2977546441 | Murder and robbery are considered to be felonies because they are crimes that carry punishment of imprisonment up to one year. | False | 0 | |
2977551259 | Unintentional torts occur when the patient is injured as a result of the MA not exercising the ordinary standard of care. | True | 1 | |
2977553356 | The President is a part of the judicial branch. | False | 2 | |
2977562526 | Monetary awards by a court to a person who has been harmed in especially malicious or willful way are called nominal damages. | False | 3 | |
2977567874 | An implied contract is an agreement that is made through inference by signs, silence, or inactions. | True | 4 | |
2977572617 | The physician is legally obligated to report: | deaths, births, communicable diseases, and abuse. All of the above | 5 | |
2977578642 | The government organization that investigates a violation of a patient's medical privacy is: | OCR | 6 | |
2977585830 | The threat of doing bodily harm to another person-- stating for example, "If you won't allow us to continue this procedure, we will have to tie your hands"-- is: | assualt | 7 | |
2977590092 | The amount of federal tax withheld is based on the employee's exemptions, pay period, and | Employee's marital status | 8 | |
2977594668 | A process by which a physician in one state is granted a license to practice medicine in another state is: | reciprocity | 9 | |
2977596942 | A new employee must complete which of the following? | W-4 form | 10 | |
2977601789 | All of the following are reasons for revoking a physician's license except: | Providing atypical care | 11 | |
2977604992 | A Schedule 1 controlled substance | cannot be prescribed | 12 | |
2977607028 | The three branches of the U.S. Government include | Executive, Legislative, and Judicial | 13 | |
2977609668 | An authorization in advance to withdraw artificial life support is: | An advance directive | 14 | |
2977619814 | The person who brings the action into litigation is called a | plaintiff | 15 | |
2977622995 | Patient information that is released without the patient's authorization might result in a legal charge of: | Invasion of privacy | 16 | |
2977625256 | Improper performance of an otherwise proper or lawful act | misfeasance | 17 | |
2977627018 | Taking away a license to practice medicine is called | revocation and expulsion | 18 | |
2977631905 | When a patient has HMO managed care insurance, who is the gatekeeper to authorize consultations with specialists? | The primary care provider | 19 | |
2977634652 | If a patient refuses to consent to treatment, the medical assistant should: | Delay treatment and inform or consult with the physician | 20 | |
2977639949 | The common law of the past that is based on a decision made by judges is called | case law | 21 | |
2977642396 | When making a claim for payment after a patient has died, the claim (or bill) must be | sent to the administrator of the estate of the deceased person | 22 | |
2977644055 | The patient's medical record belongs to: | The physician | 23 | |
2977648152 | Takes place when the physician or healthcare worker and the patient's relationship is established | Duty | 24 | |
2977651290 | The Patient Self-Determination Act, which includes health care directives, ensures that patients are able to: | Control their own health care decisions | 25 | |
2977654225 | Research that will not directly benefit the research subject is: | non therapeutic | 26 | |
2977655581 | Legally, a physician: | May refuse to accept a patient if he or she chooses | 27 | |
2977659520 | When implementing HIPAA, physicians and physician groups should | hire a privacy officer, implement a notice of privacy practices, retain signed authorizations for a least six years, enter into agreements with non-employee service providers. All of the above | 28 | |
2977669219 | The patient may be angry with everyone and may express an intense anger | anger | 29 | |
2977671988 | In-vitro fertilization occurs as a result of | implantation of the fertilized ovum in the uterus and growth of the fertilized ovum in the laboratory. | 30 | |
2977677079 | Release of a patient's medical records without proper authorization might result in charges of: | Invasion of privacy | 31 | |
2977679915 | Active euthanasia | is illegal | 32 | |
2977681618 | What are the two main types of law? | Criminal and Civil | 33 | |
2977686581 | A coroner or health official will have to sign a death certificate in the case of | a death as a result of a criminal action, an unlawful death such as assisted suicide, unexplained or unexpected death. | 34 | |
2977690032 | AIDS is the same as | acquired immunodeficiency syndrome | 35 | |
2977693575 | To release medical information: | The patient must sign a release form | 36 | |
2977696495 | Which of the following should be reported to the health department? | Human immunodeficiency virus (HIV) | 37 | |
2977702233 | Which of the following forms indicates an employee's withholding allowance? | W-4 | 38 | |
2977705046 | In the U.S. legal system, the burden of proof is placed upon | the plaintiff | 39 | |
2977708135 | Removing one's clothing in order to allow the physician to perform a physical examination is an | implied contract | 40 | |
2977718824 | The conscience clause refers to | hospitals not choosing to perform sterilization procedures and physicians and hospitals not being able required to participate in sterilization | 41 | |
2977727597 | Medical issues relating to bioethics include | abortion, surrogate parenthood, and genetic counseling | 42 | |
2977735873 | A patient complains of a sore throat. The provider takes a swab for a throat culture to diagnose and treat the complaint. The act is considered: | Implied consent | 43 | |
2977740509 | Federal reimbursement guidelines mandate that all medical records be completed with how many days following the patient's discharge from a hospital? | 30 | 44 | |
2977755220 | Which branch of the U.S. government interprets the law? | Judicial | 45 | |
2977757982 | Informed consent includes which of the following elements? | Benefits and risks of the treatment, purpose of treatment, nature of the patient's condition, and assessment of the patient's understanding of the treatment. All of the above | 46 | |
2977766005 | An oral testimony that is made before a public officer of the court to be used in a lawsuit is a | deposition | 47 | |
2977768826 | Dr. Elizabeth Ross is known for the study of | stage of death and dying | 48 | |
2977772031 | The statute of limitations varies somewhat from state to state but is typically | one to three years | 49 | |
2977774225 | HIPAA compliance in the medical front office refers to: | Patient confidentiality | 50 | |
2977776855 | Standard of care refers to the care that | a reasonable person would use, is ordinary care, a prudent person would use, and healthcare professionals in all specialties must practice. All of the above | 51 | |
2977781934 | If called to testify in court, one should | not memorize his or her testimony ahead of time, not answer questions he or she does not understand, always tell the truth, and be professional. All of the above | 52 | |
2977786794 | An enforceable contract contains: | An offer, An acceptance, A consideration, A capacity. All of the above | 53 | |
2977789052 | Respondeat superior means that | the employer is liable for the actions of the employee | 54 | |
2977791005 | Rules and laws made by agencies are defined as | Regulatory law | 55 | |
2977796734 | The Health Information Portability and Accountability Act of 1996 was enacted to regulate all of the following except: | Setting standards for employees with disabilities | 56 | |
2977798717 | A procedure or treatment that is needed refers to | ordinary | 57 | |
2977801660 | A violation of HIPAA | is a criminal offense | 58 | |
2977804248 | Which of the following is the most important factor in coding? | Accuracy of codes | 59 | |
2977807967 | Insurance that protects a person in the event of a certain type of accident, such as an automobile or plane crash, is called | special risk insurance | 60 | |
2977809383 | A direction to consider additional codes is: | See also | 61 | |
2977811336 | A Medicare claim for a deceased beneficiary may be paid directly to the physician if: | The estate is billed | 62 | |
2977813812 | Which of the following is the main purpose of the ICD-9-CM? | to compile statistical data, to index medical records for data storage and retrieval, to facilitate the collection of uniform and comparable health information | 63 | |
2977821398 | A claim may be rejected by an insurance company because of the omission of: | complete diagnosis, policy number, patient birth date, itemization of charges. All of the above | 64 | |
2977828726 | The ICD-9-CM codes for classifying the cause of injuries, poisonings, or adverse drug reactions are | E codes | 65 | |
2977829902 | The patient must pay a regular monthly premium for: | Medicare Part b | 66 | |
2977832505 | A two-digit modifier attached to the five-digit CPT code indicates | A service or procedure has been altered | 67 | |
2977834586 | Which is the best way to work with patients regarding financial matters? | Explain the office financial policies when patients make an appointment | 68 | |
2977837534 | Which of the following ICD-9-CM codes indicates the cause of an accident? | E811.0 | 69 | |
2977839617 | A claim that is printed and mailed to the carrier is called a ______ copy | hard | 70 | |
2977847880 | What is the monthly net income for a medical practice whose expenses are $8500, revenue is $14,130, total assets are $263,000, and liabilities are $53,000? | $5630 | 71 | |
2977850117 | How many digits are assigned to the primary code in the CPT coding system? | 5 | 72 | |
2977855852 | A type of insurance that protects workers from loss of wages after an industrial accident that happened on the job is called | workers' compensation | 73 | |
2977857669 | Organizations that fund their own insurance programs offer their employees | self-insured plans | 74 | |
2977859119 | Which of the following is an example of fraud? | Altering a patient's chart to increase the amount reimbursed | 75 | |
2977862809 | The purpose of a charge slip is to | provide an itemized billing statement on which the physician notes charges | 76 | |
2977867510 | To examine claims for accuracy and completeness before they are submitted is to ____ the claims | audit | 77 | |
2977869834 | Which coding system is not associated with medical procedures? | International Classification of Diseases, ninth, edition, Clinical Modification (ICD-9-CM) | 78 | |
2977876413 | The universal claim form developed by Health Care Financing Administration (HCFA) is: | CMS-1500 | 79 | |
2977878603 | Which of the following are Evaluation and Management descriptors? | Physical examination, school physical, well baby check up, and preoperative physical. All of the above | 80 | |
2977883137 | Which of the following must always be completed on the insurance claim form? | If the physician accepts assignment of benefits | 81 | |
2977884760 | Which of the following is a type of insurance verification method? | asking about the patient's insurance during the initial appointment telephone call, copying the insurance card when the patient arrives for an appointment, and calling the carrier to verify benefits and eligibility | 82 | |
2977893064 | A V-code: | refers to factors that influence health status | 83 | |
2977897513 | Which of the following items is not covered by Medicare Part B? | Hospitalization | 84 | |
2977899805 | Which of the following Medicare programs covers hospital charges? | Part A | 85 | |
2977901255 | Under a managed care plan, the physician agrees to: | Accept predetermined fees | 86 | |
2977903093 | Third-party participation in an office indicates the relationships among the: | physician, patient, and insurance company | 87 | |
2977905169 | The most common insurance claim form is the | CMS-1500 | 88 | |
2977906999 | Which is an example of a third party payer? | Medicare | 89 | |
2977910442 | When a patient has managed care insurance, who is the gatekeeper to authorize consultations with specialists? | The primary care provider | 90 | |
2977913083 | The current Health Care Claim form has also been called | HCFA 1500, Universal Claim Form, and CMS-1500 | 91 | |
2977918146 | When using the ICD-9-CM codes, which of the following will occur when the fourth and fifth digits are omitted? | Claim denials | 92 | |
2977922302 | All of the following would require a CPT code except: | Diarrhea | 93 | |
2977923791 | An E code in the ICD-9-CM coding system: | Refers to external causes | 94 | |
2977926931 | Which of the following would be the least helpful for encouraging patients to make prompt payments? | Sending collection letters to all patients with a balance due | 95 | |
2977928490 | Capitation si | Fixed payment made for each enrolled patient rather than reimbursement based on the type and number of services provided | 96 | |
2977933774 | Which of the following expenses would be paid by Medicare Part B? | Physician's office visits | 97 | |
2977935905 | According to the CPT, E&M code begin with which of the following 2 digits? | 99 | 98 | |
2977939167 | Which of the following is new to ICD-10 (compared with ICD-9)? | expansion of injury codes, more information on ambulatory care, greater number of codes, and additional letters and digits. All of the above | 99 | |
2977942341 | EHR is an acronym for: | Electronic Health Record | 100 | |
2977945868 | Which type of insurance organization uses the fee-for-services concept? | Preferred provider organization (PPO) | 101 | |
2977951337 | Modifiers are used primarily to signify which of the following? | only part of procedure was performed, a service or procedure has been increased or reduced, and a service or procedure was performed more that once, or by more than one physician. All of the above | 102 | |
2977958262 | Which of the following is a diagnostic coding system that is used to code morbidity? | ICD-9-CM | 103 | |
2977961126 | The physician who enters into a contract with an insurance company and agrees to certain rules and regulations is called a ____ provider | participating | 104 | |
2977962676 | Disadvantages of the EMR system include | cost, training time, and learning curve. All of the above | 105 | |
2977965261 | Which of the following is a coding system used to document the procedure for suturing a laceration? | CPT | 106 | |
2977967319 | Which factor is not included when determining the level of service for E&M codes? | Cost of services | 107 | |
2977969299 | Which of the following requires an ICD-9-CM code? | Irritable bowel syndrome | 108 | |
2977971993 | When selecting the E&M code for CPT coding, which of the following elements is required for all levels of the history? | Chief Complaint | 109 | |
2977975206 | How many chapter of disease descriptions and codes are included in the Tabular List? | 17 | 110 | |
2977977018 | The federal insurance program that provides for the medically indigent is: | Medicaid | 111 | |
2977979315 | How do insurance companies use procedure codes? | To decide whether the care being given corresponds to the patient's disease | 112 | |
2977981886 | Medicare's UPIN stands for _____ identification number | unique provider | 113 | |
2977985004 | The individual entitled to receive benefits from an insurance policy or program is called the | beneficiary | 114 | |
2977988531 | If a policy holder of an 80-20 plan had for surgery that costs $3,600 how much of this bill is the subscriber responsible to pay? | $720 | 115 | |
2977990728 | Veterans of the U.S. armed forces may be covered by | CHAMPVA | 116 | |
2977993845 | ICD-9-CM codes that refer to factors that may influence the patient's health status are: | V-codes | 117 | |
2977995562 | Verification of insurance benefits is usually done by | calling the insurance carrier | 118 |
Medical Billing and Coding, Medical Law and Ethics Flashcards
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