Question 1

What does an Acknowledgment of Receipt of Notice of Privacy Practices state?

Accepted Answer

A)   that the patient understands the practice's financial policy
B)   that the patient understands how the provider intends to protect their rights to privacy under HIPAA
C)   that medical records cannot be released without consent for any reason
D)   that the doctor will contact the patient if insurance company wants medical records

Question 2

You are working in a practice and a patient arrives for an appointment on November 20, 2019; the patient last visited the practice on March 5, 2014, and is scheduled to see the same physician. Determine what you should ask the patient to do upon arrival.

Accepted Answer

A)   Review and update the information that is on file about them.
B)   Complete all required forms before their first encounter with the provider.
C)   The patient may see the physician without reviewing their information.
D)   Call insurance company to verify coverage.

Question 3

The initial step in establishing financial responsibility is to

Accepted Answer

A)   complete the patient ledger.
B)   assign the medical codes.
C)   Verify the patient's eligibility for insurance benefits.
D)   issue patient statements.

Question 4

What type of number is assigned to a HIPAA 270 electronic transaction?

Accepted Answer

A)   trace number
B)   identification number
C)   transaction number
D)   payer number

Question 5

Financial policies usually contain what information?

Accepted Answer

A)   credit policy, insufficient funds payment policy, and insurance information
B)   insurance information and insufficient funds payment policy
C)   credit policy and insurance information
D)   insufficient funds payment policy and TOS collection

Question 6

For assigned claims, the payment for services rendered is expected

Accepted Answer

A)   after the patient receives a statement.
B)   when the claim is sent.
C)   at the time of service.
D)   after the insurance is billed.

Question 7

Patients will have the same chart number when

Accepted Answer

A)   they have the same name.
B)   none of these; chart numbers are unique.
C)   they share the same guarantor.
D)   they are minors.

Question 8

Another term for insured or subscriber is

Accepted Answer

A)   parent.
B)   established patient.
C)   new patient.
D)   policyholder.

Question 9

Another term for prior authorization number is

Accepted Answer

A)   referral waiver.
B)   supplemental number.
C)   certification number.
D)   self-pay.

Question 10

Identify the means by which practices can be sure that all visits have been entered in the practice management program.

Accepted Answer

A)   examination
B)   all of these are correct
C)   prenumbering
D)   superbills

Question 11

Charging TOS payments depends on

Accepted Answer

A)   whether the office allows TOS payments.
B)   the provision of a patient's health plan and practice's financial policy.
C)   the practice's financial policy.
D)   the provisions of a patient's health plan.

Question 12

Identify the person/entity that must authorize providers to release a patient's PHI for TPO purposes.

Accepted Answer

A)   the patient
B)   the physician
C)   none of these; they do not need authorization
D)   the health plan

Question 13

Patients who elect to pay a higher copayment, greater coinsurance, or both, are most likely visiting a

Accepted Answer

A)   nonPAR.
B)   primary care doctor.
C)   PAR.
D)   provider in network.

Question 14

In what format does an encounter form come?

Accepted Answer

A)   PDA only
B)   paper only
C)   paper and/or electronic
D)   electronic only

Question 15

Identify the factor that does not determine a patient's copayment.

Accepted Answer

A)   whether the provider is in the patient's network
B)   the type of service
C)   the length of time the patient has been seeing the practice
D)   none of these

Question 16

Assignment of benefits authorizes

Accepted Answer

A)   the payer to send payments directly to the patient.
B)   none of these are correct.
C)   the physician to give patients completed claim forms to send to payers.
D)   the physician to file claims for a patient and receive direct payments from the payer.

Question 17

Which HIPAA transaction is used to check patients' insurance coverage?

Accepted Answer

A)   Coordination of Benefits
B)   Claim Status
C)   Eligibility for a Health Plan
D)   Health Care Payment

Question 18

If an employed patient has coverage under two insurance plans, one the employer's plan and the other a government plan, the primary plan is

Accepted Answer

A)   the government plan.
B)   the employer's plan.
C)   the plan with the lowest premium.
D)   the plan in effect for the patient the longest.

Question 19

What means are available for completing an encounter form?

Accepted Answer

A)   tablets
B)   paper forms
C)   laptops
D)   all of these are correct

Question 20

A patient's insurance card usually shows

Accepted Answer

A)   the name of the payer's representative.
B)   the date the policyholder first paid a premium or copayment.
C)   member identification number.
D)   the former employer's name.

Exam 3: Patient Encounters and Billing Information

A patient's insurance card usually shows

Correct AnswerverifiedShow Answer

What means are available for completing an encounter form?

Correct AnswerverifiedShow Answer

Identify the person/entity that must authorize providers to release a patient's PHI for TPO purposes.

Correct AnswerverifiedShow Answer

Another term for prior authorization number is

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Another term for insured or subscriber is

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If an employed patient has coverage under two insurance plans, one the employer's plan and the other a government plan, the primary plan is

Correct AnswerverifiedShow Answer

What type of number is assigned to a HIPAA 270 electronic transaction?

Correct AnswerverifiedShow Answer

In what format does an encounter form come?

Correct AnswerverifiedShow Answer

Assignment of benefits authorizes

Correct AnswerverifiedShow Answer

Identify the factor that does not determine a patient's copayment.

Correct AnswerverifiedShow Answer

The initial step in establishing financial responsibility is to

Correct AnswerverifiedShow Answer

Identify the means by which practices can be sure that all visits have been entered in the practice management program.

Correct AnswerverifiedShow Answer

Charging TOS payments depends on

Correct AnswerverifiedShow Answer

Which HIPAA transaction is used to check patients' insurance coverage?

Correct AnswerverifiedShow Answer

Financial policies usually contain what information?

Correct AnswerverifiedShow Answer

Patients who elect to pay a higher copayment, greater coinsurance, or both, are most likely visiting a

Correct AnswerverifiedShow Answer

Patients will have the same chart number when

Correct AnswerverifiedShow Answer

What does an Acknowledgment of Receipt of Notice of Privacy Practices state?

Correct AnswerverifiedShow Answer

You are working in a practice and a patient arrives for an appointment on November 20, 2019; the patient last visited the practice on March 5, 2014, and is scheduled to see the same physician. Determine what you should ask the patient to do upon arrival.

Correct AnswerverifiedShow Answer

For assigned claims, the payment for services rendered is expected

Correct AnswerverifiedShow Answer

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