question

What action(s) is/are common for a practice to take when an account has not been paid thirty days after bill was first issued.

answer

all of the above answers are correct /(phone the patient, send a second statement, send an automatic reminder notice).

question

The purpose of the Nonate buttom on the patient education window toolbar is to

answer

attach a note to the handout

question

Determine how long a payer has taken to respond to each claim by using a(n)

answer

insurance aging report

question

A patient asks the practice to stop all phone calls. Which of these methods should be used to contact the patient?

answer

contact the patient via mail

question

When calling a patient, which of these actions should you NOT perform?

answer

mislead the patient to secure a payment

question

Medicare-participant providers _________ charge an amount lesser than the Medicare allowed charge from the Medicate Physician Fee Schedule to other patients.

answer

May not

question

________ are listed in the Statement dialog box.

answer

Guarantors

question

A report needs to be emailed to a payer for clarification, Which of these options should be selected from the Print Report Where dialog box?

answer

Export the report to a file

question

Why have the federal government and private payers set up monetary rewards for meaningful use EHRs?

answer

because of the potential to improve the delivery of health care.

question

A practice needs to decide whether a patient is indigent. What resource(s) should it use to do so?.

answer

means test

question

If paper encounter form system is in use in the practice, charges are entered manually; whereas if an electronic encounter form systems is used, charges are automatically posted in the Transaction Entry dialog box by

answer

Medisoft Clinical Patient records

question

The list only claims That Match dialog box can be used to set ______ filter(s) for viewing previously created claims.

answer

multiple

question

The CMS-1500 has a block labeled "Insurance Name/Address" In what HIPAA claim sections is this information located?

answer

payer

question

Determine which of the following reports a medical practice would use to identify how much of a copayment was not applied

answer

co-payment report

question

The documentation says: "An anterior interbody arthrodesis of the thoracic level is performed. A general surgeon performs the transthoracic opening of the thorax, and the orthopedic surgeon performs the arthrodesis on the vertebral body". What modifier is assigned to the CPT code for the procedure?

answer

-62 Two surgeons

question

You are asked to produce claims for Riverdale Hospital for the period 10/01/2016 through 11/01/2016. What filters do you utilize to the Claim Creation dialog box?.

answer

Location and Transaction date boxes

question

The columns in the Allowed Amount tab on the Procedure/Payment/Adjustment dialog box are

answer

Insurance Name. Code, modifiers, and Amount

question

The phrase "dropping the paper" means

answer

printing and mailing a claim

question

determine which of the following reports a practice would use to review incoming revenue information pertaining to an individual provider.

answer

production by provider report

question

The entries in the Data from section of the Patient day sheet search box refer to the

answer

actual dates of the transaction

question

Once a patient's accounts has been referred to a collection agency, what is the role of the practices billing staff?

answer

discontinue contacting the patient

question

A Medical Assistant needs to figure out how long to retain a patient's record. Determine what document he should consult.

answer

retention schedule

question

Identify which of the following is NOT an account alert abbreviation in Medical Network professional.

answer

MS

question

Use the _____ button in the Deposit dialog box only after the information has been entered and checked for accuracy

answer

save

question

The patient education feature in MCPR opens in its own window, with its own

answer

Menu/toolbar (both A and B are correct)

question

In the transaction Entry dialog box in Medisoft Network Professional, a walkout receipts is created via the ______ Receipt button or _______Receipt button

answer

Print/Quick

question

Which section of the Apply Payment/Adjustment to Charges dialog box would you use to identify a patient's insurance carrier?

answer

top

question

As a general rule, when a state law is more restrictive than the related federal law, the ____ law is followed.

answer

state.

question

Under a preferred provider organization (PPO), what policyholder payment is due on a per-visit basis?

answer

copayment

question

To review claim information about a patient's visit in October for management of diabetes, choose the _____ tab of the claim dialog box.

answer

Transaction

question

What are performance measures based on?

answer

Objective evidence

question

Medisoft Network professional's Print Report Where? dialog box providers which of the following?

answer

All of the above answered are correct.(export the report to a file, preview the report on the scree, print the report on the printer)

question

Using a diagnosis code that is not as specific as possible is an example of an ______

answer

error relating to the coding process

question

A second deposit is entered as an insurance payment with a _____ in order to adjust patient accounts that are covered by the capitated plan.

answer

zero amount

question

Determine which Medisoft Network Professional submenu is accessed to create reports for identifying patients by diagnosis or insurance carrier.

answer

Standard patient List

question

Which Claim format allow for more data to be sent?

answer

HIPAA 837

question

To generate statements in Medisoft Network professional, Which of the following dialog boxes would you used to determine there contents?

answer

Created statements

question

The ______ button at the bottom of Medisoft Network Professional's Claim Management dialog box opens the dialog box used to _______claims.

answer

Create claims; create

question

A patient has paid $310 for a procedure which is later determined to only require $258 payment. determine the amount the practice would owe the patient as a refund.

answer

$52

question

Identify the purpose of a collection list.

answer

to track activities that need to be completed as part of the collection process

question

The purpose of the RBRVS is to ____ that are listed in the ______.

answer

establish Medicare charges; Medicare Physician Fee Schedule(MPFS)

question

When a claim is active in Medisoft Network Professional's Claim Management dialog box, its can edited by

answer

both A and B answers are correct (clicking the New button

question

A(n)_________ is an amount of time that must pass before a newly employed person is eligible to enroll in an employer-sponsored health plan

answer

waiting period

question

Capitation payments entered in Medisoft Network professional should be applied to

answer

cover all the insured patients who elect to use the practice

question

During the payer's adjudication process, if the automated review finds problems, the claim is _________ and set aside for development.

answer

suspended

question

What is the purpose of the buttons at the bottom of the Transactions tab?

answer

All f the above answers are correct / (add transaction to statement, split transactions, remove transactions from a statement)

question

A practice wants to track the activities it needs to complete as part of the collection process. which tool should it employ?

answer

collection list

question

How often can the Medisoft Program Date be changed once the system is installed?

answer

as many times as desired

question

If the plan requires _____ deductible, each member of the family of the insured must meet this level; for the ______ type of deductible, the payments of each member are combined and count toward meeting the required amount

answer

individual; family

question

Patient Gloria Ramsey would like to know the estimated charges for a schedule operation that is regularly performed by the practice's surgeon. How would you locate this information?

answer

Both A and B answers are correct / (Use the allowed amounts tab of the Procedure/Payment/Adjustment dialog box to look up the appropriate procedure code.

question

Financial policies explain how a practice handles certain task. Which of these components should be included?

answer

All of the above answers are correct / (collecting prepayment for service, collecting payments for services not covered by insurance, setting up financial arrangements for unpaid balances.)

question

Describe the plan(s) that TRICARE offers to military personnel and their families.

answer

a fee-for-services program and two managed care plans.

question

Once the List Only... filters have been applied, only the claims that match the criteria are listed at the ______ of the main Claim Management dialog box.

answer

bottom

question

If an insurance company elects to wait and then pay multiple charges all at one, report this information in the _______ column of the Apply Payment/Adjustment to Charges dialog box.

answer

Withhold

question

The patient education feature has a(n) __________ search feature.

answer

built-in

question

What type(s) of health plan contracts with physician, hospitals, clinics, and pharmacies to provide a network of care providers for its beneficiaries?

answer

All of the above answers are correct / ( point-of-service(POS)plan, health maintenance organization(HMO), preferred provider organization(PPO).

question

Worker's compensation insurance providers benefits for traumatic injury on the job, What else does it cover/

answer

neither A nor B answers are correct / (general illnesses that prevent employees from working.

question

Compare the following statements and select the one that is accurate.

answer

In CCI mutually exclusive edits, the code in column 1 could not have be done for the same patient, same date of service, same provider, as the code in column 2, so Medicare will pay just the lower-paid code.

question

Determine which of the following boxes you would use to utilize Medisoft's Search dialog box.

answer

selection boxes

question

Additional legal regulations do not apply to agreements between a practice and patient when no _____ are applied.

answer

both A and B are correct / (finance charges)

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