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The MTBC Practice Management Quiz
   

1.  HIPAA stands for:
  a. Health Insurance Physician Accreditation Act
  b. Health Insurance Physician Administration Act
  c. Health Information Privacy and Administration Act
  d. Health Insurance Portability and Accountability Act
     
 

2. To discourage handwritten prescriptions, beginning January 2009, Medicare will pay to doctors who use electronic prescribing a bonus of:
  a. 2%
  b. 4%
  c. 8%
  d. No bonus will be paid.
     
 

3. The following are not covered by Medicare Part A or Part B:
  a. Private-duty nursing
  b. Care outside the United States
  c. Most preventive care
  d. All of the above
     
 

4. Which group is not by itself eligible for Medicare?
  a. Individuals ages 65 and over, who are eligible for Social Security payments
  b. Individuals under 65 with a disability, who receive Social Security cash payments
  c. People of all ages with end-stage renal disease
  d. People of all ages with Chronic Obstructive Pulmonary Disease (COPD)
     
 

5. As of January 1, 2009, Medicare reimbursements are scheduled to increase by what amount?
  a. Approximately 1% of the 2008 fee schedule
  b. Approximately 2% of the 2008 fee schedule
  c. Approximately 5% of the 2008 fee schedule
  d. The increase has yet to be determined due to ongoing governmental debate.
     
 

6. Regarding Coordination of Benefits, for a married couple, whose insurance pays first for children?
  a. The parent whose name comes first in the alphabet
  b. The parent whose birthday is earlier in the calendar year.
  c. The insurance is chosen by the parents.
  d. The older parent.
     
 

7. CPT stands for:
  a. Coding and Procedure Tools
  b. Current Procedural Terminology
  c. Codes for Physician Transmission
  d. Certified Protocol Terminology
     
 

8. According to a study in The New England Journal of Medicine, the percentage of physicians who use a fully functioning EMR is:
  a. 4%
  b. 14%
  c. 24%
  d. 34%
     
 

9. According to a recent study by the AC Group, the average cost of EMR software per physician is:
  a. $ 3,000 over three years
  b. $10,000 over three years
  c. $30,000 over three years
  d. $50,000 over three years
     
 

10. In most states, how long do health insurance companies have to provide reimbursement under state law?
  a. 30 days or less from receipt of properly submitted electronic claim
  b. 90 days or less from receipt of properly submitted electronic claim
  c. 180 days or less from receipt of properly submitted electronic claim
  d. 1 year or less from receipt of properly submitted electronic claim
     
 

11. In most states, health insurance companies are obligated by law to pay providers an interest penalty of how much for untimely reimbursements?
  a. 4% per year or higher
  b. 12% per year or higher
  c. 20% per year or higher
  d. interest rate equal to inflation the previous year
     
 

12. Under most state law, what is the deadline for insurance companies to request an overpayment refund from a provider?

  a. 30 - 60 days
  b. 90 – 180 days
  c. 12 - 24 months
  d. there is no deadline
     
 

13. ICD9 stands for:
  a. International Classification of Diseases, 9th Revision
  b. Identification and Certification of Diagnoses, Edition 9
  c. Integrated Coding of Diagnoses, Version 9
  d. International Control for Diagnoses, 9th Revision
     
 

14. Regarding Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), which of the following statements is false?
  a. EFT is generally safer and more secure than receiving paper checks.
  b. ERA eliminates the need for manual payment posting.
  c. A bank account dedicated exclusively to EFT, or a similar account with a clearing house, is required.
  d. With EFT practices can receive payments as quickly as 4-5 days from submission.
     
 

15. In medical transcription, the standard number of characters per line is:
  a. 26
  b. 46
  c. 65
  d. 100
     
 

16. According to the U.S. Census Bureau, the number of Americans in 2007 without health insurance coverage was:
  a. 15.9 million
  b. 45.7 million
  c. 71.2 million
  d. 98.8 million
     
 

17. According to the Centers for Medicare and Medicaid Services, physician and clinical services will amount to what portion of U.S. Healthcare spending in 2008?
  a. 8%
  b. 21%
  c. 39%
  d. 56%
     
 

18. Public programs, primarily Medicare and Medicaid, presently bear how much of the cost of the U.S. healthcare system?
  a. 16%
  b. 26%
  c. 36%
  d. 46%
     
 

19. According to the U.S. Census Bureau, which of the following is true:
  a. Medicare makes up 16% of physicians’ revenue: Medicaid 2%.
  b. Medicare makes up 22% of physicians’ revenue; Medicaid 5%.
  c. Medicare makes up 45% of physicians’ revenue; Medicaid 13%.
  d. Medicare makes up 53% of physicians’ revenue; Medicaid 19%.
     
 

20. HCFA stands for:
  a. Health Care Financing Administration
  b. Human (Services) Clinical Fiduciary Agency
  c. Health Care Fees Agency
  d. Hospital and Clinical Fee Administration
     
 
     
 

 

 



 

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