Question 1

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

Handling claims and/or accounts receivable

Question 2

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

Accepted Answer

medical coder.

Question 3

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

monitored to control costs.

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

The answer of It is common for small-group practices to...

Question 5

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 6

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...

Question 7

All of the following are features of a patient account services (PAS) facility EXCEPT:
A)employing few staff members.
B)having multiple departments.
C)handling claims for hospitals within a state or region.
D)handling hospitals' accounts receivable.

Accepted Answer

The answer of All of the following are features of...

Question 8

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 9

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 10

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

Accepted Answer

The answer of The responsibilities of a medical biller may...

Question 11

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 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

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

interpreting laboratory test results.

Question 14

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 15

A PAS facility may include all of the following departments EXCEPT:
A)medical records.
B)government billing.
C)insurance verification.
D)appeals.

Accepted Answer

The answer of A PAS facility may include all of...

Question 16

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 17

Before the 1970s, a solo practice included all of the following staff members EXCEPT:
A)physician.
B)nurse.
C)certified medical biller.
D)receptionist.

Accepted Answer

The answer of Before the 1970s, a solo practice included...

Question 18

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 19

All of the following changes were a result of managed care EXCEPT:
A)physicians' having to wait 30 days or longer for payment.
B)physicians' having more responsibility for filing claims.
C)patients' having to pay for services when rendered.
D)physicians' having to add to their staff.

Accepted Answer

The answer of All of the following changes were a...

Question 20

Before the 1970s, a physician's practice would grow based on:
A)advertising and referrals.
B)managed care contracts.
C)consultations.
D)hospital affiliations.

Accepted Answer

The answer of Before the 1970s, a physician's practice would...

Quiz 1: Introduction to Professional Billing and Coding Careers

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

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.

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.

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

All of the following are features of a patient account services (PAS) facility EXCEPT: A)employing few staff members. B)having multiple departments. C)handling claims for hospitals within a state or region. D)handling hospitals' accounts receivable.

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.

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

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

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.

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.

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

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.

A PAS facility may include all of the following departments EXCEPT: A)medical records. B)government billing. C)insurance verification. D)appeals.

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

Before the 1970s, a solo practice included all of the following staff members EXCEPT: A)physician. B)nurse. C)certified medical biller. D)receptionist.

All of the following changes were a result of managed care EXCEPT: A)physicians' having to wait 30 days or longer for payment. B)physicians' having more responsibility for filing claims. C)patients' having to pay for services when rendered. D)physicians' having to add to their staff.

Before the 1970s, a physician's practice would grow based on: A)advertising and referrals. B)managed care contracts. C)consultations. D)hospital affiliations.