1.
Patient-staff encounters in a medical facility leave lasting impressions. these "encounters" begin when
Correct Answer
B. The patient telepHones for an appointment
Explanation
The correct answer is "the patient telephones for an appointment." This is because the question is asking about when the "encounters" begin, and the act of the patient calling to schedule an appointment is the first interaction they have with the medical facility. The other options mentioned in the question (patient arriving, encounter completed, patient in the exam room) are all part of the encounter process, but they happen after the initial phone call.
2.
Most services offered by a healthcare facility are not tangible, meaning they cannot be seen or felt; therefore, patients look for surrogates, which include
Correct Answer
C. Office location, size, and layout
Explanation
Patients often rely on surrogates to assess the quality of healthcare services since most of these services are intangible. Office location, size, and layout serve as important surrogates for patients to evaluate the healthcare facility. The location of the office can indicate accessibility and convenience for the patient. The size and layout of the office can provide insights into the level of comfort and organization within the facility. Patients may consider these factors when choosing a healthcare facility as they indirectly reflect the quality of care they can expect to receive.
3.
It is human nature for patients to want to like their physicians. for these reasons, physicians should
Correct Answer
D. Reveal only enough information for their patients to relate to them
Explanation
Patients naturally have a desire to like their physicians, as it is human nature to seek a positive rapport with the person responsible for their healthcare. To fulfill this need, physicians should reveal only enough personal information for patients to relate to them. By sharing some relatable experiences, physicians can establish a connection with their patients without crossing professional boundaries or divulging too much private information. This approach maintains a professional relationship while still fostering a sense of trust and understanding between the physician and patient.
4.
Over the next 30 years, the number of americans over age ________ will double.
Correct Answer
B. 65
Explanation
Over the next 30 years, the number of Americans over the age of 65 will double. This means that the current population of Americans over the age of 65 will increase by 100% in the next three decades. This is likely due to factors such as advancements in healthcare and medicine, leading to increased life expectancy, as well as the aging of the baby boomer generation.
5.
Websites can help individuals find
Correct Answer
D. All of the above are correct
Explanation
Websites can help individuals find physicians, hospitals that offer certain procedures, as well as provide lifestyle advice and educational details. Therefore, all of the above options are correct.
6.
With few exceptions, the release of information contained in a patients health record to a third party is
Correct Answer
C. Prohibited by law without written consent from the patient
Explanation
The release of information contained in a patient's health record to a third party is prohibited by law without written consent from the patient. This means that healthcare providers are legally required to obtain the patient's written consent before sharing their health information with anyone else. This protection of patient privacy is an important aspect of healthcare regulations and ensures that patients have control over who can access their personal health information.
7.
An assignment of benefits is an arrangement by patients to allow
Correct Answer
A. Payments to be made directly to the provider
Explanation
An assignment of benefits is an arrangement made by patients to authorize payments to be made directly to the healthcare provider. This means that instead of the patient receiving the insurance payment and then paying the provider, the insurance company will directly pay the provider for the services rendered. This arrangement can streamline the payment process and ensure that the provider receives timely payment for their services.
8.
In a healthcare office, the form patients fill out providing name, address, employer and health insurance information is called a
Correct Answer
D. Patient information form
Explanation
The form patients fill out in a healthcare office that includes their name, address, employer, and health insurance information is called a patient information form. This form is used to gather necessary details about the patient in order to maintain accurate records and provide appropriate medical care. It helps the healthcare office to have all the necessary information about the patient's personal details, insurance coverage, and contact information.
9.
A chronological record of all patient transactions, including previous balances, charges, payments, and current balances is a
Correct Answer
A. Daily journal
Explanation
A daily journal is a chronological record of all patient transactions, including previous balances, charges, payments, and current balances. It is used to keep track of financial transactions related to patients and their accounts. This journal helps healthcare providers and organizations maintain accurate records of patient transactions, which are essential for billing, accounting, and financial reporting purposes. It allows for easy reference and reconciliation of patient balances and helps ensure that all transactions are properly recorded and accounted for.
10.
A useful method of accounting for small practices that captures information at the time the transaction takes place is called a/an
Correct Answer
C. One-write or pegboard system
Explanation
A one-write or pegboard system is a useful method of accounting for small practices that captures information at the time the transaction takes place. This system involves using special forms that have a carbon backing, allowing the information to be recorded on multiple sheets simultaneously. This ensures that the transaction details are accurately captured and can be easily referenced later. The term "one-write" refers to the ability to record information once and have it automatically transferred to other necessary documents, reducing the chances of errors or discrepancies. The pegboard system utilizes pegs or hooks to hold the forms in place, making it easier to keep track of transactions.
11.
When using patient billing software, accuracy is crucial. additionally, in case of poer fluctuation or failure, it is also crucial
Correct Answer
D. To create periodic back-up files
Explanation
Creating periodic back-up files is crucial when using patient billing software because it ensures that important patient information and billing data are not lost in the event of power fluctuation or failure. Back-up files serve as a safeguard, allowing the software to be restored to its previous state and preventing any potential data loss. This practice helps to maintain accuracy and continuity in patient billing processes, ultimately ensuring the smooth operation of the system.
12.
Healthcare offices send out statements periodically; this process is typically called a
Correct Answer
D. Billing cycle
Explanation
Healthcare offices send out statements periodically to their patients for billing purposes. This process is commonly referred to as a billing cycle. During this cycle, the office collects and compiles all the necessary information related to the services provided to each patient, calculates the charges, and generates statements to be sent out. The billing cycle ensures that patients are informed about their financial obligations and allows the healthcare office to efficiently manage their billing and payment processes.
13.
Patients who have either inadequate insurance or no insurance at all are referred to as
Correct Answer
C. Self-pay patients
Explanation
The term "self-pay patients" refers to individuals who do not have insurance coverage or have inadequate insurance to cover their medical expenses. These patients are responsible for paying for their healthcare services out of their own pocket. The term "deadbeats" typically refers to someone who intentionally avoids paying their debts, which is not a suitable term for patients without insurance. "Nonpayers" could be a general term for individuals who do not pay for their medical bills, but it does not specifically indicate their insurance status. "Red-flaggers" is not a commonly used term in the context of healthcare and does not relate to patients without insurance.
14.
If a patient has no insurance listed, the health insurance professional should
Correct Answer
D. Inquire as to why no insurance is listed
Explanation
The correct answer is to inquire as to why no insurance is listed. This is the most appropriate action for a health insurance professional to take when encountering a patient with no insurance listed. By asking the patient why they do not have insurance, the professional can gather important information about the patient's situation and potentially offer assistance or alternative options for coverage. Refusing to treat the patient or asking for upfront payment may not be ethical or practical, while offering payment options may not address the underlying issue of the patient's lack of insurance.
15.
The federal truth in lending act (1968), regulation z allows for an installment payment plan of more than ____ payments.
Correct Answer
B. Four
Explanation
The federal Truth in Lending Act (1968), Regulation Z allows for an installment payment plan of more than four payments. This means that if a consumer enters into a credit agreement, they have the option to spread their payments over a period of more than four installments. The Act aims to promote transparency and protect consumers by providing them with clear information about the terms and costs of credit. By allowing installment plans of more than four payments, it gives consumers flexibility in managing their finances and repaying their debts.
16.
Which of the following is not one of the five categories of problem debtors
Correct Answer
A. Pay-it-later debtors
Explanation
The correct answer is "pay-it-later debtors" because it is not one of the five categories of problem debtors mentioned in the question. The categories listed are chronically slow debtors, forgetful debtors, and fraudulent debtors. "Pay-it-later debtors" does not fit into any of these categories and is therefore not one of the five mentioned.
17.
The fair debt collection practices act addresses
Correct Answer
B. Abusive methods used by third-party collectors
Explanation
The Fair Debt Collection Practices Act (FDCPA) is a federal law that regulates the behavior of third-party debt collectors. It specifically addresses and prohibits abusive methods used by these collectors when attempting to collect debts from consumers. The FDCPA sets guidelines for how collectors can communicate with debtors, what actions they can take, and what information they can disclose. It aims to protect consumers from harassment, deception, and unfair practices by third-party collectors. This law does not directly address debt collection in hospitals, nursing homes, or by healthcare facilities, but focuses on the actions of third-party collectors.
18.
An organization that obtains or arranges for payment of money owed to a third party is a
Correct Answer
D. Collection agency
Explanation
A collection agency is an organization that specializes in obtaining or arranging for payment of money owed to a third party. They are hired by creditors to collect overdue debts from individuals or businesses. Collection agencies use various methods, such as phone calls, letters, and legal action, to recover the outstanding amounts. They play a crucial role in the debt collection process and help creditors recover their funds.
19.
Before a small claims lawsuit can proceed, the court expects the ______ to have explored all other avenues of settlement
Correct Answer
A. Plaintiff
Explanation
In a small claims lawsuit, the plaintiff is the party who initiates the legal action by filing a complaint against the defendant. The court expects the plaintiff to have explored all other options for settlement before proceeding with the lawsuit. This means that the plaintiff should have attempted to resolve the dispute through negotiation, mediation, or other means of alternative dispute resolution before taking the matter to court.
20.
The defendant is the party
Correct Answer
C. Being sued
Explanation
The correct answer is "being sued." In a legal case, the defendant refers to the party against whom a lawsuit or legal action is brought. They are the person or entity that is being accused or held responsible for a wrongdoing. The defendant's role is to defend themselves against the claims made by the plaintiff or the party that initiated the lawsuit. Therefore, the defendant is the party that is being sued, not the one suing someone or making the argument in court.
21.
The business of protecting, through legal means, a person or property against loss or harm is referred to as
Correct Answer
B. Insurance
Explanation
Insurance refers to the business of protecting a person or property against loss or harm through legal means. It involves the transfer of risk from an individual or entity to an insurance company, which provides financial compensation in case of specified events such as accidents, damage, or theft. Insurance policies are contractual agreements between the insured and the insurer, where the insured pays premiums in exchange for coverage. This explanation aligns with the given correct answer, "insurance."
22.
Health insurance narrows down undesirable events to
Correct Answer
A. Illnesses and injuries
Explanation
Health insurance is designed to provide coverage for medical expenses related to illnesses and injuries. This means that when someone falls ill or gets injured, their health insurance policy will help cover the costs of medical treatments, hospital stays, medications, and other necessary healthcare services. By narrowing down the coverage to illnesses and injuries, health insurance aims to provide financial protection and support for individuals in times of medical need. It does not typically cover automobile accidents, preventive illnesses, or preexisting conditions, as these may fall under different types of insurance or may require specific coverage options.
23.
securitas is the latin term for
Correct Answer
C. Security
Explanation
The Latin term "securitas" translates to "security" in English. The term refers to the state of being free from danger or threat, and the measures taken to protect against potential harm or loss. Therefore, "security" is the correct answer as it accurately represents the meaning of the Latin term "securitas".
24.
The "birth" of health insurance in this country occurred in
Correct Answer
D. 1929
25.
The federal healthcare program for the elderly and certain qualifying others is
Correct Answer
A. Medicare
Explanation
Medicare is the correct answer because it is a federal healthcare program that primarily provides health insurance coverage to individuals who are 65 years old or older, as well as to certain younger individuals with disabilities or specific medical conditions. Medicaid, on the other hand, is a joint federal and state program that provides health coverage to low-income individuals and families. Blue Cross is a private health insurance company, and health maintenance refers to a type of healthcare delivery system.
26.
The combined federal and state healthcare program for indigent and low income individuals is
Correct Answer
B. Medicaid
Explanation
Medicaid is the correct answer because it is a combined federal and state healthcare program that provides assistance to low-income individuals and families. It is designed to help cover medical expenses for those who cannot afford healthcare services. Medicaid is different from Medicare, which primarily serves elderly and disabled individuals. Blue Cross and health maintenance are not specific healthcare programs for indigent and low-income individuals, making them incorrect options.
27.
A relatively new concept of healthcare structure that emerged in the late twentieth century is
Correct Answer
A. Managed care
Explanation
Managed care is a relatively new concept of healthcare structure that emerged in the late twentieth century. It refers to a system where healthcare providers, such as doctors and hospitals, are organized into networks and are responsible for managing and coordinating the care of patients. This approach aims to control costs, improve quality of care, and promote preventive measures. Managed care often involves health insurance plans that require patients to seek care from within the network of providers and obtain prior authorization for certain services.
28.
Factors listed in the text that drive healthcare issues include all of the following except
Correct Answer
C. Reducing healthcare costs
Explanation
The factors listed in the text that drive healthcare issues include regulating managed care plans, expanding access for uninsured Americans, and stabilizing emergency services. However, reducing healthcare costs is not mentioned as one of the factors driving healthcare issues.
29.
Many employed individuals obtain healthcare coverage through a/an
Correct Answer
A. Group plan
Explanation
Many employed individuals obtain healthcare coverage through a group plan. This is because group plans are typically provided by employers as part of their employee benefits package. These plans cover a group of individuals, such as employees of a company, and often offer more affordable premiums and better coverage compared to individual policies. Group plans also provide a wider network of healthcare providers and may include additional benefits like dental and vision coverage. Therefore, it is common for employed individuals to opt for healthcare coverage through a group plan.
30.
The following groups that are typically without insurance include all except those who are
Correct Answer
D. Employed in government jobs
Explanation
Government jobs often provide employees with comprehensive health insurance coverage, so individuals employed in government jobs are typically not without insurance. On the other hand, self-employed individuals, those employed part-time, and those employed in low-wage jobs are more likely to be without insurance as they may not have access to employer-sponsored health insurance or may not be able to afford individual health insurance plans.
31.
The situation whereby patients pay a certain portion of healthcare costs (e.g., deductible and copayment) is called
Correct Answer
A. Cost sharing
Explanation
Cost sharing refers to the situation where patients are required to pay a certain portion of healthcare costs, such as deductibles and copayments. This means that individuals are responsible for sharing the financial burden of their healthcare expenses with the insurance provider. Cost sharing helps to distribute the costs more equitably between the insurer and the insured, ensuring that individuals have some financial responsibility for their healthcare services. It is a common practice in many healthcare systems to encourage individuals to be more conscious of their healthcare utilization and to help control rising healthcare costs.
32.
Actuaries use statistics to predict anticipated healthcare costs, which establish
Correct Answer
B. Premiums
Explanation
Actuaries use statistics to predict anticipated healthcare costs, which in turn helps them establish premiums. By analyzing data and trends, actuaries can estimate the potential costs of providing healthcare services to individuals or groups. This information is crucial for insurance companies to determine the appropriate premiums to charge their policyholders. Actuaries take into account various factors such as age, gender, medical history, and other risk assessment clusters to calculate premiums that are fair and reflect the expected healthcare costs for each insured individual.
33.
Fee-for-service healcare plans are also referred to as
Correct Answer
C. Indemnity insurance
Explanation
An indemnity insurance plan is a type of fee-for-service healthcare plan where the policyholder has the freedom to choose their healthcare providers and services. This type of plan typically reimburses the policyholder for a percentage of the medical expenses incurred, up to a certain limit. Unlike managed care plans, which often have restrictions on providers and require pre-authorization for certain services, indemnity insurance offers more flexibility and choice to the policyholder. Therefore, it is an appropriate term to describe fee-for-service healthcare plans.
34.
Understanding what you read is called
Correct Answer
B. Comprehension
Explanation
Comprehension refers to the ability to understand and make meaning from what one reads. It involves not only decoding the words on the page but also understanding the ideas, context, and implications of the text. Comprehension goes beyond simply recognizing and memorizing information; it requires the reader to engage with the text, make connections, and draw conclusions. Therefore, comprehension is the correct answer for the given question.
35.
Sending and receiving information through mutually understood methods is
Correct Answer
C. Communication
Explanation
Communication refers to the process of sending and receiving information through mutually understood methods. It involves the exchange of ideas, thoughts, and messages between individuals or groups. Communication plays a crucial role in conveying and understanding information effectively, allowing for effective collaboration, problem-solving, and decision-making. It encompasses various forms such as verbal, nonverbal, written, and visual communication. Therefore, communication is the most appropriate term to describe the given statement.
36.
When you stick with a task until it is completed, you are
Correct Answer
A. Diligent
Explanation
When you stick with a task until it is completed, you are showing diligence. Diligence refers to the quality of being persistent, hardworking, and committed to completing a task or achieving a goal. It involves putting in consistent effort and not giving up easily. Reticent means being reserved or hesitant in speaking or expressing oneself. Obstinate refers to being stubborn or refusing to change one's opinion or course of action. Obedient means complying with rules, orders, or instructions.
37.
When you have honest, ethical, and moral principles, you are said to have
Correct Answer
D. Integrity
Explanation
Integrity refers to having honest, ethical, and moral principles. It involves consistently adhering to these principles, regardless of the circumstances or pressures one may face. When a person possesses integrity, they are known for their honesty, trustworthiness, and strong moral character. They are guided by a sense of right and wrong, and they prioritize doing the right thing, even when it may be difficult or unpopular. Integrity is an important quality that builds trust, credibility, and respect in both personal and professional relationships.
38.
If you are not influenced by personal feelings, biases, or prejudice, you have
Correct Answer
A. Ovjectivity
Explanation
Objectivity refers to the ability to approach situations and decisions without being influenced by personal feelings, biases, or prejudice. It involves being impartial, fair, and unbiased in one's judgments and actions. Objectivity allows individuals to consider facts, evidence, and logical reasoning rather than subjective opinions or emotions. It promotes rationality and a balanced perspective, enabling individuals to make informed and reliable decisions.
39.
To write down important lecture facts in ones own words is called
Correct Answer
D. ParapHarasing
Explanation
Paraphrasing is the act of restating information from a source in one's own words. It involves understanding the main ideas and concepts of the original text and expressing them in a different way, without changing the meaning. This helps to avoid plagiarism and allows individuals to summarize or explain important lecture facts in their own unique way.
40.
Organizing daily responsibilities according to their importance is called
Correct Answer
C. Prioritizing
Explanation
Prioritizing refers to the act of arranging or organizing daily responsibilities based on their importance. It involves identifying the most crucial tasks and focusing on completing them first, while potentially delaying or delegating less important tasks. This helps individuals manage their time effectively and ensure that the most significant tasks are accomplished efficiently.
41.
College entry-level skills necessary for success as a health insurance professional include all of the following except
Correct Answer
A. Coding
Explanation
The correct answer is coding. The question asks for the entry-level skills necessary for success as a health insurance professional, and coding is not typically a required skill for this role. Health insurance professionals typically focus on tasks such as processing claims, verifying coverage, and communicating with patients and healthcare providers. While coding may be relevant in some healthcare roles, it is not a core skill for health insurance professionals.
42.
Success in getting the most out of ones education and optimizing career potential facilitates
Correct Answer
A. Lifelong learning
Explanation
Success in getting the most out of one's education and optimizing career potential facilitates lifelong learning. This means that when individuals are successful in their education and career, they are more likely to continue learning and growing throughout their lives. They understand the importance of constantly acquiring new knowledge and skills to stay relevant in their field and adapt to changes. Lifelong learning helps individuals to stay curious, adaptable, and continuously improve themselves, leading to personal and professional growth.
43.
In order to develop effective study skills, it is suggested that students generate a ________________ schedule.
Correct Answer
B. Time management
Explanation
To develop effective study skills, it is suggested that students generate a time management schedule. This means that students should create a plan or schedule that allows them to allocate specific periods of time for studying and completing tasks. By managing their time effectively, students can prioritize their studies, avoid procrastination, and ensure that they have enough time to cover all necessary material. A well-structured time management schedule can help students stay organized, reduce stress, and improve their overall productivity and academic performance.
44.
The nationally recognized job title for individuals who specialize in medical insurance claims submission is
Correct Answer
D. There is no nationally recognized title
45.
One method of enhancing ones career as a health insurance professional is to acquire
Correct Answer
A. Certification
Explanation
Acquiring certification is a method of enhancing one's career as a health insurance professional because it demonstrates a level of expertise and knowledge in the field. Certification shows that the individual has met certain standards and has the necessary skills to perform their job effectively. It can also provide a competitive edge in the job market and open up opportunities for career advancement.
46.
Those who work in healthcare say the most important reward is
Correct Answer
D. Helping people
Explanation
For those who work in healthcare, helping people is considered the most important reward. This is because healthcare professionals are driven by a desire to make a positive impact on the lives of others. While earning a good salary, getting promoted, and becoming certified are certainly important aspects of a healthcare career, the ultimate satisfaction comes from knowing that their work directly contributes to the well-being and improved health of individuals. Helping people is often seen as the core purpose and intrinsic motivation for those in the healthcare industry.
47.
Career opportunities for health insurance professional include
Correct Answer
D. All of the above are correct
Explanation
The career opportunities for health insurance professionals include working in physicians' offices, healthcare organizations, and nursing homes. These professionals play a crucial role in managing and processing health insurance claims, ensuring that patients receive proper coverage and reimbursement for medical services. By working in these various settings, health insurance professionals can gain diverse experience and contribute to the efficient functioning of the healthcare system. Therefore, the answer "all of the above are correct" is appropriate as it encompasses the different career opportunities available for health insurance professionals.
48.
A shabby reception room at a healthcare office can suggest shabby care to a new patient
Correct Answer
A. True
Explanation
A shabby reception room at a healthcare office can suggest shabby care to a new patient. This is because the reception room is often the first impression a patient gets when visiting a healthcare facility. If the room is poorly maintained or in disrepair, it may give the impression that the overall care provided by the facility is also subpar. Patients may associate the lack of attention to the physical environment with a lack of attention to their medical needs. Therefore, a shabby reception room can indeed suggest shabby care to a new patient.
49.
Individuals today believe that their time is equally as valuable as the physicians
Correct Answer
A. True
Explanation
The statement suggests that individuals today consider their time to be as valuable as that of physicians. This implies that people no longer see doctors as more important or their time as more valuable than their own. This shift in perception could be due to various factors, such as increased awareness of personal well-being, the rise of self-care practices, or a desire for more control over one's time and priorities.
50.
To avoid negative reactions, some practices schedule new patients during their slowest times
Correct Answer
B. False
Explanation
The statement suggests that some practices schedule new patients during their slowest times in order to avoid negative reactions. However, the correct answer is false because there is no evidence provided to support this claim. The statement is based on speculation and assumptions rather than factual information. Therefore, it cannot be concluded that practices schedule new patients during their slowest times to avoid negative reactions.