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Exam (elaborations)

Medical Office Management Final Exam Questions And Correct Answers

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Medical Office Management Final Exam Questions And Correct Answers EOB - answerexplanation of benefits when is an eob issued? - answeronly when insurance is involved What is working poor? - answernot enough hours to qualify for health insurance. Hours based not economic based Absentee managem...

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  • August 28, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical office
  • Medical office
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Thebright
©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM



Medical Office Management Final Exam
Questions And Correct Answers

EOB - answer✔✔explanation of benefits

when is an eob issued? - answer✔✔only when insurance is involved

What is working poor? - answer✔✔not enough hours to qualify for health insurance. Hours
based not economic based

Absentee management - answer✔✔the MD is not there.

managed care - answer✔✔predetermined fee

what is cobra? - answer✔✔allows the individual to keep insurance up to 18 months even though
you left the employer.

consierge - answer✔✔additional fee but better access to the doctor

ABN - answer✔✔advanced beneficiary notification

what is ABN - answer✔✔a clinic has to collect payment on charges not allowed by medicare or
medicaid.

adjustment - answer✔✔a reduction in bill. government guidelines for when this is allowed.

professional courtesy - answer✔✔charging reduced or no fees. *fraud*

write off/ write down - answer✔✔dr cannot collect the money that was adjusted in the patients
bill

day sheet/ daily log./ daily ledger - answer✔✔all the financial transactions for the day

CAP - answer✔✔charges, adjustments and payments

accounts receivable - answer✔✔the total amount of money owed to the medical facility by the
patients

book keeping - answer✔✔recording day to day accounts or transactions

what can day sheets cause? - answer✔✔running balances

, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM

posting - answer✔✔Transferring data from the journal to the ledger

ledger - answer✔✔also known as patient account. it is a record of charges payments and
adjustments for individual patient or family.

encounter form - answer✔✔document that identifies the procedures preformed, diagnosis,
charges, and when to return. patient gets a copy as well

pegboard system - answer✔✔most commonly used manual medical accounts receivable system.
MANUAL SYSTEM OF BOOKKEEPING

what are other terms for the encounter form? - answer✔✔charge slip, multipurpose bill, super
bill

ICD codes - answer✔✔Diagnosis codes

CPT codes - answer✔✔procedure codes, what did the dr do for you?
always a minimum of 5 digits

what does a complete pegboard consist of - answer✔✔day sheet, ledger cards, encounter forms,
and receipt forms

when are accounts receivable - answer✔✔1. when the money is owed to the MD
2. for the insurance company
3. for medicare, medicaid and private insurance

what is on a ledger - answer✔✔service, payments, write offs

LDM - answer✔✔level of decision, determines how much the MD gets payed... how smart did
he have to be to do this.

E/M - answer✔✔Evaluation of Management AKA office visit

for the cpt the higher in the bracket... - answer✔✔the higher the DR wants to get payed

NPI - answer✔✔National Provider Identifier- (like an employee number for the DR).

aging account - answer✔✔how old the account is

how can the account age? - answer✔✔patient, insurance company

how often does aging occur - answer✔✔every 30 days until 91+

how do you unlock the account? - answer✔✔have to make a reverse entry

checking account - answer✔✔where you pay your day to day bills.

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