need to test some true & false question . some operational question
Test Week # 4 POFM 1311 1C MOA DDA 2020
True/False
The time period for submitting a Medicare claim is six months after the date of service.
CPT stands for Current Procedural Terminology.
Computer-assisted coding automatically assigns codes for clinical procedures and services.
There are only two types of worker’s compensation claims, temporary disability, and permanent disability.
A participating physician agrees to accept payment from Medicare, usually 80% of the approved charges.
The Medicare fee schedule is called Resource-Based Relative Value System (RBRVS).
Medicaid is a safety net assistance program, rather than an insurance program.
Precertification means finding out the maximum dollar amount an insurance company will pay for a service.
When Medicare is not likely to pay for a service, the office should have the patient sign an Advance Beneficiary Notice so the patient can make an informed decision about the service.
A doctor’s office submits Medicare claims to a Medicare Administrative Contractor (MAC) for Part B services.
Hospitals code procedures from the CPT book just like the doctors.
The number of follow-up days after a surgery is always 30 days.
If a check endorsement says for deposit only. It has a restricted endorsement.
The abbreviation TOS stands for type of service provided in coding.
The best way to communicate information about the medical practice to new patients is through the use of a practice information brochure.
Multiple Choice:
The insured is also known as a:
Member
Subscriber
Policyholder
All the above are correct
Medical necessity is insured when the insurance carrier mandates:
Precertification
Code correlation
A formal referral
Preauthorization
Unit values for each procedure code are used in the following payment method:
RVS
Capitation
DRG
UCR
When coding diagnoses, start by looking:
In Volume I
Up the anatomic body part
In the tabular list
In Volume II
Checking a diagnostic code against a procedure code is referred to as:
Cross-checking
Proofreading
Code correlation
Code linkage
When interviewing a collection agency, what collection rate is considered realistic and good?
25% to 45%
50% to 75%
75% or above
30% to 60%
60% to 80%
Select the correct statement regarding collections:
Be flexible about interruptions when making collection calls
Use a public telephone to make collections calls
The longer an account remains delinquent, the harder it will be to collect
Collection letters to obtain payment are better than phone calls
A, C, and D
The correct meaning for the acronym PHI is:
Private Health Information
Protected Health Information
Personal Health Information
Portability of Health Information
Privileged Health Information.
Medical assistants:
Rarely get promoted to office manager
Are not qualified to be office managers
Move into management positions with a variety of skill sets and experience
Can attain higher career goals only with additional education
An employee handbook is also known as a/an:
Work assignment manual
Personnel manual
Office policy manual
Office procedure manual
Fill in the blanks:
Questioning, requesting examples, and paraphrasing a message are types of………..? =
Adoption of flextime is one way to increase……….. ...………? =
A tickler file is also called a …………? =
A contract with a cleaning service would fall under facility oversight performed by ………..? =
What are the two mechanisms that can be put into place in the medical office to help patient relations, promote patient satisfaction, and learn what policies and procedures need improvement? 1)= 2)=
As a new employee, where would you look to find your job description
What law covers minimum wage and overtime standards? =
In what section of the CPT book are office visits and hospital visits found? =
Diagnostic codes using ICD-10-CM can vary from……..to………digits? =
Dr. Gerald Practon wants to know if Mrs. Snow’s managed care plan covers a particular surgical procedure. This is a process known as……? =
