MODULE 11 Flashcards
(50 cards)
Which of the following is a purpose of an equipment inspection log?
A. To track depreciation
B. To monitor user access
C. To document a timeline of scheduled maintenance
D. To evaluate resale value
c
A patient has a fee‑for‑service Medicare plan. Which form should be used if a service might not be medically necessary?
A. Patient Bill of Rights
B. Privacy Practices Notice
C. Advance directive
D. Advance Beneficiary Notice of Noncoverage (ABN)
d
Which application should be used to generate an encounter form?**
A. Spreadsheet
B. Word processor
C. Inventory software
D. Practice management software
d
What should a medical assistant do if a patient is having trouble connecting to a telehealth visit?**
A. Tell them to call tech support
B. Assist with login and check settings
C. Advise rescheduling with help
D. Wait for an assistant to arrive
b
What is the appropriate action when checking out a patient after their appointment?**
A. Verify photo ID
B. Discuss medications
C. Review the after‑visit summary (AVS)
D. Fill out family history
c
Which type of code is determined by the patient’s reason for visiting?**
A. CPT
B. ICD‑10‑PCS
C. HCPCS
D. Diagnosis codes (ICD‑10‑CM)
d
What should be done if a claim is denied due to lack of medical necessity?**
A. Bill the patient directly
B. Resubmit without changes
C. Submit an appeal with documentation
D. Write off the entire charge
c
Which is a key benefit of calling patients to remind them of upcoming visits?**
A. Faster billing
B. Fewer claim denials
C. Decreased no‑show rates
D. Better co‑insurance collection
c
Which type of patient visit is generally more resource-intensive?**
A. Routine check-up
B. Urgent sick visit
C. Follow-up
D. New patient
d
Which services typically require case management and preauthorization?**
A. Elective and costly medical services
B. Preventive care
C. Annual wellness exams
D. Burn follow-ups
a
Which question is essential during patient screening to determine appointment type?**
A. What is the reason for the visit?
B. Who is your employer?
C. What are your medications?
D. What is your address?
a
Using coding guidelines, billing requests should always support which?**
A. Predetermination findings
B. Insurance verification
C. Explanation of Benefits
D. Medical necessity
d
Where should a $20 cash payment at time of service be recorded?**
A. Copayment
B. Coinsurance
C. Deductible
D. Write‑off
a
What does interoperability primarily support?**
A. Billing methods
B. Importance of documentation
C. Insurance reviews
D. Credentialing audits
b
What factor affects how long an appointment lasts?**
A. Insurance requirements
B. Provider preferences
C. Patient availability
D. Reimbursement methods
b
The function of charge reconciliation includes:**
A. Verifying eligibility
B. Ensuring continuity of care
C. Posting charges in patient account
D. Obtaining prior authorization
c
Which report shows outstanding service charges?**
A. A/R aging report
B. A/P aging report
C. Remittance advice
D. Bank deposit report
a
What credentials does a facility give a patient to access their portal?**
A. A username and access code
B. Temporary email address
C. Printed fee schedule
D. Referral link
a
A clearinghouse provides which service?**
A. Patient billing
B. Claims adjudication for third‑party payer
C. Payroll processing
D. Equipment safety checks
b
Which is an advantage of using drop-down menus in EHRs?**
A. More data entry
B. Greater accuracy
C. Detailed specificity
D. Increased consistency
b
“New patient” refers to someone who:**
A. Was seen last November
B. Is here for follow-up with new insurance
C. Had an annual visit last year
D. Hasn’t been seen in 3+ years
d
Cluster scheduling” is when patients are:**
A. Booked at specific times
B. Double-booked
C. Grouped by common medical needs
D. Seen in waves
c
Which scheduling method involves multiple same-time slots seen by arrival order?**
A. Wave scheduling
B. Modified wave
C. Time-specific
D. Double booking
a
Diagnosis codes are from which code set?**
A. ICD‑10‑CM
B. CPT
C. HCPCS
D. ICD‑10‑PCS
a
