Chapter 01: Role of an Insurance Billing Specialist
Fordney: Insurance Handbook for the Medical Office, 14th Edition
MULTIPLE CHOICE
1. What does the
... [Show More] abbreviation MSHP designate?
a. Multiple service health care professional
b. Multiskilled health practitioner
c. Multiskilled health professional
d. Managed care solo health practice
ANS: B DIF: Moderate REF: p. 4 OBJ: 1
2. Cost pressures on health care providers are forcing employers to reduce personnel costs by hiring
a. specialized health care practitioners.
b. health care workers with college degrees.
c. multiskilled health care practitioners.
d. untrained health care practitioners.
ANS: C DIF: Moderate REF: p. 4 OBJ: 3
3. Administrative medical office responsibilities include
a. laboratory analyses.
b. claims submission.
c. taking x-rays.
d. venipunctures.
ANS: B DIF: Easy REF: p. 4 OBJ: 3
4. A claims assistance professional
a. works for the consumer.
b. helps patients file insurance claims.
c. neither a nor b.
d. both a and b.
ANS: D DIF: Easy REF: p. 4 OBJ: 1
5. What is “cash flow” in a medical practice?
a. The actual money available to a medical practice
b. The amount of money received by a medical practice in 1 day
c. The amount of money received by a medical practice in 1 month
d. The amount of outstanding money on the accounts receivable
ANS: A DIF: Hard REF: p. 9 OBJ: 1
6. Front office medical duties have become increasingly important because
a. diagnostic and procedure coding must be reviewed for its correctness
and completeness.
b. the number of office visits for patients has increased.
c. the number of patients belonging to managed care plans has decreased.
d. the number of doctors has decreased.
ANS: A DIF: Moderate REF: p. 9 OBJ: 6
7. Which level of education is generally required for one who seeks employment as an insurance coder?
a. College diploma.
b. High school diploma.
c. Completion of an accredited program for coding certification.
d. No specific level of education is required.
ANS: C DIF: Hard REF: p. 9 OBJ: 4
8. Which organization published diagnostic and procedure coding competencies for outpatient services and diagnostic coding
and reporting requirements for physician billing?
a. American Management Association (AMA)
b. American Academy of Professional Coders (AAPC)
c. American Association of Medical Assistants (AAMA)
d. American Health Information Management Association (AHIMA)
ANS: D DIF: Hard REF: p. 12 OBJ: 4
9. The amount of money an insurance billing specialist earns is dependent on which of the following factors?
a. Knowledge
b. Experience
c. Size of employing institution
d. All of the above
ANS: D DIF: Moderate REF: p. 12 OBJ: 5 [Show Less]