Cert Prep Chapters 8, 9 & 10

After world war II, group health insurance became a commonly accepted employment benefit

True

Medicare covers all health care expenses

False

All claims in the United States will eventually be filed electronically

True

A co-payment is a fixed percentage of covered charges after the deductible is met

False

Expenses such as routine eye examinations or dental care are not covered by an insurance company are called exclusions

True

A medical assistant has the responsibility to interpret the patients insurance policy or extent of coverage

False

The concept of usual, customary, and reasonable (UCR) fees was originally developed by congress to pay medical insurance claims under medicare

True

Some insures will not pay a claim unless it is filed within 6 months of the date of service

True

The healthcare financing administration (HCFA) is the most common insurance claim form

True

Fold the HCFA-1500 form for OCR before mailing

False

Generally, disability insurance is less expensive than life, home, or automobile insurance

False

Medicaid is an insurance program

True

Older or disabled patients who have Medicare and cannot pay the difference between the bill and the Medicare payment quality for medi/medi

True

Blue Cross/Blue shield is one large corporation

False

The blue Cross/blue shield services benefit policy provides payment in full for all services if it covers

True

All medical practices have to cover works Compensation cases

False

A patient belonging to an HMO does not need pre-approval or authorization for inpatient surgery from the primary care physician or HMO

False

Medicare discourages practices to file claims electronically

False

Metabolism is the sum of all cellular processes that build, maintain, and apply energy to living tissues

True

Proteins that lack one or more of the essential amino acids are called incomplete proteins

True

Complete proteins are found in the plant sources of food

False

Children under the age of two need more fat in their diet than do older children and adults

True

Fiber and starch are examples of complete carbohydrates

True

Each gram of carbohydrates contains 9 calories

False

Too much fiber can cause constipation, diarrhea, and other gastrointestinal disorders

True

The daily recommended allowance for the fat in the adult diet is 50% or 60%

False

High level of high-density lipoproteins are a primary risk factor for heart attacks

False

Unsaturared fats tend to lower blood cholesterol

True

Water-soluble vitamins are A, D, E and K

False

Most minerals are absorbed in the intestines, and any excess is eliminated

True

Water contributes about 65% of body weight

True

The optimal percentage of the body fat is the same for men and women

False

Obese patients weigh 10% more than is recommended for their height and weight

False

Antioxidants are substances in food that may offer protection against certain chronic diseases

True

Cows milk contains a balance of nutrients that infants bodies need during their first year of life

False

The typical American diet contains 2 to 5 sodium daily

True

Calcium in milk can diminish the absorption of some antibiotics

True

Individuals who have anorexia Nervosa have usually suffered from a childhood trauma

True

A medical practice is a business and must produce profit

True

A charge slip is the original record of the doctors services and the charge for those services

True

A check from an insurance company includes payment for only one patient

False

The person who writes a check is called the payee

False

Power of attorney gives someone the legal right over financial matters for one who is too sick to do so

True

A bank will never accept a list of deposited items on something other than the bank provided deposit slip, even if the banks deposit slip is still attached

False

Reconciliation is usually performed once a month

True

When reviewing the electronic checkbook register, change any information that is not correct

True

The balance checkbook function electronically reconcile the monthly bank statement

True

Compounded interest is paid on the initial investment and on the interest earned in the investment

True

For employers, retirement plans can raise business taxes

False

The payer is the person who will receive the payment

False

Do not accept any third party check unless if it is from the health insurance company

True

Vesting means that you have a legal right to all the money in your account

True

If you terminate employment, you do not have to transfer or roll over the funds into your 401(K) account to a individual retirement account

True

A daily log includes the patients name, address, home and work telephone number, and the name of the person who is responsible for charges

False

It is important to use the daily log in sheet when organizing the practices bookkeeping system

False

A lost bank deposit receipt could not cost a medical practice thousands of dollars

True

Never accept a check marked payment in full unless it actually pays the complete outstanding balance

True

Paid vacations, paid holidays, and disability and life insurance are examples of employee benefits

True

Basic accounting involves managing accounts receivable and accounts payable

True

In medical practice, accounts receivable describes the money that is paid out to run the practice

False

Accounts payable represents the money patients owe in return for medical services

False

The fee schedule shows the charges for services provided by the practice

True

A usual fee is the average fee charged for a service provided by the practice

True

A customary fee is the fee a doctor charges for a service or procedure

False

There is a growing tendency to determine fees by national rather than regional trends

True

Encourage patients to pay by credit card

False

The credit card company deducts a percentage of each patient charge for its collection service

True

It is becoming more common that medical practices do not accept any insurance

False

TRICARE operate differently from other insurers

True

With cycle billing, you send invoices to a group of patients every few days

True

It is acceptable to threaten to send a patients account to collections even if you are not ready to do so

False

Once an agency has taken over an unpaid account, there should be no more correspondence between the physicians office and the patient about the account

True

A class action lawsuit is a lawsuit in which one or more people sue a company that wronged all of them in the same way

True

A fine is money paid as punishment for intentionally breaking the law

True

To protect the practice from lost income because of nonpayment, the practice may buy accounts receivable insurance

True

A physician would never extend credit to a patient who is unable to pay because of high medical bills

False

If a payment agreement between the patient and physician includes more than four payments, it is not regulated by the Truth in Lending Act

False

Free treatment for hardship cases is at the physicians discretion

True

Most practices try to reduce expenses by controlling accounts payable

True

The physician usually authorizes several people to handle the purchasing of supplies and other products

False

An employer identification number is required by law from every employer for federal tax accounting purposes

True

Federal unemployment is a tax deduction from employees paychecks

False

A physician would have a lower unemployment tax rate than an industry would

True

The purpose of the petty cash fund is to avoid writing checks for small amounts

True

The purpose of the petty cash fund is to avoid writing checks for small amounts

True

Hourly wage x hours worked = net earnings

False

The fair labor standards act requires overtime payments for part time hourly employees for every hour worked beyond the normal eight hours a day or 40 hours in a week

True

The law requires all employers to withhold money from employees net earnings to pay federal, state, and local income tax

False

Have all employees update their W-4 forms once a year

True

The percentage the employer pays for federal unemployment taxes decreases if the employer also pays state unemployment taxes

True

The employees gross earnings are his take home pay

False

Net earnings - total deductions = gross earnings

False

If your practice is not required to use EFT, you must submit employment taxes with a federal tax deposit coupon

True

An employer must pay FUTA tax if employees wages total more than $1500 in any quarter

True

A federal unemployment tax return is also called form W-4

False

A common disbursement for a physicians office is payment for equipment

True

When ordering supplies, it is better to buy too little and reorder more frequently than to buy too much

False

If your office does only a few throat cultures a year, it makes more sense to send those patients elsewhere for the test than to stock those supplies required

True

You may purchase holiday decorations from the petty cash fund

True

All patients financial accounts should be brought up to date

at the time the patient is discharged