Intro to MBC

In order to work competently as a medical claims specialist in a physician’s office, one needs

• To know procedural and diagnostic coding

• To learn to do medical transcription

• To take the Hippocratic Oath

• Certification as a medical assistant

In addition to medical data, the medical record may include

• All answers are correct

• Social data

• Financial data

• Personal data

Medical ethics will typically address standards of

• Conduct

• Safety

• Courtesy

• Law

Everything that a medical claims specialist learns about a patient’s condition must remain

• Confidential

• Historical

• Accurate

• Inclusive

All of the following are expected as part of a professional image EXCEPT

• A strong pleasant fragrance

• Clean hands and nails

• Clean, well groomed hair

• Conservative business attire

A compliance program is a written management plan that outlines

• Employer/employee liabilities

• Insurance company policies

• Medicare physician practices

• Good billing practices

Which of the following is NOT typical knowledge expected of an insurance billing specialist?

• How to repair a fax machine

• How to respond to a subpoena of records

A legally enforceable document composed by an insurance company describing an agreement is a (n)

• Policy

• Application

• Health plan

• Eligibility verification form

The patient-physician contract begins when the

• Physician agrees to treat the patient

• Physician completes the medical record

• Patient receives a physical exam

• Physician schedule permits

Scanners for directly reading claims into a computer’s memory are called

• OCR devices

• Electronic readers

• Bar codes

• Direct scanning devices