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Comprehensive
Health Insurance:
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Billing, Coding, and
Reimbursement
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EDITION: 3rd Edition
AUTHORS: Deborah Vines, Ann
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Braceland, Elizabeth Rollins, Susan
Miller
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,Comprehensive Health Insurance, 3e (Vines)
Chapter 1 Introduction to Professional Billing and Coding Careers
1.1 Multiple Choice Questions
1) The percentage of all healthcare providers who are physicians and nurses is:
A) 25%.
B) 40%.
C) 50%.
D) 60%.
Answer: B
2) The percentage of all healthcare providers who are allied health professionals is:
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A) 25%.
B) 40%.
C) 50%.
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D) 60%.
Answer: D
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3) The increased demand for medical billers, medical office assistants, and medical coders can be
attributed to:
A) the growth of managed care.
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B) physician practices' having more responsibility for filing claims.
C) the need for additional staff to file claims and work to obtain timely payment.
D) all of the above.
Answer: D
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4) A payment poster would most likely work in which facility?
A) a private practice.
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B) a small-group practice.
C) a large-group practice.
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D) all of the above.
Answer: C
5) Prior to the enactment of the Health Maintenance Organization Act of 1973, the growth of a
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physician's practice would be based on:
A) advertising and referrals.
B) managed care contracts.
C) consultations.
D) hospital affiliations.
Answer: A
,6) Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice
included all of the following staff members EXCEPT:
A) physician.
B) nurse.
C) certified medical biller.
D) receptionist.
Answer: C
7) Managed care is a system in which physicians contract to participate in a health insurance
network and healthcare delivery is:
A) at the discretion of the physician.
B) provided only by in-network physicians.
C) based on the patient's ability to pay.
D) monitored to control costs.
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Answer: D
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8) Which facility would most likely employ a refund specialist?
A) solo practice.
B) hospital.
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C) large-group practice.
D) multi-specialty clinic.
Answer: B
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9) It is common for small-group practices to outsource:
A) billing and accounts receivable.
B) insurance coverage verifications.
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C) appointment scheduling and patient reminders.
D) medical records management.
Answer: A
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10) A practice with three physicians would generally be categorized as a:
A) solo practice.
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B) private practice.
C) small-group practice.
D) large-group practice.
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Answer: C
11) A practice with 10 or more physicians would generally be categorized as a:
A) solo practice.
B) private practice.
C) small-group practice.
D) large-group practice.
Answer: D
, 12) A group of physicians with different specialties may practice together at one outpatient
facility known as a:
A) free clinic.
B) small-group practice.
C) multispecialty clinic.
D) private hospital.
Answer: C
13) Most hospitals today are owned by a:
A) single, private owner.
B) nonprofit organization.
C) university.
D) corporation.
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Answer: D
14) Which department is a part of patient financial services(PFS)?
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A) billing.
B) collections.
C) revenue integrity.
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D) all of the above.
Answer: D
15) A large-group practice is a specialized practice that is likely to:
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A) employ more nurses than doctors.
B) include a physical therapist as part of the medical team.
C) employ in-house staff to handle claims and accounts receivable.
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D) contract with an outside firm to handle claims and accounts receivable.
Answer: C
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16) A centralized billing office (CBO) typically contracts with a physician's office to perform
which of the following functions?
A) scheduling patient appointments
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B) handling claims and/or accounts receivable
C) verifying insurance coverage
D) compiling and recording medical charts, reports, and correspondence
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Answer: B
17) A medical office assistant may handle all of the following duties in a medical office
EXCEPT:
A) scheduling appointments.
B) compiling and recording medical records.
C) interpreting laboratory test results.
D) answering telephones.
Answer: C
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