all the above
A practice participating in PQRI needs to report it’s Category II codes. determines which of these methods it should use …
provider
First choose the ____in the office hours window to begin the appt scheduling process ….
electronic communication and connectivity
A patient is referred to the radiology dept of the local hospital for X rays of his broken ankle; the results are sent digitally to the ortho surgeon at the practice which of these EHR core functions enables the provider to manage this process …
numerical order
How are procedures listed on a procedure day sheet in Medisoft Network Professional …..
use the list only claims that match box to set the appropriate filters in the select clams for only, ins carrier, and claim created fields.
You have been requested to select claims that have been created for medicaid as secondary on 10/01/2016? How would you handle this task? ……
$490
A practice received notice of a nonsufficient funds (NSF) check in the amount of $155 on a patient acct that already has an outstanding bal of $310 calculate the patient’s new acct balance….
all of the above
What components are included on a patient aging report ? ……
standard statements
All available charges are displayed on _____regardless of whether the ins has paid on the transaction ……
both A and B correct
Practices routinely collect ____at the time of service …..
Equal Credit Opportunity Act (ECOA)
Which of the following laws prohibits discrimination because a person receives public assistance ? ….
health maintenance organization (HMO)
What type of health plan often assigns it’s members to primary care physicians PCP’S ….
preview the report on the screen…
Patient Fitzwilliams is on the phone stating that he lost his walkout receipt on the way home after his appt this morning and wanting to know the amount of the check he wrote in pymt. what medisoft print report box should you use …..
IC
A patient acct is listed in collections. what medisoft acct alert abbreviation is used ….
ended
The collection process is ____if the cost of continuing to pursue the debt is higher than the total amount owed ……
options
What button do you use if you need to change the settings for patient pymt app codes in the Apply pymt / adjustment to charges box ….
all the above
What tab can be found in the statement dialog box ….
wife’s plan
Bob is covered by his wife, joan’s health ins at her job and is also covered by Medicare which is bob’s primary plan ? ….
90 days
In order to get a years pymt under the CMS-run Medicare & Medicaid program bonuses, providers are required to demo use for …..
all the above
Private Payers include
all the above
Practice mgmt programs are used to perform admin & financial functions ….
tickler
Which of the following is a reminder to follow up on an acct ? ….
stream
Which schedule system is used in the medisoft exercises in the text ….
folders ; chart
In Medisoft patient records ___such as Progress Notes and Vital Signs are listed on ea patient’s ___window …..
tasks
The command to click to view electronic encounter forms in Medisoft Clinical Patient records is located on ___menu …..
the date of the encounter
An aspect of compliant coding is the requirement that codes used for an encounter must be current as of …..
all the above
Claims communicate infor about a patient’s ___to a payer …..
search dialog box
Patient acct ledgers are generated according to the data that is inputted in the …..
All the above
PHI can be used and disclosed by providers without the patients permission in situations involving ….
there is no further step; the collection process ends
A practice has decided that an amount due from a patient is uncollectable. determine next step ….
OK
When you are finished entering a note in Medisoft click the _____button to save the note …
higher
Copays for out-of-network providers are usually ___than for in-network providers ….
premium
A specified amount of money for a health ins contract , usually paid monthly, called _____
both A and B
What is the purpose of patient follow-ups
date to activate
To send a message that you have written this coming Friday, rather than today, use the ____field on the New Message dialog box ….
balances
When new transactions are entered in Medisoft, the ____are not updated if they are already recorded in a tickler …..
templates
In Medisoft clinical patient records ___can be inserted into the body of a letter ….
all the above
Meaningful use is the utilization of a certified EHR Technology in the health care system to …
activities menu
The Small Balance write off feature on the ____ may be used for multiple patients write-offs …..
a clear financial policy and effective communications with patients about their financial responsiblities
How does the patient collection process begin ? ….
clearinghouse
Most providers use an outside service called a ____ to help them send their electronic claims to payers …..
discontinue contacting the patient
Once a patient’s account has been referred to a collection agency what is the role of the practices billing staff …..
eligibility for benefits and financial responsibility
Real time claim adjudication RTCA does not generate a real time claim pymt rather the process generates info on the patients _____…
before the encounter
When does the front office contact the payer to verify patient’s eligibility for ins benefits ? ….
charges
_______are the amounts a provider bills for the services performed …..
after an ins claim has been filed, and a remittance advice has been received
When are patient statements created ? …..
all the above
Patient’s balances are listed by _____on patient aging report ….
scheduling and registration
Back office staff handle billing, ins and collections, front office staff handle …..
post charges
Which of the following is the fourth step in the charge capture process ?……
all the above
A medical record may have …..
practice
A policy of the ___dictates the practices retention of their medical and financial records ….
neither A nor B are correct
The amount of a pymt cannot be altered after an RA has been …..
a patients day sheet
A medical practice needs to examine the adjustments made to a particular patient’s acct on last Tuesday, determine which of the following reports should be used …..
minimum
Payers may set a ____amount that must be at stake for an appeal process to go forward ….
all the above
Financial policies explain how a practice handles certain tasks. which of these components should be included …..
Deposit list dialog box
A practice has received ins pymts from a payer, they should be entered in Medisfot using the …
after all
Remainder statements must be produced ____ins carrier pymts have been receieved …
the types of breaks already set up in office hours
On the new break entry box what info is displayed on the drop down list in the resource box …
less
An electronic funds transfer takes ___time to put revenue in a bank than does receiving and depositing manual checks …..
amounts
The ____tab of the procedure / pymt /adjustment list dialog box in Medisoft shows the amount charged for the procedure as listed in the practice’s fee shcedule ….
Claim is rejected under Medicare National CCI edits
For medicare patient Marilyn Rennagel, a provider reports CPT-55700 punch biopsy of prostate, as well as CPT 58800, drainage of ovarian cycts …
left
Clicking the patient radio button on the patient list box activates the ____side and displays the patient window ….
CARC
A payer needs to provide additional details about an adjustment identify the type of codes it should use ……
priority
Medisoft Clinical Patient Records message ____feature allows the user to assign a range to a msg on a zero to nine scale ….
both A and B
Payers review the medical codes for diagnoses and procedures on claims to see if the service proved was ….
sanction policies
Examples of admin safeguards include …
activities
Access office hours from within Medisoft by clicking appt book on the ____menu ….
all the above
For the greatest career opportunities for advancement in health technology new employees need ….
all the above
Which of the following components does the Medisoft app possess ….
provider, subscriber/patient, payer claim details, and services
The five major sections of the HIPAA claim, in order of transmission are ….
deductible
The _____is the amount that the insured pays on covered services before benefits begin …
log-in password management
The ____box is used in the mgmt of passwords and log in attempts …
makes the last claim in the list active
The last claim bottom in Medisoft claim management dialog box ….
agreement between a patient and a practice in which the patient agrees to make regular monthly payments over a specified period of time
What is a payment plan …
all of the above
In the billing method box of Medisoft List only claims that match box the radio button for either ____is chosen. ….
manually entering procedure codes to be billed from the complete paper encounter form
When a PM/EHR is used for the fourth step of the charge capture process, what paper method is replaced by electronic posting of charges to the patient’s account ……
the date of the bill
On what date does the aging process begin ….
all the above are correct
Which of the following types of clinical info are collected during patient flow and recorded in the patient chart …..
double-click
The quickest way to access a patient record is to ____the line associated with that patient ….
given higher priority
Compared to small bills large bills are …
covered
A cap rate for a particular capitated plan includes a pymt factor for all services that are ____under the plan …..
both A and B correct
A practives financial policy should include info about how it handles patients with need, including the …..
both A and B
What are displayed as collection list items in Medisoft ….
office hours, quick balance
Goria Bivans is the receptionist at the office. She has been instructed to see if Gary Brown, a returning patient who is just checking in, has an existing balance that should be collected during the visit ….
List Only Claims that match box
You are working at a practice and need to identify all the patients with active capitated claims for a specific ins carrier determine which medisoft box you would use to locate them …
New
Patient ramana saw Dr. Green 48 months ago ………
the physician reviews the medical history form during the encounter
How is the medical history form from a new patient used …
claim creation ; transaction dates boxes
You are asked to produce claims for the period 10/01/2016 through 11/01/2016 what box and filter do you utilize ….
medicaid
___always pays last ….
locate
The ____buttons can be used for finding info in Medisoft …
the HELP button
It is possible to enter one or more letters of the drug name, click ____and select the medication from those stored in the program ….
