Question 1

Medical malpractice insurance is which type of insurance?

Accepted Answer

A)   bonding
B)   liability
C)   property
D)   workers' compensationE) B) and D)
F) A) and D)

Question 2

The Centers for Medicare and Medicaid Services (CMS)  agency is located in the __________.

Accepted Answer

A)   ACF
B)   DHHS
C)   FDA
D)   OIGE) A) and B)
F) B) and D)

Question 3

Which is submitted to the payer requesting reimbursement?

Accepted Answer

A)   explanation of benefits
B)   health insurance claim
C)   remittance advice
D)   preauthorization formE) B) and C)
F) A) and D)

Question 4

Conduct or qualities that characterize a professional person are called __________.

Accepted Answer

A)   certification
B)   credentials
C)   professionalism
D)   specializationE) All of the above
F) A) and C)

Question 5

Independent contractors should purchase __________ liability insurance, which provides protection from claims that contain errors and omissions resulting from professional services provided to clients as expected of a person in the contractor's profession.

Accepted Answer

A)   bonding
B)   business
C)   professional
D)   propertyE) C) and D)
F) B) and C) C

Question 6

The Healthcare Common Procedure Coding System (HCPCS)  consists of __________ codes.

Accepted Answer

A)   CPT and national
B)   DSM and CDT
C)   ICD-10-CM and ICD-10-PCS
D)   SNOMED and SNDOE) B) and C)
F) A) and D)

Question 7

Health information technicians _____.

Accepted Answer

A)   assist with direct patient care
B)   document clinical information
C)   manage medical records
D)   process health insurance claimsE) B) and C)
F) None of the above

Question 8

The organization that hires a(n)  __________ is not liable for the acts or omissions of that individual.

Accepted Answer

A)   health insurance specialist
B)   health care provider
C)   independent contractor
D)   medical assistantE) A) and C)
F) A) and B)

Question 9

The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.

Accepted Answer

A)   dates of service for procedures
B)   diagnoses and procedures/services
C)   health insurance claims identifiers
D)   national provider identifiersE) C) and D)
F) A) and C)

Question 10

Which is Latin for "let the master answer," which means that the employer is liable for the actions and omissions of employees as performed and committed within the scope of their employment?

Accepted Answer

A)   res gestae
B)   res ipsa loquitur
C)   respondeat superior
D)   requiescat in paceE) B) and C)
F) A) and D) C

Question 11

The word embezzle means to _____.

Accepted Answer

A)   compensate
B)   disburse
C)   remunerate
D)   stealE) A) and D)
F) A) and C)

Question 12

Which defines a profession, delineates qualifications and responsibilities, and clarifies supervision requirements?

Accepted Answer

A)   job description
B)   policy and procedure
C)   scope of practice
D)   workforce developmentE) A) and B)
F) A) and C) C

Question 13

A claims examiner is employed by a

Accepted Answer

A)   facility to submit claims.
B)   governmental agency to process claims.
C)   physician's office to submit claims.
D)   third-party payer to review claims.E) A) and B)
F) None of the above

Question 14

Which would be found on a remittance advice?

Accepted Answer

A)   detected errors and omissions from claims
B)   documentation of medical necessity
C)   payment information about a claim
D)   provider qualifications and responsibilitiesE) None of the above
F) A) and B)

Question 15

Which are published by CMS and used to report procedures, services, and supplies not classified in CPT?

Accepted Answer

A)   dental codes
B)   disease codes
C)   injury codes
D)   national codesE) B) and D)
F) B) and C)

Question 16

Which is another name for a health insurance specialist?

Accepted Answer

A)   billing specialist
B)   coding specialist
C)   health information specialist
D)   reimbursement specialistE) B) and C)
F) A) and B)

Question 17

During completion of a student internship, the facility will likely require students to sign a nondisclosure agreement to protect __________.

Accepted Answer

A)   facility resources
B)   health care finances
C)   patient confidentiality
D)   quality of patient careE) None of the above
F) A) and C)

Question 18

Which coding system is used to report procedures and services on inpatient hospital claims?

Accepted Answer

A)   CPT
B)   HCPCS level II
C)   ICD-10-CM
D)   ICD-10-PCSE) A) and B)
F) B) and D)

Question 19

Which term describes the principles of right or good conduct and includes rules that govern the conduct of members of a profession?

Accepted Answer

A)   biased
B)   ethics
C)   immoral
D)   misleadingE) A) and D)
F) B) and C)

Question 20

Which coding system is used to report procedures and services on claims?

Accepted Answer

A)   CPT
B)   ICD-10-CM
C)   SNDO
D)   SNOMEDE) None of the above
F) B) and C)

Exam 1: Health Insurance Specialist Career

Medical malpractice insurance is which type of insurance?

Correct AnswerverifiedShow Answer

The Centers for Medicare and Medicaid Services (CMS) agency is located in the __________.

Correct AnswerverifiedShow Answer

Which is submitted to the payer requesting reimbursement?

Correct AnswerverifiedShow Answer

Conduct or qualities that characterize a professional person are called __________.

Correct AnswerverifiedShow Answer

Independent contractors should purchase __________ liability insurance, which provides protection from claims that contain errors and omissions resulting from professional services provided to clients as expected of a person in the contractor's profession.

Correct AnswerverifiedC

The Healthcare Common Procedure Coding System (HCPCS) consists of __________ codes.

Correct AnswerverifiedShow Answer

Health information technicians _____.

Correct AnswerverifiedShow Answer

The organization that hires a(n) __________ is not liable for the acts or omissions of that individual.

Correct AnswerverifiedShow Answer

The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.

Correct AnswerverifiedShow Answer

Which is Latin for "let the master answer," which means that the employer is liable for the actions and omissions of employees as performed and committed within the scope of their employment?

Correct AnswerverifiedC

The word embezzle means to _____.

Correct AnswerverifiedShow Answer

Which defines a profession, delineates qualifications and responsibilities, and clarifies supervision requirements?

Correct AnswerverifiedC

A claims examiner is employed by a

Correct AnswerverifiedShow Answer

Which would be found on a remittance advice?

Correct AnswerverifiedShow Answer

Which are published by CMS and used to report procedures, services, and supplies not classified in CPT?

Correct AnswerverifiedShow Answer

Which is another name for a health insurance specialist?

Correct AnswerverifiedShow Answer

During completion of a student internship, the facility will likely require students to sign a nondisclosure agreement to protect __________.

Correct AnswerverifiedShow Answer

Which coding system is used to report procedures and services on inpatient hospital claims?

Correct AnswerverifiedShow Answer

Which term describes the principles of right or good conduct and includes rules that govern the conduct of members of a profession?

Correct AnswerverifiedShow Answer

Which coding system is used to report procedures and services on claims?

Correct AnswerverifiedShow Answer

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C

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