through the process of ____, payments listed on an EHR are automatically applied to the appropriate account
the use of electronic clinical records in medical office is
patient ramana saw dr green 48 months ago for a stomach illness. today he is here to again see dr green with a similar complaint. mr ramana is considered a ___ patient of the practice
patient is well-developed, well-nourished asian male; he is afebrile" is an example of the _____ section of a soap note
use the ____ button in the deposit list dialog box to display the deposit dialog box.
five major sections of the HIPAA claim, in order of transmission are
provider, subscriber/patient, payer, claim details and services
which section of the apply payments/adjustments to charges dialog box would you use to alter options affecting claims and statements?
medisoft clinical can have a number of ___ created for different postions in the office.
manually entering procedure codes to be billed from the completed paper encounter form
when a PM/EHR is used for the fourth step of the charge capture process, what paper method is replaced by electronic positng of charges tothe patient's account?
insurance claims are created, edited, and submitted for payment within ____ the area of medisoft network professional.
which scheduling system is used in the medisoft clinical exercises in the text?
a clear financial policy effective communications with patients about their financial responsiblities
how does the patient collection process begin?
in cci mutually exclusive edits, the code in column 1 could not have be done for the same patient, same date of service, same provider, as the code in column 2, so medicare will pay just the lower-paid code.
compare the following statements and select the one that is accurate.
drop-down list button with three dots
What types of options do selection boxes offer for entering data?
the scan of patient's photo id can be stored in the ____ tab of the case dialog box in medisoft network professional.
the annual deductible for high-deductible health plan (HDHP) is ____?
electronic funds transfer (EFT)
what feature do practices use in order to directly deposit payments into their bank account?
participating (PAR) provider
A ____ agrees to provide medical services to a payer's policyholders according to the terms
the information in a patient's medical record belongs to the?
once a selection is made in the print report where? dialog box and the start button is clicked, the ____ dialog box is displayed.
empty yellow rectangle
in medisoft clinical patient records, a folder that contains no information has a(n) ____ in the upper-right corner.
when a progress note is finished, medisoft clinical patient records prompts the provider to enter his or her ____ for an electronic signature.
the ___ tab (s) in medisoft network professional's claim dialog box list(s) information about the diagnoses, procedures, and amount charged on a claim.
for insured patients, check the data on the patient information form for accuracy against the _____.
document numbers places of service credits and debits
which of the following types of information are listed on a procedure day sheet?
most medicare carriers ____ forward crossover claims to the state medicaid payer
claim adjustment reason codes
in order to provide details about an adjustment, payers use ____.
to generate medical practice financial statements for profit analysis
medisoft network professional's practice analysis report can be used
to start office hours without entering medisoft network professional, click start>all programs, click medisoft on the programs menu, and then click ____ on the medisoft submenu.
if no activity is detected for a specified number of minures, the auto log off feature automatically logs out the user; park allows a user to leave the workstation briefly without needing to exit the program.
compare the functions of the park and the auto log off features
title bar tool bar menu bar
the main window in medisoft network professional contains the
commands in medisoft network professional are issued by clicking options on the menus or by clincking ___ buttons on the ____.
after check-in, patients are escorted to an exam room, where a ___ interviews him or her to obtain detailed information.
regular or irregular
on the vital signs dialog box, a drop-down menu next to the pulse field is used to select whether the patient's pulse was ____.
provides detailed explanations of program freatures offers tips designed to improve user productivity lists common errors
the medisoft clincal help feature
A ___ is a company that helps ___ process health information and execute electronic transactions, such as the submission of insurance claims.
health maintenance organization (HMO)
what type of health plan often assigns its memebers to primary care physicians (PCPs)?
location box;separate the entries by comma
you are asked to produce claims for procedures done in the office and at the clinic associated with the practice. what filter do you utilize, and how do you use it correctly?
begin the process of restoring files by choosing ___ on the file menue in medisoft network professional
meaninful use is the utilization of certified EHR technology in the health care system to
patient was given a prescription for heparin...is an example of the ___ section of a SOAP note.
medical documentation and billing cycle
medisoft clinical is used to complete the tasks in the
the date of the bill
on what date does the aging process begin
demographic information appointment schedules clinical data
practices now use integrated PM/EHR programs that can share and exchange
to access the collection list feature in medisoft network professional, which of the following meus should you use
physicians are responsible, but administrative staff memebers play a role in achieving complaint medical coding
determine the best answer to this question: who in the practice is responsible for correct coding?
a health reimbursement account (HRA) is medical reimbursement plan set up and funded by ____.
medisoft network professional includes office hours, a(n) ___ program.
a student who is familiar with medisoft clinical should be able to ____many skills taught in this book to other similar programs.
prior authorization number field on the miscellaneous tab
the primary health plan transmits an authorization number to the practice for the patient's scheduled knee replacement surgery. Where is this number entered on the case dialog box in medisoft network professional?
____ refers to an action for resuming normal operations after a situation such as a fire or a computer malfunction.
preferred provider organization (PPO)
the most popular type of health plan is the _____
a quick way to change or delete an appointment is to select the appointment and press the right ____ button to display a shortcut menu with options such as cut, copy, and delete.
since EHRs include information entered by all health care professionals who treat the patient, the programs make it easier to ___ patient information.
a referral for an out-of-network provider
a preferred provider organiation (PPO) does not usually require
____ refers to the process of saving a copy of files on a regular schedule to facilitate file recovery if data loss occurs.
the ___ of receipt of notice of privacy practices states that the patient has read the privacy practices and understands how the provider intends to protect the patients rights to privacy under HIPAA
past medical history
the ___ includes any illness (past or present) for which the patient has received treatment
the HIPAA claim can capture over ____ data elements
it costs patients ____ when they see nonparticipating (nonPAR) providers
in chronological order
medical records are organized
flexible savings account (FSA)
some companies offer a ___ that a augments employee's other health insurance.
referring to a type of software program, the abbreviation PM represents
through the process of an electronic funds transfer, payments are directly deposited into bank account of the
the ___ tab records a variety of information about the patient and his or her treatment
paper-based prescription refill procdure offers fewer safety checks than an electronic prescroption refill procedure a paper-based prescription refill procedure has more steps than an electronic prescription refill procedure an electronic presciption refill procedure is more efficient than a paper-based refill procedure
compare a paper-based prescription refill procedure offers fewer safety checks than an electronic prescription refill procedure
assignment of benefits
the ___ is an authorizaiton by poliicyholder that allows a health plan to pay benefits directly to a provider
unapplied payment/adjustment report
determine which of the following reports a medical practice would use to search for an adjustment that has not been fully applies
fahreheit (f) or celsius (c)
on the vital signs dialog box, the patient's tempature may be recorded in ____.
procedure day sheet
a medical practice needs to review the places of service for some of their patients on a given day. determine which of the following reports should be used.
to locate a patient chart in medisoft clinical patient records, select open chart on the ___ menu or click the ___ toolbar button
identification verification assignment of benefits statement medical history
if a patient is new to a practice, which of these types of information are gathered
protects patient's private health information uncovers fraud and abuse ensures health care coverage when workers change or lose jobs
the health insurance portability and accountability act of 1996 (HIPAA)
when you are finished entering a note in medisoft clinical patient records, click the ____ button to save the note
mutually exclusive code (MEC)
both services represented by the codes shown in the two columns of the ____ edits could not have reasonably been done during a single patient encounter, so they cannot be billed together.
the main federal government agency responsible for health care is the
BA's perform a function or activity on behalf of a CE but are not part of the CE's workforce
analyze the relationship between covered entities (CE) and business associates (BA)
Practices may remind a patient of a balance that is overdue during the appointment scheduling process. What is the purpose of doing so
to prepare the patient to pay the amount due when presenting for appointment to improve collections
practices may remind a patient of a balance that is overdue during the appointment scheduling process. What is the purpose of doing so?
during which stage in the patient flow does a staff member confer with a patient to determine whether any information, such as a change in insurance or employment, needs to be updated in the patient record?
the privacy and security feature in MCPR know as ____ allows a user to leave a workstation for a brief time without having to exit the program
when patients leave the exam room, they proceed to the checkout desk, where they receive additional information and patient ____ materials, and also make payments that are due?
what claim adjustment group code would a payer apply to indicate that a contract between the payer and a provider led to an adjustment?
break entry;new break entry
to create a break for the provider who appears in the office hours provider box, click the ___ shortcut button to display the ___ dialog box
if a service is not documented, it is not going to be paid incomplete or incorrect records can cause denied claims or possibly investigation into fraudulent activity.
why is documentation directly linked to the finanacial health of the practice?
increases patient safety reduces operating costs improves the quality of patient care
the use of integrated programs
____ are websites that enable communication between patients and health care providers
caller purpose of the call practice
you are calling a patient to attempt to collect on a call. which of the following pieces of information need to be identified to the patient?
a formulary is a list of pharmaceutical ___ deemed by a health care organization to be the best, most economical treatments for a condition or disease
federal law state law
what must practices comply with in setting their finance charges
go to a date
the best way to create follow-up appointments is to use the ____shortcut button on the office hours toolbar
location and transaction date boxes
you are asked to produce claims for riverdale hospital for the period 10/01/2016 through 11/01/2016. what filters do you utlize on the claim creation dialog box?
the HIPAA privacy rule provides protection for individually identifiable health information and grants certain rights to _____ in regard to their medical records
insurance carriers patients
who do practices collect payments from?
staff, group, and independent practice association
what are the three business models of health maintenacne organizations (HMOs)?
____ are changes to patients' accounts
after a provider is selected, a(n) ____ must be located
which of the following is not one of the main areas of the dashboard
not usually problematic
collecting payments is _____ when patients understand the charges and the practice's financial policy in advance.
the code and the copayment requirement are input on the general tab, and the charge is entered on the amounts tab
you are asked to enter a new procedure code and its charge, and also to note that this code requires a copayment. after clicking the new button of the procedure/payment/adjustment dialog box, where do you input the new code, the copayment requirement, and the charge?