FREE MEDICAL AND STUDY GAMES ABOUT INSURANCE

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FREE MEDICAL AND STUDY GAMES ABOUT INSURANCE

HANDBOOK EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -72 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: A patient intake sheet is also called a

Answer:

patient information form Question 2: Which organization published diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements for physician billing?

Answer:

American Health Information Management Assoiciation (AHIMA) Question 3: What is the name of the modern code of ethics that the American Medical Association (AMA) adopted in 1980?

Answer:

The principles of medical ethics Question 4: Which level of education is generally required for one who seeks employment as an insurance coder?

Answer:

Completion of an accredited program for coding certification

Question 5: Why are multiskilled health practitioners (MSHPs) in demand?

Answer:

They are cross-trained to provide more than one function, they are often competent in more than one function, and they offer more flexibility to their employer.Question 6: A state and federal program for children who are younger than 21 years of age and have special health care needs is

Answer:

Maternal and Child Health Programs (MCHP).

Question 7: Why would conversion from a group policy to an individual policy be

advantageous?

Answer:

Benefits would increase Question 8: What is the correct term used to determine if a procedure is covered and medically necessary?

Answer:

preauthorization

Question 9: The Internet Healthcare Coalition has developed

Answer:

the eHealth Code of Ethics Question 10: If a child has health insurance coverage from two parents, according to the birthday law

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the health plan of the person whose birthday (month and day) falls earlier in the calendar year will pay first

Question 11: The insured is always

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the individual enrollee or organization protected

Question 12: Most legal issues of private health insurance claims fall under

Answer:

civil law Question 13: What action could happen if an employee knowingly submits a fraudulent Medicare or Medicaid claim at the direction of the employer and subsequently the medical practice is audited?

Answer:

The employee and the employer could be brought into litigation by the state or federal government.Question 14: When an insurance billing specialist bills for a physician and completes a Medicare claim form with information that does not reflect the true situation,

Answer:

he or she may be subject to fines and imprisonment Question 15: What is the minimum number of employees a company must have to meet the criteria of the COBRA for continued medical benefits if an employee is laid off from a company?

Answer:

20

Question 16: Administrative medical office responsibilities include

Answer:

claims submission Question 17: According to the birthday law, if both the mother and the father have the same birthday

Answer:

plan of the person who has coverage longer is the primary payer

Question 18: An emancipated minor is

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younger than the age of 18 who lives independently

Question 19: What should you do if you discover that a patient of your physician employer is under the care of another physician for the same ailment?

Answer:

Notify your physician

Question 20: A claims assistance professional

Answer:

works for the consumer, helps patients file insurance claims (Both A and B)

Question 21: AHIMA publishes

Answer:

diagnostic and procedure coding competencies for outpatient services and diagnostic coding and reporting requirements (All of the above) Question 22: The doctrine stating that physicians are legally responsible for both their own conduct and that of their employees is known as

Answer:

respondeat superior, let the master answer, vicarious liability (All of the above)

Question 23: Medical etiquette refers to

Answer:

Consideration for others

Question 24: What does the abbreviation MSHP designate?

Answer:

Multiskilled health practitioner Question 25: Front office medical duties have become increasingly important because

Answer:

Diagnostic and procedure coding must be reviewed for its correctness and completeness Question 26: What is the correct response when a relative calls asking about a patient

Answer:

have the physician return the telephone call