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Medical Office Procedures Review

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

Scheduling more patients than can reasonably be seen in the time allowed is known as:

a)

Fraud

b)

Under booking

c)

Overbooking

d)

Open access booking

2.

When you are obtaining patient information for an appointment, you should include the:

a)

Purpose of the visit

b)

Patient’s marital status

c)

Patient’s occupation

d)

Patient’s address

3.

Which of the following is necessary to release a patient’s record to the patient’s insurance company?

a)

Physician’s permission

b)

Patient’s written permission

c)

Patient’s verbal permission

d)

Verification of the insurance company

4.

The first impression a patient gets of a medical office is of the reception area

a)

True

b)

False

5.

Information in a medical record that can be used to identify a person, anything related to the health status of a person, ex: name, social security number, email address, phone numbers is known as Protected Health Information

a)

True

b)

False

6.

HIPAA was designed to protect:

a)

MMR

b)

PHI

c)

PPE

d)

PMI

7.

Booking an appointment several weeks or even months in advance is called

a)

Cluster scheduling

b)

Time-specified scheduling

c)

Wave scheduling

d)

Advance scheduling

8.

Which type of patient encounter must be documented in the medical record?

a)

Request for lab results

b)

Canceled appointment

c)

Request for medication refill

d)

All of the above

9.

When mail arrives at the office, the first step in processing the mail is to:

a)

Record all insurance payments

b)

Date stamp each item of mail

c)

Distribute the mail to the appropriate staff members

d)

Review it with the physician

10.

The medical record belongs to:

a)

The patient

b)

The person who prepared it

c)

The insurance company

d)

The medical practice

11.

EMR stands for:

a)

Electronic Medical Record

b)

Emergency Medical Response

c)

Electromagnetic Radiation

d)

Employee Monthly Report

12.

What does the “Red Flag Rule” aim to combat?

a)

Medical identity theft

b)

OSHA violations

c)

Prescription abuse

d)

Patient confidentiality breaches

13.

A court order to produce documents is:

a)

Respondeat superior

b)

Pro re nata

c)

Subpoena duces tecum

d)

Law of agency

14.

Telephone calls that require the practitioner’s personal attention include which of the following?

a)

Patient requests to discuss abnormal test results

b)

Billing inquiries

c)

Requests for referrals to other doctors

d)

Administrative questions

15.

The filing system that is used when patients’ names must be kept confidential is:

a)

Numeric

b)

Alphabetic

c)

Sequential

d)

Alphanumeric

16.

In a pediatric practice, there should be a “well” side and a “sick” side for well and sick children

a)

True

b)

False

17.

It is not necessary to have a patient release of information signed in order to release information to an attorney

a)

True

b)

False

18.

Intentional misrepresentation of facts and figures is called:

a)

Libel

b)

Fraud

c)

Negligence

d)

Slander

19.

Melissa needs to destroy confidential information. Which equipment should she use to meet HIPAA standards?

a)

A trash can

b)

A shredder

c)

Biohazardous waste bag

d)

Photocopier

20.

Allows patients to walk in anytime within a specified time frame; they sign in with the receptionist and are seen in order of their arrival:

a)

Advance scheduling

b)

Double booking

c)

Open hours

d)

Consultations

21.

Which is a recap sheet that accompanies an insurance check from a private or federal insurance plan, showing the breakdown of payment determination on a claim?

a)

Superbill

b)

CMS 1500

c)

Reconciliation

d)

Explanation of Benefits (EOB) form

22.

When a group of patients need immunizations, the best type of scheduling for this is:

a)

Open hours

b)

Clustering

c)

Modified wave

d)

Double booking

23.

All users of the EMR program will have individual access codes and passwords which will allow them access to all parts of the record at any time

a)

True

b)

False

24.

Triage refers to the screening and sorting of emergency incidents

a)

True

b)

False

25.

A form that is completed when there is an error or accident in a health care facility:

a)

Superform

b)

Addendum

c)

Transcript

d)

Incident report

26.

Which is all-encompassing tracking device typically containing procedures and services, diagnoses, fees, next appointment, and other information?

a)

Superbill

b)

Endorsement

c)

Reconciliation

d)

Fee schedule

27.

Which of the following insurance reimbursement methods pays a set fee per patient?

a)

Contracted fee schedule

b)

Discounted fee schedule

c)

Emergent fee schedule

d)

Capitation

28.

Information on a claim form will not include the patient’s diagnosis

a)

True

b)

False

29.

What is the name of the currently accepted Universal Claim Form for the medical office?

a)

CMS 1500

b)

Uniform 1000

c)

HCFA 1500

d)

CPT 1500

30.

A patient’s photo is not considered protected health information

a)

True

b)

False

31.

When are medical facilities required to notify patients of the privacy policy?

a)

Never, it is the patient’s responsibility to inquire about this

b)

At the first visit

c)

At every visit

d)

When the appointment is made

32.

What does the abbreviation DRG stand for?

a)

Diagnosis Related Group

b)

Doctor Referral Guide

c)

Drug Regulation Group

d)

Data Review Grid

33.

The automated voice response unit is quickly becoming a popular alternative to the traditional phone system, which requires someone to answer each call.

a)

True

b)

False

34.

Which is a marker that is made of stiff material and acts as a placeholder when a file has been removed from the filing system?

a)

Tabs

b)

Out guides

c)

Binders

d)

Ticklers

35.

List of medical procedures and services with amounts charged is called:

a)

Formulary

b)

Fee service

c)

Electronic claim

d)

Ledger card

36.

An item of additional material, is added to a health record to correct an error or to add omitted data is known as:

a)

Addendum

b)

Continuum

c)

Glossary

d)

Index

37.

Which form should be included in a new medical record?

a)

HIPAA Release of Information

b)

Patient Registration Form

c)

HIPAA Notice of Privacy Practices form

d)

All of the above

38.

When health data is needed for research, the entire medical record is disclosed to the researchers

a)

True

b)

False

39.

What does the abbreviation “HIPAA” stand for?

a)

Health Insurance Portability and Accountability Act

b)

Health Information Privacy and Access Act

c)

Hospital Insurance Protection and Accountability Act

d)

Health Information Protection and Access Act

40.

Referral requests are difficult to handle when communicated electronically

a)

True

b)

False