WorksheetsMod 3 Insurance/Office procedures Review #2 PCS
Total questions: 35
Worksheet time: 18mins
_____ explains the category or type of procedure.
Body part
Root Operation
Device
Section
The Alphabetic Index’s entries are primarily sorted by
root operation terms.
the body system.
the device
the approach
A patient complains of dizziness. The physician states that she has hypertension. The coder should assign a code for:
dizziness.
query the physician.
hypertension.
dizziness and hypertension
A consultation requested by another physician is coded as a(n):
new patient visit
home service.
established patient visit
consultation
The 17 sections of ICD-10-PCS are identified by?
alphabetic order by the name of the section
numbers 1–17.
numbers 0–9, then letters B–H and X.
letters A–Z.
A claim form without errors is known as what type of claim?
HIPAA
clean
CMS
clearinghouse
All ____ records must be kept according to the same retention schedule as that for older paper records.
photocopied
physician
electronically stored
inactive or closed
How would you classify a patient who, without notifying the office, fails to come to their appointment?
failed show
no show
failed appearance
no appearance
A clearinghouse is a service that collects, corrects, and transmits?
electronic insurance claims
electronic funds transfers
medical research data
patient demographic information
If confidential mail is opened in error, the administrative medical assistant should reseal the correspondence and
mark with her initials.
mark with the date and initials.
mark "opened by mistake" and her initials
mark with the date and the word "mistake".
What program did TRICARE replace?
CHAMPVA
CHAMPUS
DEERS
PHS
Many state and federal laws prohibit which of the following?
professional courtesy
audits
edits
adjustments
A write-off is required when?
a participating physician's usual fee is higher than the payer's allowed charge.
a participating physician does not participate with that payer.
the patient does not have insurance.
a participating physician does not participate with that payeR
The TRICARE program that offers an HMO-like plan requiring no annual deductible is?
TRICARE Standard.
TRICARE Extra.
TRICARE Prime.
TRICARE Reserve Select.
The normal range of fees is different in every?
state.
town.
city.
geographic area.
What type of file should be consulted daily?
tickler
centralized
cross-reference
decentralized
In which type of endorsement may the check be cashed by anyone?
blank
restrictive
full
limiting
Which standards require standardization in healthcare e-commerce?
Transactions and Code Set Standards
PHI
Security Rule
Privacy Rule
_____ is the mental process of selecting the name, title, or classification under which an item will be filed.
Sorting
Indexing
Storing
Coding
Which type of bookkeeping method is based on the accounting equation: assets equal liabilities plus owner equity?
double-entry
distinct-entry
general-entry
single-entry
The Tabular List section of the ICD-10-CM book lists every code and its complete description in ______ order by code.
alphabetic
alphanumeric
listed
numeric
A code surrounded within italicized, or slanted, brackets?
must be included
is a previously deleted code.
is optional.
is a manifestation
Preventive medicine visit codes are determined by the age of the patient and:
whether the patient is new or established.
number of physicians involved
location of the visit.
length of the exam.
What is an example of a Root Operation?
Digestive
Percutaneous
Insertion
Heart
The structure of ICD-10-PCS codes includes?
five numbers.
three numbers.
seven characters.
up to nine characters.
The ability to use knowledge, experience, and logic to reach a sound decision is a quality of
flexibility.
good judgment
efficiency.
honesty.
The NPI is a __________ position numeric identifier with a check digit in the last position to help detect keying errors
10
14
8
12
What tax governs the Social Security System?
FICA
SUTA
SICA
FUTA
The outward display of an employee's values and standards is defined as?
morals.
work ethic
beliefs.
personality.
Adult children covered under a patient's policy may continue being covered under the parent's medical insurance policy up to the age of
21.
26.
18.
28.
The TRICARE program that offers benefits to Medicare-eligible military retirees and family members is?
TRICARE for Life.
CHAMPUS.
TRICARE Extra.
TRICARE Standard.
Which of the following is a method a practice can use to avoid major problems with payers?
Use good communication skills in working with payers.
Routinely meet with payers to question the fee schedule.
Contact the employers to file complaint.
Use the patients as an intermediary in helping to communicate.
Physicians establish a list of their usual fees for?
the charges they have written off.
the procedures and services they frequently perform.
workers’ compensation patients.
their Medicare patients.
What reports numerically lists all procedures performed on a given day?
procedure day sheet
balance day sheet
accounts receivable day sheet
posting day sheet
The __________ assistant is able to respond calmly to last-minute assignments to meet deadlines under pressure.
flexible
dependable
punctual
friendly
