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1.
HIPAA stands for:
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a. Health Insurance Physician
Accreditation Act
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b. Health Insurance Physician
Administration Act
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c. Health Information Privacy and
Administration Act
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d. Health Insurance Portability and Accountability Act |
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2. To discourage handwritten prescriptions, beginning January 2009, Medicare will pay to doctors who use electronic prescribing a bonus of: |
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a. 2% |
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b. 4% |
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c. 8% |
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d. No bonus will be paid. |
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3. The following are not covered by Medicare Part A or Part B: |
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a. Private-duty nursing |
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b. Care outside the United States |
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c. Most preventive care |
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d. All of the above |
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4. Which group is not by itself eligible for Medicare? |
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a. Individuals ages 65 and over, who are eligible for Social Security payments |
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b. Individuals under 65 with a disability, who receive Social Security cash payments |
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c. People of all ages with end-stage renal disease |
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d. People of all ages with Chronic Obstructive Pulmonary Disease (COPD) |
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5. As of January 1, 2009, Medicare reimbursements are scheduled to increase by what amount? |
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a. Approximately 1% of the 2008 fee schedule |
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b. Approximately 2% of the 2008 fee schedule |
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c. Approximately 5% of the 2008 fee schedule |
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d. The increase has yet to be determined due to ongoing governmental debate. |
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6. Regarding Coordination of Benefits, for a married couple, whose insurance pays first for children? |
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a. The parent whose name comes first in the alphabet |
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b. The parent whose birthday is earlier in the calendar year. |
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c. The insurance is chosen by the parents. |
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d. The older parent. |
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7. CPT stands for: |
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a. Coding and Procedure Tools |
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b. Current Procedural Terminology |
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c. Codes for Physician Transmission |
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d. Certified Protocol Terminology |
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8. According to a study in The New England Journal of Medicine, the percentage of physicians who use a fully functioning EMR is: |
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a. 4% |
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b. 14% |
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c. 24% |
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d. 34% |
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9. According to a recent study by the AC Group, the average cost of EMR software per physician is: |
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a. $ 3,000 over three years |
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b. $10,000 over three years |
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c. $30,000 over three years |
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d. $50,000 over three years |
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10. In most states, how long do health insurance companies have to provide reimbursement under state law? |
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a. 30 days or less from receipt of properly submitted electronic claim |
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b. 90 days or less from receipt of properly submitted electronic claim |
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c. 180 days or less from receipt of properly submitted electronic claim |
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d. 1 year or less from receipt of properly submitted electronic claim |
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11. In most states, health insurance companies are obligated by law to pay providers an interest penalty of how much for untimely reimbursements? |
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a. 4% per year or higher |
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b. 12% per year or higher |
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c. 20% per year or higher |
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d. interest rate equal to inflation the previous year |
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12. Under most state law, what is the deadline for insurance companies to request an overpayment refund from a provider? |
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a. 30 - 60 days |
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b. 90 – 180 days |
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c. 12 - 24 months |
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d. there is no deadline |
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13. ICD9 stands for: |
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a. International Classification of Diseases, 9th Revision |
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b. Identification and Certification of Diagnoses, Edition 9 |
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c. Integrated Coding of Diagnoses, Version 9 |
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d. International Control for Diagnoses, 9th Revision |
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14. Regarding Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), which of the following statements is false? |
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a. EFT is generally safer and more secure than receiving paper checks. |
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b. ERA eliminates the need for manual payment posting. |
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c. A bank account dedicated exclusively to EFT, or a similar account with a clearing house, is required. |
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d. With EFT practices can receive payments as quickly as 4-5 days from submission. |
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15. In medical transcription, the standard number of characters per line is: |
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a. 26 |
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b. 46 |
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c. 65 |
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d. 100 |
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16. According to the U.S. Census Bureau, the number of Americans in 2007 without health insurance coverage was: |
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a. 15.9 million |
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b. 45.7 million |
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c. 71.2 million |
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d. 98.8 million |
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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? |
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a. 8% |
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b. 21% |
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c. 39% |
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d. 56% |
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18. Public programs, primarily Medicare and Medicaid, presently bear how much of the cost of the U.S. healthcare system? |
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a. 16% |
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b. 26% |
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c. 36% |
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d. 46% |
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19. According to the U.S. Census Bureau, which of the following is true: |
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a. Medicare makes up 16% of physicians’ revenue: Medicaid 2%. |
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b. Medicare makes up 22% of physicians’ revenue; Medicaid 5%. |
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c. Medicare makes up 45% of physicians’ revenue; Medicaid 13%. |
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d. Medicare makes up 53% of physicians’ revenue; Medicaid 19%. |
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20. HCFA stands for: |
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a. Health Care Financing Administration |
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b. Human (Services) Clinical Fiduciary Agency |
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c. Health Care Fees Agency |
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d. Hospital and Clinical Fee Administration |
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