Medical Data Entry Final Exam (MULTIPLE CHOICE)

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Computers in the Medical Office Student Data for Medisoft

What document list all services performed, along with the charges for each service?

STATEMENT

The provider's fees for services are listed on the medical practice's

FEE SCHEDULE

Which of the following refers to procedure codes?

CPT

Which of the following uses diagnosis and procedure code information as well as administrative and financial information to generate health care claims?

THE PRACTICE MANAGEMENT PROGRAM (PMP)

The most common type of managed care plan today is a

PREFERRED PROVIDER ORGANIZATION (PPO)

What term refers to an individual who may not be a patient of the practice but who is financially responsible for a patient account?

GUARANTOR

Medisoft will ask for a confirmation before

DELETING DATA

The set program date command is found on the

FILE MENU

Transactions are entered in Medisoft via the

ACTIVITIES MENU

Electronic data interchange involves sending information from computer to

COMPUTER

When a new patient comes in for an office visit, he or she is asked to complete

A PATIENT INFORMATION FORM

Medisoft is exited by

CLICKING EXIT ON THE FILE MENU
CLICKING THE CLOSE BOX
BOTH A AND B ANSWERS ARE CORRECT

Payments made to the health plan by the policyholder for insurance coverage are called

PREMIUMS

Which of these are computerized records of one physician's encounters with a patient over time?

ELECTRONIC MEDICAL RECORDS (EMRs)

The patients/guarantors and cases command is selected from the__________to change information about a patient

LIST MENU

The process of deleting files of patients who are no longer seen by a provider in a practice is called

PURGING DATA

A report that lists the charges, payments, and adjustment made during a day is known as

A DAY SHEET

If incorrect dates are used when entering data, the information in reports will be

INACCURATE

Where can a calculator tool be found in Medisoft?

TOOLS MENU

Which of the following is the correct chart number for Daniel Ho?

HODANIE0

Which of these is a collection of related pieces of information?

DATABASE

Which of the following refers to money coming into the practice?

ACCOUNTS RECEIVABLE

The HIPAA security standards comprise

ALL OF THESE ANSWERS ARE CORRECT

What process checks and verifies data and corrects any internal problems with the data?

REBUILDING INDEXES

Which of the following workflows might providers use?

ALL OF THESE ANSWERS ARE CORRECT

The National Provider Identifier (NPI) is a ten-position identifier consisting of

ALL NUMBERS

What type of patient has received services from a physician within the last three years?

ESTABLISHED PATIENT

Medisoft's file maintenance utilities are accessed via the ______menu

FILE

The use of computers and handheld devices to transmit prescriptions to pharmacies in digital format is called

ELECTRONIC PRESCRIBING

Copayments are routinely collected during

CHECK-IN

Which of these is accessed through the patient list dialog box?

PATIENT INFORMATION

The deletion of vacant slots from the database is known as

PACKING DATA

What is established when the diagnosis and treatment of a patient are logically connected?

MEDICAL NECESSITY

The process of retrieving data from backup storage devices is referred to as

RESTORING DATA

How many different methods of changing the date in the program are available in Medisoft?

TWO

A new patient is a patient who has not received services from the same provider or a provider of the same specialty within the same practice for a period of

THREE YEARS

HIPAA was designed to

ENSURE THE SECURITY AND PRIVACY OF HEALTH INFORMATION

Clicking the button displays the Patient/Guarantor dialog box, where changes can be made

THE EDIT BUTTON

The insurance program that provides coverage for dependents of active-duty services members is known as

TRICARE

Which of the following refers to diagnosis codes?

ICD

The status field in the other information tab of the patient/guarantor dialog box is used to indicate whether the patient

IS EMPLOYED OR IN SCHOOL

Which of the following can be used in a chart number?

LETTERS

If the patient's employer does not appear on the Employer drop-down list in the other information tab, it must be entered using the

ADDRESS FEATURE

What is a series of steps designed to judge whether a claim should be paid?

ADJUDICATION

The extra copy of data files made at a specific point in time is known as

BACKUP DATA

The patient information form contains

ALL OF THESE ANSWERS ARE CORRECT

Each charge, or fee, for a visit is represented by a specific

PROCEDURE CODE

Every time a patient is treated by a health care provider, a record is made of the encounter. This record is known as

DOCUMENTATION

Which of the following is a feature provided by Medisoft to assist in maintaining data files stored in a system?

ALL OF THESE ANSWERS ARE CORRECT

Where are data saved in most medical practices?

NETWORK DRIVE

An encounter form is also known as a

SUPERBILL

What type of patient has been seen by a provider in the practice in the same specialty within three years?

ESTABLISHED PATIENT

According to the Institute of Medicine, which of the following core functions should be included in an EHR?

ALL OF THESE ANSWERS ARE CORRECT

What tools that are common in EHRs make documenting patient encounters more efficient for providers?

ALL OF THESE ANSWERS ARE CORRECT

Health information that can be used to find out a person's identification is referred to as

PROTECTED HEALTH INFORMATION

EHRs are most frequently praised for providing

ALL OF THESE ANSWERS ARE CORRECT

The ten-step cycle that results in the timely payment for patients' medical services is the

BILLING CYCLE

Which term refers to the acquisition, access, use or disclosure of unsecured PHI in a manner not permitted under the HIPAA Privacy Rule, thus compromising the security or privacy of the PHI?

BREACH

What report lists charges, payments, and adjustments and the total accounts receivable for the month?

MONTHLY REPORT

Most dates are entered in Medisoft using the ____format

MMDDCCYY

What is a collection of up-to-date technical information about Medisoft products called?

KNOWLEDGE BASE

Where are the electronic data in the remittance advice automatically posted through the process of autoposting?

THE PRACTICE MANAGEMENT PROGRAM

Which records offer a broad focus on a patient's total health experience over the lifespan, rather than the documentation of episodes of illness or injury?

ELECTRONIC HEALTH RECORDS (EHRs)

Information in the patient window is

COLOR-CODED

When a locate button is clicked, what is displayed?

LOCATE DIALOG BOX

The last character in a chart number is always a

ZERO

During check-in, it is also common practice to photocopy the patient's insurance identification card and a

PHOTO ID

The process of updating balances to reflect the most recent changes made to the data is referred to as

RECALCULATING BALANCES

Medisoft does not offer any shortcuts to make searching easier

FALSE

A remittance advice (RA) is similar to an explanation of benefits (EOB)

TRUE

An audit/edit report is sent from the clearinghouse to the practice before the basic edit can be completed

FALSE

A major advantage of computerized scheduling is the ability to easily locate scheduled appointments

TRUE

A walkout statement lists the procedures performed, the charges for the procedures, and the amount paid by the patient

TRUE

The HIPAA Privacy Rule protects individually identifiable health information

TRUE

The accounting cycle is the flow of financial transactions in a business

TRUE

Medisoft's search feature can be used to look for information on patients, insurance carriers, procedure codes and employers

TRUE

A monthly report summarizes the financial activity of the entire month

TRUE

Chart numbers cannot contain special characters such as a hyphen or semicolon

TRUE

An option for finding information in Medisoft is to use the Locate buttons

TRUE

HIPAA stands for the Health Insurance Portability and Accountability Act of 1996

TRUE

EHRs allow two or more people to work with a patient's record at the same time

TRUE

An edit trail is a report that shows who has accessed information and when

FALSE

A statement lists all services performed, along with the charges for each service

TRUE

A clearinghouse is a company that collects electronic insurance claims from medical practices and forwards the claim to the appropriate health plans

TRUE

A collection process is often started when patient payments are later than permitted under the practice's financial policy

TRUE

Once created, a chart number cannot be edited

TRUE

Within the Claim Management area of Medisoft, insurance claims are

ALL OF THESE ANSWERS ARE CORRECT

What is the maximum fee a participating provider can collect for the service?

MEDICARE ALLOWED CHARGE

What type of report lists a patient's balance by age, date and amount of the last payment, and telephone number?

PATIENT AGING REPORT

What is a physician who recommends that a patient see a specific other physician called?

REFERRING PROVIDER

If claims are being sent to a_______, more than one insurance carrier code can be entered in the Primary Insurance box

CLEARINGHOUSE

In this type of billing system, patient statements are created and sent on a staggered basis rather than all at once

CYCLE

Payments are color-coded to indicate______status

PAYMENT

How many cases is a patient allowed to have per office visit in Medisoft?

THERE IS NO SET LIMIT

If the patient's account has a positive balance because the patient overpaid, the overpayment is color-coded_____in the Transaction Entry dialog box

YELLOW

Payments are entered in________different areas of the Medisoft program

TWO

Medisoft's Report Designer allows users to

ALL OF THESE ANSWERS ARE CORRECT

Information in an existing case is modified by selecting the case and clicking the____button at the bottom of the Patient List dialog box

EDIT CASE

What type of report shows how long a payer has taken to respond to each claim?

INSURANCE AGING REPORT

Any claims prepared for submission to an insurance carrier must be selected and then reviewed for

COMPLETENESS
ACCURACY
BOTH A AND B ANSWERS ARE CORRECT

The______is the most important document for correct reimbursement

INSURANCE CLAIM

Claims are created in the_______dialog box

CREATE CLAIMS

What step in reviewing a remittance advise comes after comparing the RA to the original insurance claim?

REVIEW THE PAYMENT AMOUNT AGAINST THE EXPECTED AMOUNT

What patient information is stored in the Case dialog box?

ALL THESE ANSWERS ARE CORRECT

Payment information located on the remittance advice is entered in Medisoft through the Enter Deposits/Payments option on the

ACTIVITIES MENU

A walkout receipt is also known as a(n)

WALKOUT STATEMENT

The_____report lists patients sorted by provider or facility, and then by their insurance carrier

PATIENT BY INSURANCE CARRIER

The_____is where information about a patient's primary insurance carrier and coverage is recorded

POLICY 1 TAB

The primary insurance carrier is the______ carrier to whom claims are submitted

FIRST

The Medisoft Reports menus choices include

ALL OF THESE ANSWERS ARE CORRECT

Payments that have been_____are not colored and appear white

FULLY APPLIED

A_______is a document that specifies the amount a provider bills for provided services

FEE SCHEDULE

What type of patient statements are sent electronically to a processing center, which prints and mails them?

ELECTRONIC

A_____is a document that specifies the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement

PAYMENT SCHEDULE

The Claim Management dialog box is accessed via the_______menu in Medisoft

ACTIVITIES

The chart is a folder that contains all records pertaining to a

PATIENT

What are claims with all the information necessary for payer processing called?

CLEAN CLAIMS

Patient accounts must be adjusted to a zero balance in the

APPLY PAYMENT/ADJUSTMENTS TO CHARGES DIALOG BOX

In the Transaction Entry dialog box, walkout receipts are created via the _______button

PRINT RECEIPT

If a patient is being treated for injuries related to an automobile accident, information about the accident must be entered in the______tab of the Case folder

CONDITION

The abbreviation TOS stands for

TYPE OF SERVICE

What type of payment is made to physicians on a regular basis?

CAPITATION

The______is used to enter case notes

COMMENT TAB

Which of the following would likely be a reason to set up a new case for a patient?

THE PATIENT CHANGES INSURANCE CARRIERS
THE PATIENT HAS DEVELOPED A NEW MEDICAL CONDITION
BOTH A AND B ANSWERS ARE CORRECT

The______is the paper claim approved by the NUCC

CMS-1500

In order to adjust the patient accounts of those covered by the capitated plan, a second deposit is entered with a

ZERO AMOUNT

When all necessary information has been entered in the Create Claims dialog box, clicking the_______button creates the claims

CREATE

The data stored in the Patient/Guarantor dialog box is primarily

DEMOGRAPHIC INFORMATION

The HIPAA standard transaction for electronic claims is the

HIPAA X12 837 HEALTH CARE CLAIM
EQUIVALENT ENCOUNTER INFORMATION (837P)
BOTH A AND B ANSWERS ARE CORRECT

The Type column in the Statement Management dialog box can contain either Standard or

REMAINDER

Up to____diagnoses codes can be entered in one Medisoft case

FOUR

Under_______a flat fee is paid to the physician no matter how many times a patient receives treatment, up to the maximum number of treatments allowed per year

CAPITATED PLAN

In Medisoft, a_________is a condition that data must meet to be selected

FILTER

Which type of report lists the amount of money owed to the practice organized by the amount of time the money has been owed?

ALL OF THESE ANSWERS ARE CORRECT

Medicare uses its own payment schedule, known as the

MEDICARE PHYSICIAN FEE SCHEDULE (MPFS)

A remittance advice lists

ALL OF THESE ANSWERS ARE CORRECT

The information in the Condition tab is used by_________to process claims

INSURANCE CARRIERS

Which of the tabs in the Claim dialog box displays information about claims being submitted to a patient's primary insurance carrier?

CARRIER 1 TAB

How can a custom report be printed in Medisoft?

BY DOUBLE CLICKING THE REPORT TITLE
BY HIGHLIGHTING THE TITLE OF THE REPORT..........
BOTH A AND B ANSWERS ARE CORRECT

What is the first step in processing a remittance advice?

COMPARE THE RA TO THE ORIGINAL INSURANCE CLAIM

In the Sort By field of the Deposit List dialog box, the default is sorting payments by

AMOUNT

What are the amounts a provider bills for the services performed?

CHARGES

The choices in the Payment Method field in the Deposit dialog box include cash, credit card, check and

ELECTRONIC

What type of patient statements are printed and mailed by the practice?

PAPER

When claims are transmitted electronically, the Claims Status for each claim automatically changes from Ready to Send to_____

SENT

NSF checks are also called

BOUNCED CHECKS
RETURNED CHECKS
BOTH A AND B ANSWERS ARE CORRECT

Payments are entered in the______section of the Transaction Entry dialog box

PAYMENTS, ADJUSTMENTS AND COMMENTS

Once all the necessary information is entered in the Payments, Adjustments and Comments section, the payment is applied to specific charges using the______button

APPLY

TRICARE is the government insurance program that serves

ALL OF THESE ANSWERS ARE CORRECT

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