question

pre-existing condition

answer

illness or disorder of a beneficiary that existed before the effective date of insurance coverage

question

indemnity plan

answer

a type of medical insurance that reimburses a policyholder for medical services under the terms of its schedule of benefits

question

deductible

answer

an amount that an insured person must pay, usually on an annual basis, for health care services before a health plan's payment begins

question

coinsurance

answer

the portion of charges that an insured person must pay for health care services after payment of the deductible amount

question

payer

answer

a health plan or program

question

benefits

answer

the amount of money a health plan pays for services covered in an insurance policy

question

referral

answer

a transfer of patient care from one physician to another

question

premium

answer

money the insured pays to a health plan for a health care policy, ususally paid monthly

question

medical insurance

answer

a financial plan that covers the cost of hospital and medical care

question

True

answer

T or F - preferred provider organizations are the most popular type of managed care plans

question

True

answer

T or F - a consumer-driven health plan involves a high-deductible health plan coupled with a tax-preferred savings account

question

False

answer

T or F - the third party to a medical insurance contract is the policyholder

question

False

answer

T or F - health plans pay for covered and noncovered services

question

False

answer

T of F - on an electronic schedule, each provider's schedule must be viewed separately

question

True

answer

T or F - many manged care plans also cover preventive medical services

question

False

answer

T or F - a new patient is someone who has not received any services from the provider (or another provider of the same specialty who is a member of the same practice) within the past two years

question

False

answer

T or F - it is best to wait to obtain the patient's reason for the visit at the time of the encounter

question

True

answer

T or F - a paper referral document is a specific set of instructions from the primary care physician that directs the patient to a specialist or facility for medically necessary care

question

True

answer

T or F - the three categories of informatin new patients provide during telephone preregistration are patient demographics, basic insurance information, and the reason for the visit

question

certification

answer

the preauthorization number may also be called the _________ number. eligibility, verification, certification, demographic

question

patient portals

answer

websites that can be used by patients to make appointments or receive messages formt heir health care providers are known as ______. patient portals, health care networks, electronic records, medical alerts

question

stream

answer

examples of different scheduling systems include open-hours scheduling, _________ scheduling, double-booking and wave scheduling. rotating, ripple, stream, flow

question

preregistration

answer

the process of gathering informaton about a new patient before an appointment is known as ____. prerecording, preregistration, preauthorization, predetermination

question

a participating provider

answer

in most managed care insurance plans, patients must use network physicians to avoid paying higher charges. For this reason, patients check whether the provider is ___________ in their plan. a practicing physician, a participating provider, an authorized provider, a preferred provider

question

copayment

answer

at the time an HMO member sees a provider, he or she pays a specified charge called the ________. copayment, coinsurance, premium, indemnity

question

schedule of benefits

answer

the medical insurance policy for each health plan contains the __________ that summarizes the payments that may be for medically necessary services received by policyholders. schedule of referrals, diagnostic code list, formaulary of benefits, schedule of benefits

question

managed care

answer

although there are many variations in the way health plans are structured, indemnity and __________ plans are the basis of all of them. workers' comp, individual, managed care, group

question

right mouse button

answer

to display a shortcut menu with cut and paste commands for cutting and pasting appointments in Office Hours, press the ____________. enter key, delete key, left mouse button, right mouse button

question

referral and authorization

answer

a certification number for a procedure is the result of the _________ transaction and process. coordination of benefits, referral and authorization, claims status, eligibility for a health plan

question

premium, medical insurance, covered, benefits, copay

answer

if you have paid your ________ and your _________ policy is up-to-date, the __________ services, listed on your schedule of _________, will be paid by your insurance. However, you will still be responsible for the ________ for each visit. benefits, medical insurance, premium, copay, covered

question

medical insurance, policyholder, health plan, payer, premium, benefits,

answer

__________ is a written policy between an individual, called the ________ and a _________, an insurance company or government program that is the ________. The policy holder pays a specified amount of money call a __________. In exchange, the policy holder receives ___________, defined by America's Health Insurance Plans (AHIP) as payments for covered medical services for a specific period of time. policyholder, health plan, payer, medical insurance, premium, benefits

question

password

answer

a confidential authentication information

question

restoring

answer

a process of retrieving data from a back up storage device

question

chart

answer

a folder that contains all records pertaining to a patient

question

dashboard

answer

a panel in MCPR that offers providers a convenient view of important information

question

Medisoft Clinical Patient Records

answer

an electronic health record application within Medicsoft Clinical.

question

chief complaint

answer

a patients description of the symptoms or reasons for seeking medical care

question

user name

answer

a name that an individual uses for identification purposes when logging onto a computer or an application

question

database

answer

a collection of related bits of information

question

knowledge base

answer

a collection of up-to-date technical information

question

backing up

answer

making a copy of data files at a specific point in time that can be used to restore data

question

True

answer

T or F - access levels define which areas of the program a user can view, and whether the user can only view the information or can also add, edit, or delete it

question

False

answer

T of F - the encounter steps include only activities that take place before the patient arrives for an office visit

question

True

answer

T or F - disaster recovery plans require practices to back up computer data

question

false

answer

T or F - a user must be online to access any of the help features for Medisoft Network Professional and Medisoft Clinical Patient Records

question

True

answer

T or F - medisoft clinical is a practice management and electronic health record program for physician practices.

question

True

answer

T or F - Medisoft Network Professional is the Medisoft application used for patient accounting

question

True

answer

T or F - the pre-encounter steps include preregistration and appointment scheduling

question

False

answer

T or F - Medisoft Clinical Patient Records is the personal health record component of Medisoft Clinical

question

True

answer

T or F - the result of a claim review are sent to the provider along with the payment

question

numeric codes

answer

once an examination is complete and the documentation has been entered in MCPR, the services provided and the provider's determination of the patient's diagnoses must be assigned ___________. letters, numeric codes, names, all of the above

question

disaster recovery plan

answer

a plan for resuming normal operations after a disaster such as a fire or a computer malfunction is a ________. back up plan, restoring plan, disaster recovery plan, all of the above

question

all of the above

answer

which of the following is a built-in security feature of Medisoft Clinical? user names, passwords, access levels, all of the above

question

knowledge base

answer

the website contains a searchable _______ which is a collection of up-to -date technical information about Medisoft products database, dashboard, knowledge base, user name

question

both a and b

answer

the pre-encounter steps include _________ appointment scheduling, preregistration, claim preparation, both a and b

question

chart

answer

the term _______ refers to a patient's medical record. chart, database, dashboard, consult

question

restoring

answer

what is the process of copying backup files onto the office's computer systems, facilitating a return to normal business activities? restoring, backing up, parking, both a and b

question

claims

answer

to receive payment, a medical practice must create and submit _________ to health plans diagnoses, claims, statements, adjudication

question

all of the above

answer

a statement lists _______ all service performed, the amount paid by the health plan, the charges for each service performed, all of the above

question

office hours

answer

Medisoft Network Professional includes _______ , a scheduling program Medisoft Clinical Patient Records, auto log off, office hours, none of the above

question

transfer

answer

a student who is familiar with Medisoft Clinical should be able to _______ many skills taught in this book to other similar programs transfer, relearn, either a or b, neither a or b

question

medisoft network professional

answer

MNP is the abbreviation for __________ Microsoft network plan, medisoft network professional, medisoft national plan, none of the above

question

medisoft network professional

answer

what is the practice management application within medisoft clinical _________ medisoft database, medisoft network professional, medisoft clinical patient records, medisoft dashboard

question

medisoft clinical patient records

answer

what is the electronic health record application within medisoft clinical _______________? medisoft database, medisoft network professional, medisoft clinical patient records, medisoft dashboard

question

both a and b

answer

medisoft clinical is a _____________ program for physician practices. practice management, electronic health record, personal health record, both a and b

question

HIPAA and HITECH

answer

Medisoft clinical has security features to ensure compliance with the ________ privacy and security regulations HIPAA, HITECH, HIPAA and HITECH, TCS

question

user name, password

answer

in order to log in to medisoft clinical an individual must enter both a _______ and a _______ access number; password user name; password password; control number control key; password

question

unauthorized

answer

the use of user names and passwords prevents _________ access to the program, safeguards critical patient information, and protects patient confidentiality. provider, health plan, unauthorized, unidentified

question

access levels

answer

medisoft clinical can have a number of ___________ created for different positions in the office control numbers, administrative functions, access levels, none of the above

question

access levels

answer

if you are in charge of medisoft clinical security and you want to allow the physicians and nurses to enter and edit clinical data, while permitting the billing specialists and receptionists to only view that data, determine the security option that you would use. user names, access levels, passwords, park feature

question

electronic databases

answer

medisoft clinical patient records stores patient information in a number of ________ electronic databases, paper file folders, charts, none of the above

question

database

answer

a ___________ is a collection of related pieces of information dashboard, database, chart, knowledge base

question

chart

answer

the term _______ refers to a patient's medical record dashboard, database, chart, knowledge base

question

all of the above

answer

physician practices use medisoft network professional to __________. enter charges, follow up on accounts, create statements, all of the above

question

scheduling

answer

medisoft network professional includes office hours, a __________ program. filing, charting, scheduling, accounting

question

chief complaint

answer

the patient's ________ is that patients' description of the symptoms or reasons for seeking medical care chief concern, main concern, chief complaint, all of the above

question

manually; electronically

answer

tasks formerly completed ________ are now performed _________ through the use of computers. by freelancers; by billing staff using pencils; electronically manually; electronically none of the above

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