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

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EHR BY LETTY 84-110

EHR BY LETTY 84-110

Question 1 of 91

1

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?

Select one of the following:

  • The patient’s parents are responsible for the remaining balance.

  • The medical assistant submits a claim with the secondary insurance for $275.00.

  • The medical assistant submits a claim with the secondary insurance for $75.00.

  • The medical assistant submits a claim with the secondary insurance for $350.00.

Explanation

Question 2 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 3 of 91

1

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:

Select one of the following:

  • capitation

  • medigap

  • limiting fee

  • POS

Explanation

Question 4 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 5 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 6 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 7 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 8 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 91

1

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

Select one of the following:

  • maintain eye contact

  • keep the exam room door open

  • give Casey a hug

  • sit next Casey on the exam table

Explanation

Question 10 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 11 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 12 of 91

1

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

Select one of the following:

  • An insurance payment received in the daily mail, a patient payment dropped off at the medical office, and a bankruptcy adjustment.

  • A bankruptcy adjustment.

  • A patient payment dropped off at the medical office.

  • An insurance payment received in the mail.

Explanation

Question 13 of 91

1

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

Select one of the following:

  • day sheet

  • superbill

  • claim

  • patient ledger

Explanation

Question 14 of 91

1

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

Select one of the following:

  • FOURTH

  • SECOND

  • FIRST

  • THIRD

Explanation

Question 15 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 16 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 91

1

What services does workers’ compensation pay for?

Select one of the following:

  • REHABILITATION

  • WAGE REPLACEMENT

  • DEATH BENEFITS

  • REHABILITATION, WAGE REPLACEMENT, DEATH BENEFITS

Explanation

Question 18 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 19 of 91

1

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

Select one of the following:

  • managed care.

  • assignment of benefits.

  • resource utilization group.

  • third-party administrator.

Explanation

Question 20 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 21 of 91

1

__________ plans reimburse physicians according to the procedures performed.

Select one of the following:

  • CAPITATION

  • CAPITA

  • DEDUCTIBLE

  • FEE FOR SERVICE

Explanation

Question 22 of 91

1

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

Select one of the following:

  • CODEDUCTIBLE

  • COPAYMENT

  • COINSURANCE

  • COPREMIUM

Explanation

Question 23 of 91

1

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

Select one of the following:

  • AN ADJUSTMENT

  • CROSS-REFERENCE

  • BENEFIT OVERLAP

  • COORDINATION OF BENEFITS

Explanation

Question 24 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 25 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 26 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 27 of 91

1

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: __________

Select one of the following:

  • accounting, bookkeeping

  • insurance, financial

  • financial, insurance

  • bookkeeping, accounting

Explanation

Question 28 of 91

1

Billing statements should be sent to patients:

Select one of the following:

  • biweekly

  • every 90 days

  • at the beginning and middle of the month

  • monthly

Explanation

Question 29 of 91

1

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

Select one of the following:

  • balance sheet

  • day sheet

  • petty cash fund

  • checkbook

Explanation

Question 30 of 91

1

Patient statements are generated:

Select one of the following:

  • quarterly

  • monthly

  • every two months

  • weekly

Explanation

Question 31 of 91

1

The abbreviation DOS stands for:

Select one of the following:

  • date of stamp

  • date of symptom

  • date of signature

  • date of service

Explanation

Question 32 of 91

1

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

Select one of the following:

  • G0008

  • 90658, 90471, and G0008

  • 90658

  • 90471

Explanation

Question 33 of 91

1

The procedural code for Diagnostic Mammogram of both breasts is __________

Select one of the following:

  • 77065

  • 77056

  • 77560

  • 77650

Explanation

Question 34 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 35 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 36 of 91

1

A referral is:

Select one of the following:

  • required for all patients.

  • a request for a specialist opinion.

  • a transfer of specific care of the patient.

  • provided for certain procedures or hospital admissions

Explanation

Question 37 of 91

1

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:

Select one of the following:

  • The medical assistant violated Title One of HIPAA and could face disciplinary action.

  • The medical assistant did nothing wrong.

  • The medical assistant helped the patient network with others.

  • The medical assistant violated Title Two of HIPAA and could face disciplinary action.

Explanation

Question 38 of 91

1

What does the acronym SOAPE represent?

Select one of the following:

  • Shivering, outward, aching, pain, eventual

  • Sickness, observation, aching, pain, elevation

  • Subjective data, objective data, assessment, plan, and evaluation

  • Stomach, ovary, ankle, pancreas, ear

Explanation

Question 39 of 91

1

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

Select one of the following:

  • guarantor

  • patient

  • health plan

  • provider

Explanation

Question 40 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 41 of 91

1

Which of the following statements regarding EFT is false?

Select one of the following:

  • EFT allows payment to be automatically deposited into the provider account

  • EFT still has a corresponding remittance advice (RA).

  • EFT still requires the endorsement of a check

  • EFT still requires the endorsement of a check, allows payment to be automatically deposited, and still has a corresponding remittance advice (RA)

Explanation

Question 42 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 43 of 91

1

All checks prepared for a deposit must be:

Select one of the following:

  • endorsed

  • photocopied

  • arranged in numerical order by check number

  • stamped "paid in full'

Explanation

Question 44 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 45 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 46 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 47 of 91

1

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

Select one of the following:

  • deduct the amount from the medical office’s checking account balance.

  • add the amount due back to the patient ledger.

  • document a description of the transaction in the patient ledger.

  • deduct the amount from the medical office’s checking account balance, add the amount due back to the patient ledger, or document a description%2

Explanation

Question 48 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 49 of 91

1

NSF stands for:

Select one of the following:

  • non-sufficient funds

  • negative sum funds

  • neutrally subtracted funds

  • non-secure funds

Explanation

Question 50 of 91

1

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

Select one of the following:

  • cash

  • cash, personal check, or credit card

  • cash or personal check

  • cash, personal check, or third party check only

Explanation

Question 51 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 52 of 91

1

Bank deposit slips should be prepared:

Select one of the following:

  • by the physician only

  • weekly

  • monthly

  • daily

Explanation

Question 53 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 54 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 55 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 56 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 57 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 58 of 91

1

What precautions should be taken when accepting a check?

Select one of the following:

  • Do not accept third party checks.

  • Scan the check for accuracy.

  • Scan for accuracy, don't accept checks made out for more money than owed, and don't accept third party checks.

  • Do not accept checks made out for more money than owed.

Explanation

Question 59 of 91

1

Which detail should be documented on a check?

Select one of the following:

  • Payee name

  • Correct date

  • Payee name, correct date, and amount

  • Amount

Explanation

Question 60 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 61 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 62 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 63 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 64 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 65 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 66 of 91

1

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

Select one of the following:

  • two days ago.

  • yesterday.

  • this morning.

  • this afternoon.

Explanation

Question 67 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 68 of 91

1

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

Select one of the following:

  • Medication prescription

  • Requisition

  • Blank prescription

  • All of the above

Explanation

Question 69 of 91

1

You can access a specific patient encounter by selecting __________

Select one of the following:

  • Patient Demographics.

  • the Clinical Care module.

  • the Record dropdown menu.

  • an encounter listed in the Patient Dashboard.

Explanation

Question 70 of 91

1

The ICD-10 CM code for obesity is __________

Select one of the following:

  • E65.9.

  • E66.9.

  • E66.0.

  • E60.0.

Explanation

Question 71 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 72 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 73 of 91

1

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

Select one of the following:

  • click on the Superbill.

  • document the results within the Phone Encounter only. No other documentation is necessary.

  • select “Diagnostic/Lab Results” from the Clinical Care info panel.

  • use the Order Entry record section in Clinical Care.

Explanation

Question 74 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 75 of 91

1

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

Select one of the following:

  • Transient Ischemic Attack (TIA)

  • Long Term Use of Anticoagulants

  • Traumatic Brain Injury (TBI)

  • CVA

Explanation

Question 76 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 77 of 91

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 78 of 91

1

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

Select one of the following:

  • Transient Ischemic Attack (TIA)

  • Pulmonary Embolism

  • Traumatic Brain Injury (TBI)

  • Parkinson’s Disease

Explanation

Question 79 of 91

1

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

Select one of the following:

  • Superbill

  • Completed Claim

  • Completed Claim, Superbill, and Fee Schedule

  • Fee Schedule

Explanation

Question 80 of 91

1

Which data elements are part of the Insurance Claim Tracer?

Select one of the following:

  • Date of service, date of claim submission, and procedure with charge

  • Date of Claim submission

  • Date of service

  • Procedure with charge

Explanation

Question 81 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 82 of 91

1

The Insurance Claim Tracer was generated: __________

Select one of the following:

  • because the original claim was denied.

  • as an alternative method of claim submission.

  • as a follow up to a claim yet to be paid.

  • as a method of adding additional services for reimbursement.

Explanation

Question 83 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 84 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 85 of 91

1

The Insurance Claim Tracer is available in __________
.

Select one of the following:

  • Correspondence

  • the Superbill.

  • the Form Repository.

  • the Clinical Care module.

Explanation

Question 86 of 91

1

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

Select one of the following:

  • denied.

  • resubmitted.

  • submitted.

  • in progress.

Explanation

Question 87 of 91

1

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

Select one of the following:

  • Health Promotion

  • Procedures

  • Diagnosis

  • Tests

Explanation

Question 88 of 91

1

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

Select one of the following:

  • True
  • False

Explanation

Question 89 of 91

1

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

Select one of the following:

  • Effective date

  • Authorization number

  • Procedure code

  • Expiration date

Explanation

Question 90 of 91

1

True or false? Prior authorization forms have both an effective and expiration date.

Select one of the following:

  • True
  • False

Explanation

Question 91 of 91

1

Which of the following is listed on the Prior Authorization form?

Select one of the following:

  • Diagnosis

  • Procedure, diagnosis, and expiration date

  • Procedure

  • Expiration date

Explanation

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