Question 1

Most hospitals today are owned by a:
A) single, private owner.
B) nonprofit organization.
C) university.
D) corporation.

Accepted Answer

Most hospitals today are owned by a corporation. This means that hospitals are owned and operated by a larger business entity that may own multiple hospitals or healthcare facilities.

Question 2

Managed care is a system in which physicians contract to participate in a health insurance network and healthcare delivery is:
A) at the discretion of the physician.
B) provided only by in-network physicians.
C) based on the patient's ability to pay.
D) monitored to control costs.

Accepted Answer

D

Question 3

Which department is a part of patient financial services(PFS)?
A) billing.
B) collections.
C) revenue integrity.
D) all of the above.

Accepted Answer

All of the above departments, billing, collections, and revenue integrity, are typically part of patient financial services (PFS).

Question 4

It is common for small-group practices to outsource:
A) billing and accounts receivable.
B) insurance coverage verifications.
C) appointment scheduling and patient reminders.
D) medical records management.

Accepted Answer

Small-group practices often outsource billing and accounts receivable to specialized companies to ensure efficient handling of financial transactions and to focus more on patient care.

Question 5

The increased demand for medical billers, medical office assistants, and medical coders can be attributed to:
A) the growth of managed care.
B) physician practices' having more responsibility for filing claims.
C) the need for additional staff to file claims and work to obtain timely payment.
D) all of the above.

Accepted Answer

The increased demand for medical billers, medical office assistants, and medical coders can be attributed to the growth of managed care, physician practices' having more responsibility for filing claims, and the need for additional staff to file claims and work to obtain timely payment. Therefore, all of the above are the reasons for the increased demand for these positions.

Question 6

Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice included all of the following staff members EXCEPT:
A) physician.
B) nurse.
C) certified medical biller.
D) receptionist.

Accepted Answer

Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice would typically only include a physician, nurse, and receptionist. A certified medical biller would not necessarily be part of this type of practice, as billing and administrative tasks would often be handled by the physician themselves or by the receptionist.

Question 7

A medical office assistant may handle all of the following duties in a medical office EXCEPT:
A) scheduling appointments.
B) compiling and recording medical records.
C) interpreting laboratory test results.
D) answering telephones.

Accepted Answer

Medical office assistants are responsible for scheduling appointments, compiling and recording medical records, and answering telephones. However, interpreting laboratory test results is typically left to medical professionals such as doctors or specialized technicians.

Question 8

A large-group practice is a specialized practice that is likely to:
A) employ more nurses than doctors.
B) include a physical therapist as part of the medical team.
C) employ in-house staff to handle claims and accounts receivable.
D) contract with an outside firm to handle claims and accounts receivable.

Accepted Answer

A large-group practice is likely to have the resources to employ in-house staff to handle claims and accounts receivable, rather than needing to contract with an outside firm. While it may also include a physical therapist as part of the medical team, the number of nurses versus doctors will depend on the specific type of practice.

Question 9

A practice with three physicians would generally be categorized as a:
A) solo practice.
B) private practice.
C) small-group practice.
D) large-group practice.

Accepted Answer

A practice with three physicians would be categorized as a small-group practice, as it involves multiple physicians practicing together in a relatively small group. Solo practices involve only one physician, private practices may involve multiple physicians but are typically larger, and large-group practices generally involve more than ten physicians.

Question 10

A group of physicians with different specialties may practice together at one outpatient facility known as a:
A) free clinic.
B) small-group practice.
C) multispecialty clinic.
D) private hospital.

Accepted Answer

A multispecialty clinic is a type of outpatient facility where physicians with different specialties practice together. This provides patients with access to a variety of medical services in one location.

Question 11

The percentage of all healthcare providers who are allied health professionals is:
A) 25%.
B) 40%.
C) 50%.
D) 60%.

Accepted Answer

The answer of The percentage of all healthcare providers who...

Question 12

A possible job title for a medical coder position would be:
A) admitting clerk.
B) administrative medical assistant.
C) medical receptionist.
D) health information technician.

Accepted Answer

The most accurate job title for a medical coder would be a health information technician, as this role specifically involves coding and organizing medical records and data. The other job titles listed may involve administrative tasks, but they do not necessarily require knowledge or expertise in medical coding.

Question 13

Prior to the enactment of the Health Maintenance Organization Act of 1973, the growth of a physician's practice would be based on:
A) advertising and referrals.
B) managed care contracts.
C) consultations.
D) hospital affiliations.

Accepted Answer

Prior to the enactment of the Health Maintenance Organization Act of 1973, physicians mainly grew their practices through advertising and word-of-mouth referrals from satisfied patients. Managed care contracts, consultations, and hospital affiliations were not as common or important for the growth of a physician's practice at that time.

Question 14

The responsibilities of a medical biller may include all of the following EXCEPT:
A) contacting patients to collect money.
B) submitting insurance claims.
C) entering patient charge information.
D) contacting insurance carriers about outstanding claims.

Accepted Answer

While medical billers may be involved in some patient interactions regarding billing inquiries and payment plans, it is not their responsibility to directly contact patients to collect money. This is typically handled by a separate department or team.

Question 15

A practice with 10 or more physicians would generally be categorized as a:
A) solo practice.
B) private practice.
C) small-group practice.
D) large-group practice.

Accepted Answer

A practice with 10 or more physicians is considered a large-group practice. Solo practices have only one physician. Private practice refers to ownership structure and does not necessarily indicate the number of physicians in the practice. Small-group practices typically have 2-9 physicians.

Question 16

A centralized billing office (CBO) typically contracts with a physician's office to perform which of the following functions?
A) scheduling patient appointments
B) handling claims and/or accounts receivable
C) verifying insurance coverage
D) compiling and recording medical charts, reports, and correspondence

Accepted Answer

A centralized billing office (CBO) typically handles claims and/or accounts receivable for a physician's office, which includes tasks such as submitting claims to insurance companies, billing patients for any costs not covered by insurance, and following up on unpaid claims. Scheduling patient appointments is typically handled by the physician's office staff, verifying insurance coverage may be handled by the CBO or the physician's office, and compiling and recording medical charts, reports, and correspondence is typically done by medical records staff.

Question 17

Which facility would most likely employ a refund specialist?
A) solo practice.
B) hospital.
C) large-group practice.
D) multi-specialty clinic.

Accepted Answer

Hospitals often have complex billing systems and a high volume of transactions, making it more likely for them to employ refund specialists to handle billing discrepancies and patient refunds.

Question 18

A payment poster would most likely work in which facility?
A) a private practice.
B) a small-group practice.
C) a large-group practice.
D) all of the above.

Accepted Answer

A payment poster is responsible for posting payments and adjustments to patient accounts. This position is typically found in larger healthcare facilities such as large-group practices where there is a higher volume of patients and payments to be processed. While a payment poster could technically work in a private practice or small-group practice, these smaller facilities may not have enough payment processing to warrant a full-time payment poster position. Therefore, a large-group practice would be the best choice for a payment poster to work in.

Question 19

The healthcare professional who researches data in medical records in order to accurately document diagnoses and procedures and obtain maximum reimbursement for physicians is the:
A) medical office assistant.
B) medical collector.
C) medical coder.
D) payment poster.

Accepted Answer

The healthcare professional who researches data in medical records in order to accurately document diagnoses and procedures and obtain maximum reimbursement for physicians is the medical coder. Medical office assistants may perform coding tasks, but it is not their primary function. Medical collectors attempt to collect payment from patients or insurance companies, but do not typically deal with coding. Payment posters are responsible for recording payments and posting them to patient accounts, but again do not typically deal with coding.

Question 20

The percentage of all healthcare providers who are physicians and nurses is:
A) 25%.
B) 40%.
C) 50%.
D) 60%.

Accepted Answer

The answer of The percentage of all healthcare providers who...

Quiz 1: Introduction to Professional Billing and Coding Careers

Most hospitals today are owned by a:

Managed care is a system in which physicians contract to participate in a health insurance network and healthcare delivery is:

Which department is a part of patient financial services(PFS) ?

It is common for small-group practices to outsource:

The increased demand for medical billers, medical office assistants, and medical coders can be attributed to:

Prior to the enactment of the Health Maintenance Organization Act of 1973, a solo practice included all of the following staff members EXCEPT:

A medical office assistant may handle all of the following duties in a medical office EXCEPT:

A large-group practice is a specialized practice that is likely to:

A practice with three physicians would generally be categorized as a:

A group of physicians with different specialties may practice together at one outpatient facility known as a:

The percentage of all healthcare providers who are allied health professionals is:

A possible job title for a medical coder position would be:

Prior to the enactment of the Health Maintenance Organization Act of 1973, the growth of a physician's practice would be based on:

The responsibilities of a medical biller may include all of the following EXCEPT:

A practice with 10 or more physicians would generally be categorized as a:

A centralized billing office (CBO) typically contracts with a physician's office to perform which of the following functions?

Which facility would most likely employ a refund specialist?

A payment poster would most likely work in which facility?

The healthcare professional who researches data in medical records in order to accurately document diagnoses and procedures and obtain maximum reimbursement for physicians is the:

The percentage of all healthcare providers who are physicians and nurses is: