TELE 1
Which of the following best describes the state or regional organization that handles Medicare claims?
FISCAL INTERMEDIARY
Which of the following terms is applied when more than one policy covers an individual?
COORDINATION OF BENEFITS
Which of the following applies to a method of containing hospital costs that is based on an average cost for treatment of a patient’s condition?
Diagnostically related groups
A patient is called about an NSF check. He states he is very sorry and asks what he can do. Which of the following types of checks would the medical assistant ask him to bring to the office as a guaranteed payment for the returned check?
Cashier’s
Which of the following is NOT a requirement for the ABN form?
Must include the final cost
If the employer operates its own health plan instead of purchasing a plan from an insurance company to cover its employees, what type of plan are they utilizing?
Self-Funded Health Care
Which of the following is the most likely cause of the deposits not agreeing with the credits on the day sheet or the patient ledgers?
Payment is misplaced
Which of the following best describes insurance policies that provide coverage on a fee-for-service basis?
Traditional
Which of the following is known as the fee system that defines allowable charges that will be accepted by insurance carriers?
UCR
What is the name of the form given to Medicare patients explaining that the cost of a procedure is the responsibility of the patient?
Advanced beneficiary notice
Which of the following best classifies the adjustment column in the accounting process and its effect on the balance due?
Credit column; DECREASE balance
Which of the following best describes a network of providers and hospitals who have a contract with insurance companies to provide discounted health care?
PREFERRED PROVIDER ORGANIZATION(PPO)
Which of the following best describes the managed care organization model having the freedom of obtaining medical services from an HMO provider or by self-referral to a non-HMO provider?
Point-of-service plan
WHAT IS THE ENCOUNTER FORM KNOWN AS?
CHARGE SLIP
MULTIPURPOSE BILLING FORM
SUPERBILL
Which of the following is the type of endorsement that should be used in a clinic?
RESTRICTIVE
The amount of money that the insured must incur for medical services before the policy begins to pay is known as what?
DEDUCTIBLE
Which of the following is NOT a procedural step when disbursing the petty cash funds?
Add receipts to original petty cash amount
Which of the following is the first rule of purchasing?
Nothing is ordered or paid for without a purchase order.
Which of the following is NOT a part of the pegboard system?
BANK DEPOSITS
The statement mailed to the patient summarizing how the insurance carrier determined the reimbursement is known as what?
(EOB) explanation of benefits
Which of the following is the most appropriate action when balancing a petty cash account?
ADD AN AMOUNT EQUAL TO THAT SPENT
Which of the following applies to the cash that is usually kept in a locked change drawer and used for transactions with patients who pay in cash and need change?
CASH ON HAND
Which of the following terms means an insurance policy pays a percentage of the balance after application of the deductible?
Co-insurance
On the ledger card, which column is used for entering payments?
Credit column
Which of the following best describes policies that are supplementary to Medicare insurance?
MEDIGAP