NHI Administrative Duties and Records 3

Question 1

When a patient's insurance claim is denied, what is the appropriate next administrative step?

Accepted Answer

File an appeal with supporting documentation

Answer

Filing an appeal with supporting clinical documentation gives the practice the opportunity to have the denial reconsidered by the insurer.

Question 2

Which scheduling method blocks off chunks of time for specific types of appointments such as physicals or procedures?

Accepted Answer

Cluster scheduling

Answer

Cluster scheduling groups similar appointment types together in designated time blocks to improve workflow efficiency.

Question 3

What does a 'superbill' contain in a medical office?

Accepted Answer

Diagnosis and procedure codes used to generate a patient invoice

Answer

A superbill is a document containing diagnosis (ICD) and procedure (CPT) codes that serves as the basis for billing patients and insurers.

Question 4

In medical transcription, what is the role of the administrative medical assistant when reviewing a transcribed report?

Accepted Answer

Proofread for accuracy, spelling, and formatting errors

Answer

The administrative medical assistant proofreads transcribed documents for accuracy, correct spelling of medical terminology, and proper formatting.

Question 5

Which form is used by patients to designate another person to make healthcare decisions on their behalf?

Accepted Answer

Healthcare power of attorney

Answer

A healthcare power of attorney legally designates a person to make medical decisions for a patient who becomes unable to do so.

(NHI) National Healthcareer Institute Certification Practice Test