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NURS 131 MED SURG 131 Final Exam 2025 GRADED A+ QUESTIONAND ANSWER VERIFIED ANSWERS 100%, Exams of Nursing

Lake Washington Technical CollegeNursing

A comprehensive set of multiple-choice questions and answers covering various aspects of medical billing and coding, including accounts receivable, accounts payable, insurance claims, coding systems, and healthcare insurance plans. It is a valuable resource for students preparing for a final exam in medical billing and coding.

Typology: Exams

2024/2025

Available from 11/15/2024

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Nursmerit 🇺🇸

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NURS 131/MED SURG 131 Final Exam
2025 GRADED A+ QUESTION AND
ANSWER VERIFIED ANSWERS 100%
1. What is the term used to describe money that is owed to the medical office?
Accounts Receivable
2. What term is used to describe the bills that the practice has for office rent, equipment rental,
and salaries?
Accounts Payable
3. What is the function of a daily journal (day sheet) in a bookkeeping system?
To keep a chronological record of transactions.
4. What is the major disadvantage of the single-entry bookkeeping system?
There is no method to crosscheck for accuracy of recording and calculations.
5. What type of record is used to keep track of all the charges and payments for each individual
patient?
Patient ledger
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Download NURS 131 MED SURG 131 Final Exam 2025 GRADED A+ QUESTIONAND ANSWER VERIFIED ANSWERS 100% and more Exams Nursing in PDF only on Docsity!

NURS 131/MED SURG 131 Final Exam

2025 GRADED A+ QUESTIONAND

ANSWER VERIFIED ANSWERS 100%

  1. What is the term used to describe money that is owed to the medical office? Accounts Receivable
  2. What term is used to describe the bills that the practice has for office rent, equipment rental, and salaries? Accounts Payable
  3. What is the function of a daily journal (day sheet) in a bookkeeping system? To keep a chronological record of transactions.
  4. What is the major disadvantage of the single-entry bookkeeping system? There is no method to crosscheck for accuracy of recording and calculations.
  5. What type of record is used to keep track of all the charges and payments for each individual patient? Patient ledger
  1. Who is responsible to determine the type or level of service provided to the patient? Physician
  2. What codes are necessary in order to submit insurance claims? Both diagnosis and procedure codes
  3. How does the medical assistant know what the usual charge is for a procedure? The charge appears form computer memory when the procedure is selected
  4. Before leaving the office, the patient gives the medical assistant $10 on account. What type of entry does the medical assistant make to the computer billing program? Payment
  5. What are examples of a debit adjustment (increases the amount the patient owes)? Check returned by the bank for non-Sufficient Funds
  6. What precaution should be taken when accepting a credit card for payment by a patient? The name on the card should be the name of the individual presenting the card.
  7. What is an advantage of a computer billing system related to posting payments? Analyze your revenue cycle

A large check has to be written out for a piece of expensive equipment. The company selling the equipment to the practice wants to make sure that the check will clear the bank. How can the office pay for the equipment and satisfy the seller? Obtain a cashier's check from the bank.

  1. What should be avoided when accepting checks from patients? Accepting the patient's paycheck after the patient has endorsed it to the office.
  2. What amount of money is left in the cash drawer at the end of the day? A set amount used daily to provide change for patients who pay cash A patient presents a debit card to pay a co-payment and asks for $25.00 cash back. What should the medical assistant say or do? Accept the card for payment and tell the patient where an ATM is located.
  3. How should checks that are received by the medical facility be endorsed? Restrictive endorsement
  4. What does it mean to successfully reconcile a bank statement? the bank records and the medical office records are in agreement
  5. What organization compiled the first disease classification system in the United States?

American medical association

  1. How does a classification system become a coding system? Names are replaced by numbers and letters.
  2. What reason(s) are procedure codes used? To track disease process, to classify the causes of death, to collect data for medical reason, and to evaluate hospital service ultilization.
  3. How often should the medical office purchase new code books or computer code sets? Annually
  4. Who publishes the CPT manual for procedure codes? American medical association.
  5. What is the first section of the CPT manual? Evaluation and Management (E/M)
  6. What is the format of most CPT codes? five digit code
  1. When procedure codes are used to bill an insurance company, name an example of upcoding? a physician sends a patient to an outside lab and the lab bills the insurance company
  2. During a routine examination, the physician decides to have an electrocardiogram (ECG) performed on the patient. How should this be coded? As a separate procedure
  3. What problems with CPT codes may cause insurance claims to be rejected? The service is not backed up with documentation in the patient record.
  4. Why was diagnostic coding originally developed?
  • to track disease processes. - to classify the cause of disease. - to collect data for medical disease.
  • to evaluate hospital service utilization What organization first published and continues to manage the International Classification of Diseases? World Health Organization.
  1. What is the meaning of the "10" in the abbreviation ICD- 10 - CM? 10th Edition
  1. How are most diseases or conditions arranged in the tabular section of the ICD-10 manual? By classification of disease or conditions
  2. What is the format of the first three characters of an ICD-10 code? one letter followed by two digits
  3. In which chapter of the ICD- 10 manual would you expect to find the diagnosis code for an adolescent who comes to the office for a physical examination before enrolling in a school sports program? The last chapter
  4. How do insurance companies use diagnosis codes? Justify the level of care through the proper code/care given with correct code
  5. In the ICD-10 code M84.50xA, what is the function of the "x"? It is a placeholder for information that is not specified
  6. Why is it important for a medical assistant to be aware of guidelines for medical necessity? To link procedure codes to correct diagnosis codes
  7. If an office has a pattern of downcoding, what is the effect on insurance payments?

Coinsurance

  1. What is the term for the amount of money that must be paid each year for services before the insurance company begins to pick up the payments? A deductible
  2. When the insurance company pays 80% of the allowed charge, and the patient pays the remaining 20%, what is the patient's portion called? coinsurance
  3. Mary and Tom Weatherly both work and participate in the family health insurance plan offered by their separate employers. What term relates to the rules used by their insurance companies relating to paying for services? coordination of benieits
  4. Mary and Tom Weatherly are both covered by a family health insurance plan. Whose plan is the primary plan for their children? whoever's birthday comes first in the year
  5. When is the physician reimbursed directly for his services by the insurance company? If the patient has signed an assignment of benefits form.
  6. What type of payments do patients with HMO insurance usually make?

copayment

  1. If a patient has managed care insurance, who is the usual gatekeeper to authorize consultations with specialists? the primary care provider
  2. Under Medicare Part B, how are goods/services covered? Medication administered in the medical office
  3. With Medicare which type must the patient pay a regular monthly premium? Medicare Part B
  4. What percentage of the allowed charges will Medicare pay a participating physician for office services if the patient has already met the annual deductible? 80%
  5. If a patient has Medicare insurance and a Medicare supplemental policy, which insurance is considered the primary insurance? Medicare
  6. What type of insurance covers long-term nursing home costs for eligible patients (low- income without savings)?
  1. To whom does a bank usually charge a fee for an NSF (not sufficient funds) check? Both the owner of the account and the party yhat attempts
  2. If a patient's check is returned by the bank marked NSF, how does the medical assistant enter it to the patient account? As a debit adjustment that increases the patient's balance
  3. What indicates that a patient has a credit balance in a computerized billing system? The patient's balance is negative number
  4. When do banks usually charge an extra fee? Stopping payment on a check.
  5. What is the process of determining how long specific accounts and balances have been outstanding? aging
  6. What federal law contains restrictions about the way a debt collector can treat a debtor and prohibits harassment and threats against individuals who owe money? Fair Debt Collection Act
  1. If a medical office sends a collection letter to a patient, what should be included? A specific date by which payment is required
  2. If a patient's account is turned over to a collection agency, and the patient is given a reasonable period of time to find another physician, how should the letter be mailed? Certified Mail with Return Receipt
  3. If the physician's office decides to take a patient to small claims court to try to collect a balance, who usually represents the medical facility? Medical assistant or other office staff member
  4. When a patient dies, how should the medical office send the final bill? To the patient's address, headed "To the Estate of" and the patient's name
  5. If a patient has filed bankruptcy under Chapter XIII, what must have occurred for the office to receive some payments? The patient must have an outstanding balance owed to the office.
  6. In the medical office, what measures should be taken when discarding confidential documents? by first shredding them and then placing them in a recycling bin

in a locked drawer within a locked cabinet separate from other items

  1. How should all medical records, including computer data backup disks, be stored? in locked, fire resistant file cabinets
  2. What is important information about the equipment purchased for the medical office?
  • serial number
  • suggested service schedule, and name of provider who provides service
  • date of purchase
  • type and length of warranty
  1. What is involved in keeping a supply inventory? a list is maintained off all supplies used in the medical office
  2. When newly ordered supplies arrive in the office, what should the medical assistant do first? check the supplies received against the packing slip to make sure that everything that has been ordered has arrived
  3. What is the general term for establishing and maintaining policies and procedures that protect the medical office and staff from lawsuits? risk management
  1. What protects physicians and office staff if patients claim that diagnostic procedures, tests, or treatments caused an injury? professional liability insurance
  2. When does an incident report need to be completed?
  • when a staff member gets stuck with a needle
  • when syringes or prescription pads are suddenly missing
  • when a patient trips over a chair
  • when a staff member slips on a wet floor