Question 1

______ is a formal insurance claim, either electronic or hard copy format, which is filed with the payer (insurance carrier)  by many medical offices on behalf of their patients to receive payments.

Accepted Answer

A)   Health care claim
B)   Benefits package
C)   Stipend request
D)   Voucher claimE) A) and D)
F) A) and C)

Question 2

___ is the health plan that covers surviving spouses and dependent children of veterans who died from service-related disabilities.

Accepted Answer

A)   CHAMPVA
B)   Priority One
C)   Medicare
D)   Health KeepersE) A) and B)
F) A) and C)

Question 3

___ is a financial plan that covers the cost of hospitalization and medical care due to illness or injury.

Accepted Answer

A)   adjunction
B)   premium
C)   compensation
D)   medical insuranceE) A) and B)
F) All of the above

Question 4

An electronic health record (EHR)  is a ___.

Accepted Answer

A)   computerized record of a single visit with a physician
B)   computerized lifelong health care record for an individual
C)   computerized record of the patient's financial transactions
D)   computerized record of only childhood testsE) A) and D)
F) B) and C)

Question 5

Revenue cycle management (RCM)  involves ____.

Accepted Answer

A)   actions that help to ensure the provider receives maximum appropriate payment
B)   movement of monies to a clearinghouse
C)   actions to ensure that the practice is compliant with the insurance companies
D)   government standards of paymentE) A) and B)
F) A) and D)

Question 6

A provider's analysis of a patient's illness or injury is called ____.

Accepted Answer

A)   objective information
B)   subjective information
C)   fees for service
D)   diagnosisE) C) and D)
F) A) and B)

Question 7

A person who is also covered under an insured person's policy is called a(n)  ______.

Accepted Answer

A)   person living in the household
B)   coinsurance holder
C)   coworker
D)   dependentE) B) and C)
F) None of the above

Question 8

____ shows services provided to a patient, total payments made, total charges, adjustments, and balance due.

Accepted Answer

A)   Proposal
B)   Stipend
C)   Statement
D)   Medical RecordE) C) and D)
F) B) and C)

Question 9

__ are claims that are prepared and sent electronically.

Accepted Answer

A)   e-claims
B)   Encounter forms
C)   Patient Data Form
D)   Electronic MailE) All of the above
F) B) and C)

Question 10

The services and treatments given by a licensed medical professional are called ___.

Accepted Answer

A)   detailed diagnoses
B)   medically necessary
C)   procedures
D)   ethicsE) All of the above
F) C) and D)

Question 11

____ are organizations that offer financial protection in case of illness or accidental injury.

Accepted Answer

A)   National organization of employees
B)   Banks
C)   Health plans
D)   VouchersE) C) and D)
F) None of the above

Question 12

___ is a small fixed fee paid by the policyholder/patient at the time of each office visit.

Accepted Answer

A)   Copayment
B)   Stipend
C)   Voucher
D)   DiscountE) A) and B)
F) B) and D)

Question 13

___ are monies that are owed to the practice.

Accepted Answer

A)   Account Receivable
B)   Accounts Payable
C)   ePayments
D)   Electronic StatementE) A) and B)
F) A) and D)

Question 14

__ are a medical practice's operating expenses.

Accepted Answer

A)   Accounts to be collected
B)   Accounts Receivable
C)   Accounts Payable
D)   Clearinghouse PayablesE) All of the above
F) A) and D)

Question 15

Which one of the following is considered preventive medical services?

Accepted Answer

A)   Routine Cancer Screening
B)   Out of State Copays
C)   Annual Deductible
D)   AccidentsE) A) and B)
F) B) and D)

Question 16

A _____ is a person or entity that supplies medical or health services.

Accepted Answer

A)   provider
B)   benefactor
C)   donor
D)   contributorE) A) and B)
F) All of the above

Question 17

___ are organizations that offer health plans that combine the financing and delivery of health care services.

Accepted Answer

A)   fees-for services
B)   managed care organizations
C)   company benefits
D)   vouchers for health careE) C) and D)
F) All of the above

Question 18

Preregistration involves _____.

Accepted Answer

A)   scheduling appointments
B)   gathering basic demographic and insurance information about patients
C)   taking the patients vital signs
D)   taking X-raysE) All of the above
F) A) and D)

Question 19

Practice management programs (PMPs)  are ____.

Accepted Answer

A)   software programs used to monitor equipment used in the medical office
B)   software used to monitor patient vital signs
C)   specialized software used to manage building security
D)   specialized accounting software programs used in many medical officesE) C) and D)
F) A) and D)

Question 20

____ is a form that contains demographic information about a patient.

Accepted Answer

A)   remittance advice
B)   reimbursement form
C)   insurance card
D)   patient information formE) A) and C)
F) B) and C)

Exam 1: From Patient to Payment Understanding Medical Insurance

Revenue cycle management (RCM) involves ____.

Correct AnswerverifiedShow Answer

____ shows services provided to a patient, total payments made, total charges, adjustments, and balance due.

Correct AnswerverifiedShow Answer

___ is the health plan that covers surviving spouses and dependent children of veterans who died from service-related disabilities.

Correct AnswerverifiedShow Answer

A provider's analysis of a patient's illness or injury is called ____.

Correct AnswerverifiedShow Answer

___ is a small fixed fee paid by the policyholder/patient at the time of each office visit.

Correct AnswerverifiedShow Answer

Which one of the following is considered preventive medical services?

Correct AnswerverifiedShow Answer

____ are organizations that offer financial protection in case of illness or accidental injury.

Correct AnswerverifiedShow Answer

Practice management programs (PMPs) are ____.

Correct AnswerverifiedShow Answer

A _____ is a person or entity that supplies medical or health services.

Correct AnswerverifiedShow Answer

___ is a financial plan that covers the cost of hospitalization and medical care due to illness or injury.

Correct AnswerverifiedShow Answer

Preregistration involves _____.

Correct AnswerverifiedShow Answer

___ are organizations that offer health plans that combine the financing and delivery of health care services.

Correct AnswerverifiedShow Answer

____ is a form that contains demographic information about a patient.

Correct AnswerverifiedShow Answer

___ are monies that are owed to the practice.

Correct AnswerverifiedShow Answer

______ is a formal insurance claim, either electronic or hard copy format, which is filed with the payer (insurance carrier) by many medical offices on behalf of their patients to receive payments.

Correct AnswerverifiedShow Answer

__ are claims that are prepared and sent electronically.

Correct AnswerverifiedShow Answer

An electronic health record (EHR) is a ___.

Correct AnswerverifiedShow Answer

The services and treatments given by a licensed medical professional are called ___.

Correct AnswerverifiedShow Answer

__ are a medical practice's operating expenses.

Correct AnswerverifiedShow Answer

A person who is also covered under an insured person's policy is called a(n) ______.

Correct AnswerverifiedShow Answer

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