1) Which type of appointment scheduling is most likely to be used for short patient visits in an office with multiple practitioners? a) double-booking b) wave c) modified-wave d) cluster e) time-specified 2) Which of the following completes the necessary paperwork for the insurance company on a referral? a) physician b) insurance company c) medical assistant d) patient e) specialist's office  3) A numeric filing system a) is not used when patient confidentiality is especially important b) organizes records according to the patient's last name c) is the most commonly used filing system d) may include portions of the patient's social security number e) is the only practical system for a large practice 4) The policy and procedures manual is written jointly by a) all the employees b) the physician(s) c) the physician and the staff d) the medical assistants e) using a manual from another office 5) A medical assistant who is on the phone with a patient would do which of the following when another patient calls into the medical office? a) answer the new call by the fifth ring b) end the first call immediately and answer the new call by the third ring c) ask the first calls to hold and speak quickly on the new call to save time d) ask the first caller to hold, then ask the new caller, "can you please hold?" e) ask the first caller to hold, then tell the new caller, "hold on, I'll be back." 6) Which of the following was developed to cover the costs of catastrophic expenses from illness or injury? a) Medicaid b) Medicare c) Primary care d) Private insurance e) Major medical insurance 7) Physicians and other health care professionals who contract with the insurance carrier to provide patient care are called a) preferred providers b) managed care organizations c) assignment of benefits d) primary care physician e) exclusive provider organization 8) All of the following are examples of managed care organizations (MCOs) operating in the US except: a) integrated delivery b) exclusive provider c) major medical coverage d) physician-hospital e) utilization review 9) The dependents of active-duty personnel, retired personnel, dependents of retired personnel, and dependents of personnel who died while on active duty are covered by a) CHAMPVA b) TRICARE c) SSI d) EPO e) HMO 10) In most states, the employer pays a premium to an insurance carrier for a policy known as a) worker's compensation insurance b) private insurance c) TRICARE d) Medicaid e) Medicare 11) The EOB document may include all the of the following EXCEPT a) allowed amounts b) coding updates c) deductible d) patient name e) payment responsibilities 12) Medicare is a federal health insurance program for the following categories of people EXCEPT a) blind individuals b) disabled widows c) patients with end-stage renal disease d) people 65 years or older e) preschool children 13) ICD-10-CM codes that may be assigned during an encounter that are not necessarily a diagnosis but are factors that may influence a patient's health status are referred to as a) E&M codes b) E-codes c) Z-codes d) volume I codes e) volume II codes 14) An agreement in which the health care provider is paid a fixed amount for each person in a specific contract within the practice, regardless of service provided, is called a) capitation b) fixed coverage c) total coverage d) universal coverage e) utilization review 15) Inquiry with an insurance company into the maximum dollar amount that will be paid for a procedure is called an insurance a) coinsurance b) preauthorization c) precertification d) predetermination e) reimbursement 16) The practice of one insurance company working with other insurance plans to determine the amount each will pay when a patient has more than one insurance plan is referred to as a) capitation b) coinsurance c) third-party payment d) assignment of benefits e) coordination of benefits 17) Which appointment scheduling technique determines the number of patients to be seen each hour by dividing the hour by the length of the average visit? a) double booking b) cluster c) time specified d) wave e) advance 18) Which of the following is NOT a true statement about the HITECH Act? a) the act establishes financial incentives for adoption of EHRs b) the act establishes a single EHR software system that all health care providers must use c) health care providers must show "meaningful use"of EHRs systems to receive incentive payments d) a goal of using EHRs is to improve Americans' goals e) more than half of US physicians have adopted EHRs 19) A system used in emergency centers but not used in private practice is a) modified-wave scheduling b) double-booking c) open-hours d) cluster e) time-specified scheduling 20) Which of the following does NOT refer to a managed care organizational model? a) integrated delivery system b) health maintenance organization c) preferred provider organization d) double-entry system e) utilization review organization

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