A payer's review of a claim may result in which of the following actions?

Answer
Selected Answer:
Denial/rejection, payment, request further
information
Correct Answer:
Denial/rejection, payment, request further
information

Question 2
0 out of 1 points

Physician services are billed by the hospital when the physician

provides services in a hospital setting.
Answer
Selected Answer:
True
Correct Answer:
False

Question 3
0 out of 1 points

Charges for services performed by a physician or other, non-physician

clinical provider are called:
Answer
Selected Answer:
Facility charges.
Correct Answer:
Professional charges.

Question 4
0 out of 1 points

The term used to describe the individual who is responsible to pay for
medical services provided is:
Answer
Selected Answer:
Patient.
Correct Answer:

Guarantor.

Question 5
1 out of 1 points

Five outpatient areas where a patient may be seen in the hospital are
emergency, laboratory, radiology, clinic, and primary care office.
Answer
Selected Answer:
True
Correct Answer:
True

Question 1
1.8 out of 1.8 points

The purpose of the admission process is to:

Answer
Selected
Answer:

Obtain required information for evaluation, treatment, and

billing for patient care services.

Question 2
1.8 out of 1.8 points

The purpose of preadmission testing is to:

Answer
Selected
Answer:

Identify potential medical problems before the surgery and

obtain a baseline of health care information on the patient.

Question 3
1.8 out of 1.8 points

A Written Authorization for Release of Medical Information is required

before patient information can be released.
Answer
Selected Answer:
True

Question 4
0 out of 1.8 points

This form is prepared during the admission process and provides a

summary of information regarding the reason for the patient admission.
The discharge provides an overview of patient care activity during the
patient stay.
Answer
Selected Answer:
Discharge summary

Question 5
0 out of 1.8 points

The relationship between physician's orders and patient care services is:
Answer
Selected
Answer:

Hospital personnel utilize physician orders to capture

charges.

Question 6
1.8 out of 1.8 points

The term used to describe the individual who is responsible to pay for
medical services provided is:
Answer
Selected Answer:
Guarantor.

Question 7
1.8 out of 1.8 points

Examples of patient care services that may be provided by ancillary

departments include:
Answer
Selected Answer:
CBC, chest X-ray, and respiratory therapy.

Question 8
1.8 out of 1.8 points

The relationship between patient accounts data flow and charge capture is
that information collected at registration is used throughout the patient
stay for:
Answer
Selected
Answer:

Order entry, rendering patient care services, and charge

capture.

Question 9
1.8 out of 1.8 points

Categories of services provided in the hospital include accommodations.

Accommodation services include:
Answer
Selected
Answer:

The room and overhead for nursing coverage during the

patient stay.

Question 10
1.8 out of 1.8 points

The "Golden Rule" for coders, when coding from a medical record, is:
Answer
Selected Answer:
If it is not documented, do not code it.

Question 11
1.8 out of 1.8 points

The act of being received or accepted as an inpatient in the hospital is

called:
Answer
Selected Answer:
Admission

Question 12
1.8 out of 1.8 points

The _______________________ department's responsibilties include

maintenance and security of the patient's medical record, conducting

audits and coding medical records

Answer
Selected Answer:
Health Information Management

Question 13
0 out of 1.8 points

Which hospital department performs billing functions?

Answer
Selected Answer:
Health Information Management

Question 14
1.8 out of 1.8 points

The patient's medical record is where pertinent information regarding

patient care services is recorded.
Answer
Selected Answer:
True

Question 15
1.8 out of 1.8 points

To provide effective and efficient patient care services and to maintain

financial stability, it is important to obtain all required information to treat
the patient and bill for services.
Answer
Selected Answer:
True

Question 16
1.8 out of 1.8 points

Charges for services performed by a physician or other, non-physician

clinical provider are called:
Answer
Selected Answer:
Professional charges.

Question 17

1.8 out of 1.8 points

The A/R report is prepared and reviewed for the purpose of monitoring and
follow-up on outstanding accounts.
Answer
Selected Answer:
True

Question 18
1.8 out of 1.8 points

Verification of insurance is required to ensure appropriate reimbursement

for services received.
Answer
Selected Answer:
True

Question 19
1.8 out of 1.8 points

Physician services, by a physician who is not employed by the hospital,

are billed by the hospital when the physician provides services in the
hospital setting.
Answer
Selected Answer:
False

Question 20
1.8 out of 1.8 points

What term is used to describe a category of financial information grouped

according to the type of payer, such as commercial, Blue Cross/Blue
Shield, Medicaid, Medicare, TRICARE, Auto, Workers' Compensation, and
managed care?
Answer
Selected Answer:
Financial class

Question 21
1.8 out of 1.8 points

Which of the followiong is included in the flow of information in a hospital:

Answer

Selected Answer:
Demographic

Question 22
1.8 out of 1.8 points

Peer Review Organization (PRO) reviews have a direct impact on

reimbursement.
Answer
Selected Answer:
True

Question 23
1.8 out of 1.8 points

The process of posting transactions to a patient's account includes posting

patient and third-party payments, contractual adjustments where
appropriate, and billing the patient for any remaining balance when
appropriate.
Answer
Selected Answer:
True

Question 24
1.8 out of 1.8 points

Five outpatient areas where a patient may be seen in the hospital are
emergency, laboratory, radiology, clinic, and primary care office.
Answer
Selected Answer:
True

Question 25
0 out of 1.8 points

Three types of reviews conducted by a Peer Review Organization (PRO) are

as follows:
Answer
Selected Answer:
Prospective, medical record, retrospective.
Sunday, January 6, 2013 3:59:08 PM EST

Martressa Payne
Course
BC1030X: Medical Terminology and Healthcare Setting & Claims
Processing (12-17-2012) Section 13
Test
Week 2 - LOM Test
Started
1/6/13 5:19 PM
Submitted 1/6/13 5:46 PM
Status
Completed
Score
41.4 out of 45 points
Time
27 minutes out of 1 hour.
Elapsed
Instructio DIRECTIONS TO TAKE THE TEST:
ns
1. Read the question and select the answer.
2. Click on the "Save Answer" button after you answer each
question.
3. Click on the "Save and submit" button when you have
completed the test.
4. Click the "OK" button to "hand-in" your test.

Question 1
1.8 out of 1.8 points

Pertaining to under a nail:

Answer
Selected Answer:
Subungual

Question 2
1.8 out of 1.8 points

Select the term that is spelled correctly.

Dizziness:
Answer
Selected Answer:
vertigo

Question 3
1.8 out of 1.8 points

Select the term that is spelled correctly.

Incision of the eardrum:

Answer
Selected Answer:
myringotomy

Question 4
1.8 out of 1.8 points

Channel between the middle ear and the nasopharynx:

Answer
Selected Answer:
Eustachian tube

Question 5
1.8 out of 1.8 points

Connective tissue in the skin hardens:

Answer
Selected Answer:
Scleroderma

Question 6
1.8 out of 1.8 points

An eye inflammation commonly called "pinkeye" is:

Answer
Selected Answer:
Conjunctivitis

Question 7
0 out of 1.8 points

A dermatomycosis:
Answer
Selected Answer:
Psoriasis

Question 8

1.8 out of 1.8 points

Pustule:
Answer
Selected Answer:
Small abscess

Question 9
1.8 out of 1.8 points

Nerve deafness occurring with aging:

Answer
Selected Answer:
Presbycusis

Question 10
1.8 out of 1.8 points

Select the term that is spelled correctly.

Fungal ear condition:
Answer
Selected Answer:
otomycosis

Question 11
1.8 out of 1.8 points

Myopia:
Answer
Selected Answer:
Nearsightedness

Question 12
1.8 out of 1.8 points

Dermis:
Answer
Selected Answer:
Middle layer of skin

Question 13
1.8 out of 1.8 points

Select the term that is spelled correctly.

Itching:
Answer
Selected Answer:
pruritus

Question 14
1.8 out of 1.8 points

Fibrous layer of clear tissue that extends over the anterior portion of the
eye and is continuous with the white of the eye:
Answer
Selected Answer:
Cornea

Question 15
1.8 out of 1.8 points

Layers of growth are removed and examined microscopically:

Answer
Selected Answer:
Mohs surgery

Question 16
1.8 out of 1.8 points

White patches on a mucous membrane of tongue or cheek:

Answer
Selected Answer:
Leukoplakia

Question 17
1.8 out of 1.8 points

Visual examination of the ear:

Answer

Selected Answer:
Otoscopy

Question 18
1.8 out of 1.8 points

What is a combining form meaning skin?

Answer
Selected Answer:
Cutane/o

Question 19
1.8 out of 1.8 points

Impairment of vision due to old age:

Answer
Selected Answer:
Presbyopia

Question 20
0 out of 1.8 points

Moles that can develop into malignant melanoma:

Answer
Selected Answer:
Squamous cell carcinomas

Question 21
1.8 out of 1.8 points

Select the term that is spelled correctly.

Inflammatory skin disease:
Answer
Selected Answer:
eczema

Question 22
1.8 out of 1.8 points

Bacterial infection of the middle ear:

Answer
Selected Answer:
Suppurative otitis media

Question 23
1.8 out of 1.8 points

Select the term that is spelled correctly.

Pertaining to sound:
Answer
Selected Answer:
acoustic

Question 24
1.8 out of 1.8 points

What eye structure is transparent, biconvex, and focuses light on the

retina?
Answer
Selected Answer:
Lens

Question 25
1.8 out of 1.8 points

A blind spot; area of depressed vision surrounded by an area of normal

vision:
Answer
Selected Answer:
Scotoma