1.1 Multiple Choice Questions

1 Copyright © 2018 Pearson Education, Inc.Comprehensive Health Insurance, 3e (Vines) Chapter 1 Introduction to Professional Billing and Coding Careers 1.1 Multiple Choice Questions

1) The percentage of all healthcare providers who are physicians and nurses is:

A) 25%.

B) 40%.

C) 50%.

D) 60%.

Answer: B

2) The percentage of all healthcare providers who are allied health professionals is:

A) 25%.

B) 40%.

C) 50%.

D) 60%.

Answer: D

3) The increased demand for medical billers, medical office assistants, and medical coders can be

attributed to:

• the growth of managed care.
• physician practices' having more responsibility for filing claims.
• the need for additional staff to file claims and work to obtain timely payment.
• all of the above.

Answer: D

4) A payment poster would most likely work in which facility?

• a private practice.
• a small-group practice.
• a large-group practice.
• all of the above.

Answer: C

5) Prior to the enactment of the Health Maintenance Organization Act of 1973, the growth of a

physician's practice would be based on:

• advertising and referrals.
• managed care contracts.
• consultations.
• hospital affiliations.

Answer: A

Comprehensive Health Insurance Billing, Coding, and Reimbursement, 3e Deborah Vines, Ann Braceland, Elizabeth Rollins (Test Bank, All Chapters 100% Original Verified, A+ Grade) 1 / 4

2 Copyright © 2018 Pearson Education, Inc.6) Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice

included all of the following staff members EXCEPT:

• physician.
• nurse.
• certified medical biller.
• receptionist.

Answer: C

7) Managed care is a system in which physicians contract to participate in a health insurance

network and healthcare delivery is:

• at the discretion of the physician.
• provided only by in-network physicians.
• based on the patient's ability to pay.
• monitored to control costs.

Answer: D

8) Which facility would most likely employ a refund specialist?

• solo practice.
• hospital.
• large-group practice.
• multi-specialty clinic.

Answer: B

9) It is common for small-group practices to outsource:

• billing and accounts receivable.
• insurance coverage verifications.
• appointment scheduling and patient reminders.
• medical records management.

Answer: A

10) A practice with three physicians would generally be categorized as a:

• solo practice.
• private practice.
• small-group practice.
• large-group practice.

Answer: C

11) A practice with 10 or more physicians would generally be categorized as a:

• solo practice.
• private practice.
• small-group practice.
• large-group practice.

Answer: D 2 / 4

3 Copyright © 2018 Pearson Education, Inc.12) A group of physicians with different specialties may practice together at one outpatient

facility known as a:

• free clinic.
• small-group practice.
• multispecialty clinic.
• private hospital.

Answer: C

13) Most hospitals today are owned by a:

• single, private owner.
• nonprofit organization.
• university.
• corporation.

Answer: D

14) Which department is a part of patient financial services(PFS)?

• billing.
• collections.
• revenue integrity.
• all of the above.

Answer: D

15) A large-group practice is a specialized practice that is likely to:

• employ more nurses than doctors.
• include a physical therapist as part of the medical team.
• employ in-house staff to handle claims and accounts receivable.
• contract with an outside firm to handle claims and accounts receivable.

Answer: C

16) A centralized billing office (CBO) typically contracts with a physician's office to perform which of the following functions?

• scheduling patient appointments
• handling claims and/or accounts receivable
• verifying insurance coverage
• compiling and recording medical charts, reports, and correspondence

Answer: B

17) A medical office assistant may handle all of the following duties in a medical office

EXCEPT:

• scheduling appointments.
• compiling and recording medical records.
• interpreting laboratory test results.
• answering telephones.

Answer: C 3 / 4

4 Copyright © 2018 Pearson Education, Inc.18) The responsibilities of a medical biller may include all of the following EXCEPT:

• contacting patients to collect money.
• submitting insurance claims.
• entering patient charge information.
• contacting insurance carriers about outstanding claims.

Answer: A

19) A possible job title for a medical coder position would be:

• admitting clerk.
• administrative medical assistant.
• medical receptionist.
• health information technician.

Answer: D

20) The healthcare professional who researches data in medical records in order to accurately document diagnoses and procedures and obtain maximum reimbursement for physicians is the:

• medical office assistant.
• medical collector.
• medical coder.
• payment poster.

Answer: C

21) The healthcare professional who contacts patients or insurance carriers to collect fees owed

to the medical facility is the:

• medical office assistant.
• medical coder.
• payment poster.
• medical collector.

Answer: D

22) The healthcare professional who is responsible for answering questions and explaining topics such as HIPAA privacy regulations, living wills, and do-not-resuscitate orders (DNRs) to

patients and their family members is the:

• medical collector.
• insurance verification representative.
• admitting clerk.
• privacy compliance officer.

Answer: D

23) The healthcare professional who contacts insurance carriers to verify benefit information for

patients is the:

• insurance verification representative.
• admitting clerk.
• payment poster.
• medical collector.

Answer: A

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