What is utilization review?
a. The systematic study of surgical techniques
b. A process to determine whether health care is medically necessary.
c. A means to determine how much patients should pay for insurance
d. Collection of statistics about the number of cases of specific diseases
What is a process to determine whether health care is medically necessary. (b)
Which of the following areas is found in almost every medical office?
a. Surgical procedure room
b. Trauma room
c. Diagnostic testing room
d. Examination room
What is an examination room (d)
What is the name for treatment that reduces symptoms of a disease, but does not cure the disease?
a. empirical c. palliative
b. holistic d. definitive
What is Palliative (C)
Which of the following health professionals can manage routine patient care?
a. Physician b. Nurse practitioner
c. Physician assistant d. All are correct
What is all are correct (d)
LMP
last menstrual period
What is it called when a physician receives one monthly fee from the insurance company for each subscriber in his or her practice?
a. indemnity b. fee-for-service
c. capitation d. incentive reimbursement
What is capitation (d)
Which of the following is an important part of effective teamwork for the medical assistant?
a. Discussing a patient’s symptoms with the physician before he or she makes a diagnosis
b. Pointing out the mistakes of others whenever he or she notices them
c. Communicating well with all staff in the medical office
d. Deciding what diagnostic tests each patient needs
What is communicating well with all staff in the medical office (c)
What type of insurance plan pays a physician separately for each procedure that was performed?
a. managed care insurance c. capitation insurance
b. fee-for-service insurance d. government insurance
What is Fee-for-service insurance (b)
Which of the following occurs first when a patient is seen in the medical office?
a. Referral b. Laboratory testing
c. Examination by the physician
d. Instructions for follow-up care
What is examination by the physician (c)
NKDA
no known drug allergies
What is the name for an insurance plan’s list of approved medications?
a. Formulary b. Prescription
c. Premium d. Generic
What is formulary (a)
f the office uses paper medical records, where are medical records of patients who have been seen within the past year usually stored?
a. In a medical records area near the reception area b. In the basement of the medical office building
c. In an off-site medical record storage area that is within 2 miles of the office
d. In a special medical records area of the nearest local hospital
What is in a medical records area near the reception area (a)
What is a system by which a person (or the person’s employer) pays an insurance company a yearly amount of money in exchange for the insurance company’s paying some or most of the person’s medical expenses for that year?
a. life insurance b. health insurance
c. formulary d. capitation insurance
What is health insurance (b)
BONUS
BONUS
BONUS
BONUS
BONUS
YOU GET 3 EXTRA BOUS POINTS!!!!!
DNKA
did not keep appointment
Medical care that is provided on an outpatient basis.
a. managed care b. curative treatment
c. surgery d. ambulatory care
What is ambulatory care (d)
Which activities occur at the patient check-in window or counter?
a. Patients hand in new patient information forms and health insurance cards.
b. Patients describe their chief complaint and medical history.
c. A patient’s height, weight, and blood pressure are measured.
d. All are correct
What is Patients hand in new patient information forms and health insurance cards (a)
The insurance plan called ______________ is designed to provide health insurance for low-income people.
a. Medicare b. social security
c. Tricare d. Medicaid
What is Medicaid (d)
Which type of primary care seeks to balance the structure and function of the body through manipulation of muscles and joints?
a. Podiatry b. Osteopathy
c. Pediatrics d. Gynecology
What is osteopathy (b)
HBP
high blood pressure
Measures to ensure that patients receives safe and appropriate services.
a. quality assurance b. residency
c. fee-for-service d. utilization review
What is quality assurance (a)
Which of the following best describes family medicine?
a. Provides general medical care of children, adolescents, and adults.
b. Treats patients for emergency conditions.
c. Provides medical treatment to adults for conditions of various body systems.
d. Specializes in the care of children and adolescents.
What provides general medical care of children, adolescents, and adults. (a)
What type of health care encourages regular checkups, immunizations, and well-child visits?
a. diagnostic care b. conservative care
c. routine care d. acute care
What is routine care (c)
Which of the following types of medical practice might include a pediatrician, an internist, a dermatologist, an allergist, a neurologist, and a general surgeon?
a. Solo practice b. Family practice
c. Closed-panel health maintenance organization (HMO)
d. Dermatology group practice
What is Closed-panel health maintenance organization (HMO) (c)
DRE
digital rectal examination