-
Coding Translates a description of a medical condition in/2 a shorter, standardized code...T/F???
*TRUE*
-
Copayments are collected @ the time of an office visit...T/F???
*TRUE*
-
Medicare provides coverage 2 persons age 65 & older, persons w/disabilities, & dependent windows...T/F???
*TRUE*
-
The fees listed on a provider's fee sched r usually the same as the fees paid by the ins plan...T/F???
*FALSE*
-
Peple w/low incomes who can't afford medical care r covered by Medicare...T/F???
*FALSE*
-
The Encounter Form includes a pt's personal info, employment, & ins. data needed 2 complete an ins. claim...T/F???
*FALSE*
-
Co/Ins. refers to the portion of the charges tht r the pt's responsibility...T/F???
*TRUE*
-
A RA(Remittance Advice) is similiar 2 an explanation of benefits {EOB}...T/F???
*FALSE*
-
The 1st step in the billling cycle is checkin in pt's ...T/F???
*FALSE*
-
TRICARE is the gov't sponsored health care plan 4 veterans & their families...T/F???
*FALSE*
"CHAMPVA"
-
A report tht lists charges, payments, & adjustments during a day is known as a...
- a. Electronic Remittance Advice
- b. Superbill
- c. Encounter Form
- d. Day Sheet
-
The ins. program tht provides coverage for dependents of active duty service members is known as:
- a. CHAMPVA
- b. TRICARE
- c. Sponsor
- d. HIPAA
-
Members of a ____ typically pay a higher fee if they receive care from a phys outside the network:
- a. Indemnity plan
- b. Preferred Provider Org
- c. Workers Comp plan
- d. BCBS
-
Which of the foll refers to monies coming in/2 the practice???
- a. Electronic Remittance
- b. Acct's Receivable
- c. Acct's Payable
- d. Explanation of Benefits
-
Which of the following refers 2 DX codes???
- a.) ICD
- b.) CPT
- c.) HCFA/CMS
- d.) EPB
-
When a N/P comes in for an office visit, he or she is asked 2 complete a:
- a.) Ins. Claim Form
- b.) Superbill
- c.) Pt. Info Form
- d.) Pt's Sched of Benefits
-
The most comomon type of managed care plan 2/day is:
- a) Health Maintenance Org
- b) Fee-for-Service
- c) Preferred Provider Org
- d) BCBS
-
Wht is established when the dx & tx of a pt r logically connected???
- a) Coding
- b) Adudication
- c) Med Necessity
- d) Linkage
-
An Encounter Form is also known as a:
- a) Superbill
- b) Remittance Adv
- c) Pt. Info Form
- d) Sched of Benefits
-
A consumer-driven health plan {CDHP}is a high deductible/_____ type of managed care plan.
*Low Premium*
-
A ___ lists the services performed 4 a pt, along w/the charges 4 ea. service.
*Statement*
-
When pt payments r overdue, a ___ may be started to collect on the acc't.
*Collection Process*
-
A ___ is a standardized code tht specifies the serv's the phys provided.
*Procedure Code*
-
Dx codes r listed in the ___.
*ICD*
-
An ins carrier, whether a private carrier or gov't program, is referred to as a___???
*3rd Party Payer*
-
Payments of fixed amt's paid 2 physicians @ regular intervals 4 providing services to plan members r known as _____ payments.
*Capitation*
-
The flow of financial transactions in a business is known as the ___.
*Accounting Cycle*
-
The CPT {Current Procedural Terminology}was developed by ____.
*American Medical Association*
-
Medical ins represents a contract bet a person, known as ___, & a health plan.
*Policy Holder*
-
The steps tht lead 2 masimum, appropriate, timely payment 4 payment 4 pt's medical serv's is the ___.
*Billing Process*
-
The Medisoft Program Date can b changed using an option on the Tools menu. T/F???
*FALSE*
-
A new ins carrier is added 2 the Medisoft database by selectingan option on the LISTS menu.
*TRUE*
-
It is necessary 2 change the medisoft Program Date when entering transactions tht occured on a date other than the on one which the data r entered.
*TRUE*
-
Data entered in Medisoft can b deleted by clicking the right mouse button & accessing a shortcut menu.
*TRUE*
-
Back-up data can b restored should the current database beocome corrupted.
*TRUE*
-
New procedure codes can be added 2 Medisoft by selecting an option on the FILE menu. T/F???
*FALSE*
-
The TOOLS menu contains the Medisoft file maintenance utilities. T/F???
*FALSE*
-
There r 2 diff methods of changing the Medisoft program Date. T/F???
*TRUE*
-
The Medifsoft program provides 3 diff types of help to users. T/F???
*TRUE*
-
Medisoft can be exited by clicking the X button in the top right hand corner of the window or by selecting EXIT on the Edit menu. T/F???
*FALSE*
-
When backing up data, it is necessary 2 specify the source path & the destination path of the data. T/F???
*TRUE*
-
Once data is purged from the program, it can't be retrived except from back-up data. T/F???
*TRUE*
-
Indexes can be reuilt for a single database or for all files @ once. T/F???
*TRUE*
-
Transactions r entered in Medisoft via the ____.
- a) File menu
- b) Reports menu
- c) Tools menu
- d) Activities menu
-
The Medisoft toolbar contains ___ icons.
-
Most dates are entered in Medifsoft using the ___ format.
- a. MMDDCCYY
- b. MMDDYY
- c. CCYYMMDD
- d. DDMMCCYY
-
The Set Program Date command is found on the ___ menu.
- a. Tools
- b. Activities
- c. Windows
- d. File
-
The Medisoft bar contains ___ menus.
-
Medisoft's file maintenance utilities r accessed via the __ menu.
- a. File
- b. Tools
- c. Activities
- d. Window
-
Ins carrier payments r stored in Medisoft's ___ database.
*Transaction*
-
Program security options r set using Medisoft's ___ menu.
*File*
-
Collection letters r created in Medisoft using an ooption on the ___ menu.
*Reports*
-
Ins claims r created by selecting an option on the __ menu.
*Activities*
-
A copy of data files that have been saved on a storage device is known as ___.
*Back-up Data*
-
The 3 types of help avail in Medisoft r Balloon Help, Built-in Help, & ___.
*Online Help*
-
Off Hrs, Medisoft's built-in app't scheduling program, is accessed via the ___ menu.
*Activities*
-
Data abt phys's, such as tax & identifier #'s, r stored in Medisoft's __ databse.
*Provider*
-
Medisoft's built-in Calculator is accessed via the __ menu.
*Tools*
-
Commands on the ___ menu can be used 2 switch bk & forth bet open windows.
*Activities*
-
To turn off Medisoft's Balloon Help feature, the __ shortcut button is clicked.
*Show/Hide*
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