0BChapter 6 Working With Practice Management Software 2BStudent Identification Number: Date Submitted: Name: Address: City: State: Zip: Phone: Fax: Email Address: Web site URL (if applicable): Exam Score: 1BWritten Examination Copyright 2001-2012, Medical Billing Course.com 1
INSTRUCTIONS: Please fill in the blank with a short sentence, or check one or more of the items that correctly 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: a. Multiple database capable b. Compatible with other practice management software systems c. Designed for Microsoft Windows. d. HCFA approved 2
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 3
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 4
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 d. Diagnosis Indicator 5
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? 17. How does line-item posting differ from claim posting? 6
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:. 7
22. Match up the reports with their proper descriptions in the box below: 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. Student, If you are ordering Chapter by Chapter, please return to HUhttp://www.medicalbillingcourse.com/order.htm UH to place your order for the next chapter. Please note that submitting your examination online provides for a quicker turnaround time for your grade. Once this examination has been received and graded, you will be notified via email of your score. 4BDO NOT WRITE BELOW THIS LINE 3BGraded on: Possible score = 100 Graded by: Your score: 8