V.C Concepts of Effective Communication (Cognitive) 17. Discuss the theories of:       a. Maslow       b. Erikson      c. Kubler-Ross Question: Match the theory to the correct person. 

VII. C Basic Practice Finances (Cognitive) Define the following bookkeeping terms: charges, payments, accounts receivable, accounts payable, adjustments Question: Match the term to the correct definition. 

VIII. C Third Party Reimbursement    (Cognitive) 4. Define a patient-centered medical home (PCMH) Question: The Patient-Centered Medical Home (PCMH) is a care delivery model whereby patient treatment is coordinated through their __________________ to ensure they receive the necessary care when and where they need it, in a manner they can understand.

VII. C Basic Practice Finances (Cognitive) Describe types of adjustments made to patient accounts including: non-sufficient funds (NSF) check, collection agency transaction, credit balance, third party.  Question: Which of the following are special bookkeeping entries?

IX. C Procedural and Diagnostic Coding        (Cognitive) 4. Discuss the effects of: a.     upcoding b.     downcoding   Question: The most substantial effect of upcoding is the increased cost to health payers, which they pass on to consumers. 

VIII. C Third Party Reimbursement    (Cognitive) 5. Differentiate between fraud and abuse Question: Fraud is an intentional deception or misrepresentation of fact that can result in unauthorized benefit or payment. Abuse means actions that are improper, inappropriate, outside acceptable standards of professional conduct or medically unnecessary.

VIII. C Third Party Reimbursement    (Cognitive) Identify: a. types of third party plans, b. information required to file a third party claims, c. the steps for filing a third party claim Question: Choose any that are considered third party plans. 

V.C Concepts of Effective Communication (Cognitive) 18. Discuss examples of diversity:       a. cultural       b. social       c. ethnic Question: Match the term to the correct definition. 

VII. C Basic Practice Finances (Cognitive) 2. Describe banking procedures as related to the ambulatory care setting Question: Which is not a common banking procedure for a medical clinic?

V.C Concepts of Effective Communication (Cognitive) 8. Discuss applications of electronic technology in professional communication Question: For each scenario, determine if use of electronic technology is appropriate or inappropriate when communicating with patients.