MA 37 Lecture Final Exam Review

Question 1

Accounts Payable

Answer 1

Money owed by a company to other companies for services and goods; pertains to paying the facility’s bills.

Question 2

Accounts Receivable

Answer 2

is the money that is expected but has not yet been received.
The amount charged on the encounter form.

Question 2

Cashier’s Check

Answer 2

A cashier’s check is a bank’s own check, drawn on itself and signed by the bank cashier or other authorized official.
Obtained by paying the bank the amount of the check, in cash.

Question 3

Category III Codes

Question 4

Clean Claim

Question 5

Co-payment

Question 6

Demographics

Question 7

Detailed Examination Level

Question 8

Diagnosis

Question 9

Direct Deposit

Question 10

Deductible

Question 11

EOB (Explanation of benefits)

Answer 11

A document sent by the insurance company to the provider and the patient explaining the allowed charge amount, the amount reimbursed for services, and the patient’s financial responsibilities.

Question 12

Endorsement

Question 13

Enunciation

Answer 13

The use of articulate, clear sounds when speaking

Question 14

Epidemiological

Question 15

Etiology

Question 16

Fee-for-Service

Question 17

Group Policy

Question 18

Grouping Procedures

Question 19

Instructional Notation

Question 20

Jargon

Question 21

Liability Insurance

Question 22

Manifestation

Question 23

Medical Necessity

Question 24

Medigap

Question 25

Mortality

Question 26

Negotiable Instrument

Question 27

No-Show

Question 28

NOS

Question 29

Pitch

Question 30

POS (as it relates to billing)

Question 31

Pre-certification

Question 32

Premium

Question 33

Referral

Question 34

Reimbursement

Question 35

Self-Scheduling

Question 36

Tri-care

Question 37

U Code

Question 38

Upcoding

Question 39

Voucher Check

Question 40

Wave Scheduling

Question 41

Worker’s Compensation

Question 42

What information do you need when taking a telephone message?

Question 43

What type of information is in block 31 of the CMS-1500 form?

Question 44

Are the procedures that are in the CPT manual used for inpatient or outpatient services?

Question 45

What types of medical records can you see what procedure codes on?

Question 46

Can a PAR provider bill the patient for the difference of their fee and what is allowed by the insurance company?

Question 47

Are we obligated to remain open if the last scheduled patient hasn’t arrived and its tie to close?

Question 48

What options should be given when we need to reschedule a patient due to the absence of their provider?

Question 49

Why should a MA be careful when using a speaker phone and where can the speaker phone be used?

Question 50

Can the place of service for a physician billing change?

Question 51

What are the four parts of Medicare and what do each one cover?

Question 52

What section do you look first to find a code?

Question 53

Know the general guidelines for telephone collections?

Question 54

Essential modifiers are indented under what?

Question 55

When is it acceptable for a company to obtain PHI?

Question 56

What are the steps to obtain a pre-certification?

Question 57

Who is able to sign the checks drawn on the office account?

Question 58

Does the expanded problem focused history in a review of systems?

Question 59

Are subcategories the lowest level of a code description?

Question 60

When you reschedule an appointment, what should you do with the prior appointment?

Question 61

How should you schedule a patient that needs a series of appointments?

Question 62

When scheduling, do we consider the provider’s preferences?

Question 63

What three components are most important when decided the level of service?

Question 64

What is the maximum amount of characters that you will see in an ICS-100-CM?

Question 65

Do you inform the patient with the exact time the physician will call?

Question 66

What type of information is in block 24d of the CMS-1500 form?

Question 67

The wave method scheduling has what main advantage?

Question 68

What does a HIV code mean?

Question 69

What are the four types of endorsements and which one is used to endorse checks that being deposited to the office account?

Question 70

When do you collect and verify insurance information?

Question 71

Why do we use an encounter form?

Question 72

How many hour differences are between EST and PST?

Question 73

Who should hang up the phone first, the MA or the patient?

Question 74

What should a MA do prior to scheduling a procedure that is going to be done outside the office?

Question 75

The PCP is also known as what?

Question 76

Can you be prosecuted for down-coding and upcoding?

Question 77

How are burns coded?

Question 78

What does it mean to audit a claim?

Question 79

Urgent care offices utilized which type of scheduling system?

Question 80

How can a MA calm an angry caller down?

Question 81

Why do we put a matrix in the schedule?

Question 82

Should you allow travel time for a physician when they are scheduled outside facilities?

Question 83

What is proven when the ICS-10-CM codes and the CPT/HCPCS codes match?

Question 84

What is the first thing that should be heard when a caller calls the facility?

Question 85

Should you ask permission to place a caller on hold and how often should you check back when you place a person on hold?

Question 86

When can a MA provide test result?

Question 87

What symbol is placed at the end of a main description of a code to indicate there are modifying terms and descriptions following?

Question 88

Are revised codes for the CPT book highlighted?