Chapter 56
Practice Management
Multiple Choice Questions
1. | A key written communication tool in the medical office is the ____.
A. | material safety data sheets |
B. | policy and procedures manual |
C. | employee's time records |
D. | record of continuing education programs |
E. | equipment maintenance log |
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2. | The basics of hiring a successful employee include ____.
A. | checking references after hiring the person |
B. | discussing policies and procedures early |
C. | having a set pay scale for new hires |
D. | hiring the first person who applies |
E. | assuming that newly hired people need no training |
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3. | Money from the petty cash fund should be used for purchases such as ____.
B. | postage-due fees and holiday decorations |
C. | everyday medical supplies, such as tongue blades and bandages |
D. | medications that are administered in the office |
E. | general office supplies such as antibacterial hand soap and tissues |
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4. | What is the usual amount of money kept in a petty cash account?
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5. | An employee payroll information sheet should include ____.
A. | the employee's Social Security number |
B. | the employee's work history |
C. | the employee's salary requirements |
D. | all current and previous performance evaluations |
E. | the employee's beneficiary in case of death |
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6. | A pay schedule ____.
A. | outlines the number of dependents |
B. | refers to the total amount of income earned before deductions. |
C. | verifies the employee's eligibility for employment |
D. | determines the type of voluntary deductions taken |
E. | shows how often an employee is paid |
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7. | On which form will the number of dependents an employee is claiming, for tax purposes, be found?
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8. | A person named as a dependent is ____.
C. | a person who reports directly to the employee |
D. | a person on whom the employee is financially dependent |
E. | a person who is financially dependent on the employee |
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9. | Payment of a set amount of money per pay period, regardless of the number of hours worked, is ____.
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10. | A commission is ____.
A. | a set amount of money per hour of work |
B. | a set amount of money per pay period, regardless of the number of hours worked |
C. | a percentage of the amount an employee earns for the employer |
D. | the total amount of income after deductions |
E. | the total amount of income before deductions |
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11. | Which position is usually paid by commission?
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12. | What is the term for the total amount of income earned by an employee before deductions are subtracted?
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13. | If an employee earns $8 per hour and works 35 hours per week, the employee's gross weekly earnings are ____.
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14. | Karen works 40 hours a week at a popular tourist attraction and earns a weekly salary of $400. This week, due to Fourth of July crowds, she was asked to work another 10 hours. Having worked 50 hours this week, how much can Karen expect to earn for the week?
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15. | Which of the following does the Fair Labor Standards Act primarily affect?
A. | Employees who work on commission |
D. | Employees who earn hourly wages |
E. | Employees who have been laid off |
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16. | Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
A. | Time and a half for all hours worked beyond the normal 8 hours in a regular workday |
B. | Twice the normal wage for all hours worked on the sixth consecutive day of the work week |
C. | Time and a half for all hours worked on the seventh consecutive workday |
D. | Time and a half, plus normal holiday pay, for all hours worked on a company-approved holiday |
E. | Twice the normal wage for all hours worked beyond the normal 8 hours in a regular workday |
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17. | An example of a voluntary deduction from an employee's paycheck is ____.
D. | health insurance premium payments |
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18. | An example of a required deduction from an employee's paycheck is ____.
D. | health savings account contributions |
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19. | An employee's W-4 form should be ____.
A. | completed only at the beginning of employment |
C. | updated every six months |
E. | updated every five years |
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20. | Which of the following pertains to a payroll register?
A. | It is a completed account of federal income tax deposits |
B. | It is used to pay taxes to appropriate government agencies |
C. | It summarizes information about all employees and their earnings |
D. | It requires employers to pay a percentage of each employee’s income |
E. | It accompanies the practice’s quarterly returns to summarize tax withheld |
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21. | How often are federal employment taxes deposited for the practice?
E. | According to the federal tax deposit schedule |
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22. | What is the name of the EFT program through which businesses submit federal income taxes and FICA taxes?
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23. | Every three months, a more complete accounting of federal taxes is required on the ____.
B. | Employer's Quarterly Federal Tax Return |
E. | Wage and Tax Statement |
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24. | Which of the following statements applies to an electronic funds transfer system (EFTS)?
A. | The medical assistant must sign up for EFTS with the bank. |
B. | The money is available to the employee the day after the deposit. |
C. | The need for an employee check stub is eliminated. |
D. | Employee bank account numbers are not needed for EFT transfers. |
E. | The employee does not have to worry about losing the paycheck. |
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25. | Generally an employer must pay what percent of FUTA tax, which is applied to the first $7000 of the employee’s income for a year, if employees’ wages total more than $1500 in any quarter.
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26. | Another name for the Employer's Quarterly Federal Tax Return is ____.
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27. | Which of the following summarizes the federal income and FICA taxes withheld from employees' paychecks?
A. | Wage and Tax Statement |
B. | Employer's Quarterly Federal Tax Return |
C. | Federal Unemployment Tax Act |
D. | Employment Eligibility Verification |
E. | Employee's Withholding Allowance Certificate |
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28. | Another name for an employee's Withholding Allowance Certificate is ____.
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29. | Form W-2 serves which of the following purposes?
A. | It establishes the employer's identification number. |
B. | It requires employers to pay a percentage of each employee's income. |
C. | It shows the employee's total taxable income for the previous year. |
D. | It is a complete accounting of tax deposits. |
E. | It summarizes taxes withheld from employee's paychecks. |
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30. | If an employee’s paycheck is made out for $300, what would his net earnings be?
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31. | The money used to pay taxes to appropriate government agencies is paid from ____.
A. | the petty cash account |
B. | tax liability accounts |
C. | the practice's general checking account |
D. | the physician's personal account |
E. | the practice's general savings account |
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32. | Which of the following insures employees against possible loss of income resulting from a work-related injury, disability, or disease?
A. | Federal Unemployment Tax Act |
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33. | Which of the following employees would qualify for workers' compensation?
A. | An employee with pneumonia |
B. | An employee who sustained a crushing injury to the leg at work |
C. | An employee who is having surgery for gallbladder disease |
D. | An employee who takes insulin for diabetes |
E. | An employee who is on maternal leave |
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34. | Which of the following documents is a formal representation of the supervisory structure and reporting relationships within a company?
B. | Policy and procedures manual |
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35. | In a physician-owned medical practice, who is ultimately responsible for the practice?
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36. | Which of the following terms is used to demonstrate how each rank or level in an organization is accountable to those directly superior and how the authority passes from one level to the next?
C. | Policies and procedures |
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37. | Which of the following is a key communication tool for the medical office, which covers both administrative and clinical procedures?
A. | Policies and procedures manual |
E. | Labor relations manual |
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38. | Which of the following information is most likely to be located in the P&P manual for a medical office?
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39. | Which of the following would be found in an administrative procedure manual?
A. | Reagents and standards used in the office |
B. | Collection methods for specimens |
C. | Equipment calibration methods |
E. | Patient preparation for testing |
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40. | A clinical procedures manual would be most likely to include ____.
A. | appropriate telephone procedures for emergency calls |
B. | reagents, standards, and controls used |
C. | guidelines for releasing patient PHI |
D. | templates for normal lab and X-ray results |
E. | guidelines for "clean" claim submission |
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41. | Bill's wife was diagnosed with colon cancer and underwent surgery last week. She is currently undergoing chemotherapy and is both very ill and very weak. Which of the following will allow Bill to stay at home and take care of his wife for up to 12 weeks, without pay, without losing his job?
A. | Equal Employment Opportunity Commission |
B. | Fair Labor Standards Act |
C. | Family Medical Leave Act |
E. | Americans with Disabilities Act |
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42. | Shannon is the practice manager for a mid-size medical practice. Today she is interviewing Tina for the position of medical assistant. Which of the following questions should Shannon avoid during the interview?
A. | "Have you ever worked under a different name?" |
B. | "Can you perform the duties of the job you are applying for?" |
C. | "Do you have a university or college degree?" |
D. | "Are you a union member?" |
E. | "Are there specific times that you cannot work?" |
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43. | The physicians in a physician-owned medical office have asked Brenda, the office manager, to set goals for office employees in an effort to make the office more efficient. Brenda has never had to set goals for anyone before, so she asks you for advice. Which of the following responses would be most helpful to Brenda?
A. | "Make sure the goals you set are measurable, so the employees can see their progress." |
B. | "Do not allow the employees to tell you what they think their goals should be." |
C. | "Make the goals so difficult that the employees will not be able to attain them." |
D. | "There is no need to evaluate progress after you set the goals." |
E. | "To avoid pressuring the employees, avoid specifying time frames for completion." |
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44. | Alysia was administering an intramuscular injection of an antibiotic to Bobby, a 7-year-old child. Bobby was very nervous about getting a shot, so his mother was standing near him, with her arm around him for encouragement. As Alysia was removing the needle from Bobby's arm, he jerked suddenly, and the tip of the needle grazed Bobby's mother's forearm, breaking the skin. Which of the following forms will Alysia need to complete?
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45. | John has been a medical assistant at the medical practice for 2 years and has always tried to do his job well. No matter how well he performs, his coworker Angie, who has been there for 5 years, finds something to complain about regarding his work. He has talked to Angie about this, but Angie's behavior has not changed. Although John loves his job, he feels that he is being unfairly targeted. What can John do as a next step in resolving this issue?
A. | Begin complaining to Angie about her work |
B. | Encourage Angie to find another job |
C. | Ask the practice manager to mediate |
D. | Ask the practice manager to replace Angie |
E. | Complain to other office workers about Angie's behavior |
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Fill in the Blank Questions
46. | A person who depends on the employee for financial support is a(n) ________ of the employee and may be a spouse, child, or other family member. ________________________________________ |
47. | The total amount earned before deductions refers to the ________ earnings and must be calculated for each employee as a first step in the payroll process. ________________________________________ |
48. | Gross earnings minus total deductions equal ________ earnings. ________________________________________ |
49. | An employee's pay ________ shows how often the employee is paid; most commonly, this is weekly, biweekly, or monthly. ________________________________________ |
50. | To avoid writing checks for small amounts, you may pay for small purchases using the ________ fund, which is cash that is kept on hand in the office. ________________________________________ |
51. | Every three months, the medical practice is required to make a complete accounting on Form ________, which is the Employer's Quarterly Federal Tax Return. ________________________________________ |
52. | Money withheld from employees' gross earnings to pay federal and state and local (if any) income taxes and certain other taxes are held in ________ accounts. ________________________________________ |
53. | Physician assistants and nurse practitioners in a company-owned medical practice are often referred to as ________ providers. ________________________________________ |
54. | A company's ________ are the rules or guidelines that dictate its day-to-day workings. ________________________________________ |
55. | The "maps" used to accomplish policies in a medical office are ________. ________________________________________ |
56. | The medical office's ________ is created annually and predicts the expenses and revenues related to operations over a given period of time. ________________________________________ |
57. | When a medical assistant travels for educational purposes with expenses covered by the practice, she should keep all receipts and complete a(n) ________ in order to be reimbursed for expenses. ________________________________________ |
58. | In a small medical office, the practice manager's duties may include ________, which includes hiring, terminating, and training employees, as well as benefits and labor relations. ________________________________________ |
59. | Unwelcome verbal, visual, or physical conduct of a sexual nature that affects working conditions is called sexual ________ and is a violation of federal and state laws. ________________________________________ |
60. | New employees typically have a 90-day trial or ______ period. During this time, the employee undergoes staff development and training. ________________________________________ |
61. | The list of topics for a meeting and the order in which they will be addressed is called a(n) ________. ________________________________________ |
62. | Many practice managers have a(n) ________ policy, which allows staff to come in and talk whenever the manager's office door is open. ________________________________________ |
63. | To be a good leader, you must first learn to be a good ________. ________________________________________ |
64. | Differences in identities, age, sex, race, physical abilities, ethnicity, religious beliefs, values, sexual orientation, and personalities contribute to ________; as a medical assistant, you will need to increase your understanding and respect for this. ________________________________________ |
65. | All goals set for a medical office should be ________, so that success in meeting the goal can be seen. ________________________________________ |
66. | The plans and processes that continually identify, assess, correct, and monitor functions in the medical office to prevent negative outcomes and minimize exposure to liability are collectively known as ________. ________________________________________ |
67. | The procedures that ensure that services provided in the medical practice meet or exceed the requirements and standards are _______ procedures. ________________________________________ |
68. | Following a problem or issue from its initial identification through its resolution is known as ________. ________________________________________ |
69. | A form required by a facility when an adverse outcome or event with risk of liability occurs is a(n) ________, or occurrence report. ________________________________________ |
70. | The human resources role of ________includes dealing with issues that arise between employees and management. ________________________________________ |
71. | If an employee feels that she was unjustly treated, the practice manager may need to oversee the ________ process when the employee complains. ________________________________________ |
72. | The role of a(n) ________ is to facilitate communication between parties who are having a disagreement, assist them in focusing on the real issues, and attempt to reach conflict resolution. ________________________________________ |
Multiple Choice Questions
73. | Generally the petty cash fund should be replenished when there is a minimum of ____ in the fund.
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74. | The tax in which one-half is paid by the employer and the other half is withheld from the employee’s paycheck is ______.
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Fill in the Blank Questions
75. | The medical assistant must understand the ___ __ ____ in the office so she will know which authority to report to as a first step when issues arise. ________________________________________ |
76. | The office plan that continually identifies, corrects, and monitors functions to prevent negative outcomes and liabilities is called ________ ______. ________________________________________ |