0B
Chapter 6
Working With Practice Management Software
2BStudent Identification Number: _______________________________________
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1B
Written Examination
answers the question. Some questions may have more than one box that needs to be checked, so be sure to check all answers that apply.
1. A(n) __________ allows you to enter different prices for the same procedures for different kinds of patient groups.
___ a. Price Structure ___ b. Fee Distributor ___ c. Fee Schedule ___ d. Insurance variance
2. What do the Rendering Physician ID Numbers identify?
3. Rendering Physician ID Numbers print in which box on the CMS1500 (HCFA) form?
___ a. Box 33 PIN ___ b. Box 33 GRP ___ c. Box 19 ___ d. Box 24J
4. In order to provide services for multiple clinics, you need a software package that is:
5. What are the five basic areas of information that a practice management software application utilizes?
1. _____________________ 2. ___________________________ 3. _____________________ 4. ___________________________
5. _____________________________________
6. A clinic where all physicians use the same set of Billing ID’s is called a:
___ a. Common Practice ___ b. Group Practice ___ c. Combined Practice ___ d. Individual Practice
and in and in this kind of practice, the Billing ID’s print in which Box?
___ a. Box 33 GRP ___ b. Box 33 PIN ___ c. Box 24K ___ d. Box 19
7. A feature that groups common kinds of patient accounts, usually by the type of insurance coverage, is called:
___ a. Patient Listings ___ b. Patient Schedules ___ c. Group Practices ___ d. Financial Classes
8. When creating an account, you need to specify the financially responsible party, known as the:
___ a. Policy Holder ___ b. Guarantor ___ c. Account Holder ___ d. Guardian
9. You can view a patient’s transaction history in the: ___ a. Patient Screen
___ b. Charge Screen
___ c. Financial Class Screen ___ d. Account Ledger
10. The 4 basic parts for any (CPT) procedure are:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
11. What is a Macro Code?
___ a. A procedure that is paid at a lower rate than a regular code ___ b. A code that is a shortened version or acronym that represents an actual CPT code or ICD-9 code
___ c. A code that represents a group of multiple procedures ___ d. A code that represents a group of multiple diagnoses
12. What are the four kinds of transactions?
1. ________________________ 2. ________________________ 3. ________________________ 4. ________________________
13. When entering a procedure in the Charge Screen, a _________________ shows which diagnosis codes are pertinent to the procedure.
___ a. Permanent Diagnosis ___ b. Macro Code
___ c. Modifier
14. The identification number used to identify an insurance carrier with a clearinghouse is known as:
___ a. ICD-9
___ b. CPID / EMC ID ___ c. Insured ID Number ___ d. Place of Service
15. Fill in the blank:
The format in which most clearinghouses accept electronic claims is
______________________________________________________________
16. What is the role of a clearinghouse in electronic claims?
18. What is/are an advantage(s) of line-item posting?
___ a. You document the amount paid by the insurance company on each procedure individually.
___ b. Claims are posted more quickly
___ c. Provides more information about the payments on a claim ___ d. Guarantees full payment of claims by insurance carriers
19. When writing-off small balances or balances left over after an insurance payments, you post:
___ a. Credit Adjustments ___ b. Payments
___ c. Charges
___ d. Special Carrier Information
20. What is the function of an EMC Dialer? ___ a. Creates electronic claim files
___ b. Connects the practice management software to the internet
___ c. Connects the practice management software to the clearinghouse
21. Before a physician can have claims submitted electronically to government insurance carriers such as Blue Cross, Blue Shield, Medicare, Medicaid, or Champus, you must register a document with each carrier called a:
22. Match up the reports with their proper descriptions in the box below:
Student,
If you are ordering Chapter by Chapter, please return to
HUhttp://www.medicalbillingcourse.com/order.htmUH to place your order for the next
chapter.
Please note that submitting your examination online provides for a quicker turn-around time for your grade.
Once this examination has been received and graded, you will be notified via email of your score.
DO NOT WRITE BELOW THIS LINE
___ Accounts Receivables
___ Transactions Reports
___ Claims Receivables
___ Claims Listings Reports
a. Report showing the list of transactions posted during a certain period of time.
b. Report showing the claims posted or submitted during a certain period of time
c. Report showing the outstanding/unpaid claims, and also gives you information on the aging of the claims in 30, 60, 90, and 120 day intervals d. Report showing the outstanding balances for
each account that is aged in 30, 60, 90, and 120 day intervals.
