paid?

True or false? Math skills are not important for the medical assistant because everything is done on the computer.

A payment system in which payments to providers are fixed and based on the number of enrollees over a period of time regardless of the type or numbers of services provided is called:

True or false? Each insurance carrier will have its own negotiated fee schedule.

True or false? A medical office might have a separate fee schedule for patient’s paying out-of-pocket.

True or false? Unless prohibited by law, a medical office may have more than one fee schedule established by different insurance carriers.

True or false? During the patient interview, the medical assistant should document the patient’s statements into the progress note.

True or false? A professional appearance including clean scrubs, groomed hair, and appropriate makeup will contribute to the professionalism of the medical office and gain the patient’s trust.

In order to ensure that Casey is comfortable, the medical assistant should __________

True or false? A day sheet tracks all of the patient transactions for one specific day in a medical office.

True or false? Only payments made at the medical office are recorded on the day sheet.

A medical assistant should record which of the following transactions on the day sheet?

The total on the __________ should match the total on the bank deposit slip.

In alphabetic filing, a patient’s first name is the __________ filing unit.

True or false? Correspondence with a patient does not need to be included in the patient’s medical record.

True or false? Workers’ compensation has its own fee schedule and a provider cannot bill a patient for the difference between their billed amount and workers’ compensation allowed amount.

What services does workers’ compensation pay for?

True or false? Services performed one month ago cannot be submitted for reimbursement.

When a patient gives permission for the insurance carrier to pay the provider directly, this is called:

Posting information to the day sheet would be considered a activity, whereas using the information from the day sheets and other forms to create a document that summarizes the medical office’s finances would be this type of activity: