assignment 18.1 review questions

Workbook for Fordney’s Medical Insurance and Billing

• 16th Edition - December 13, 2021
• Author: Linda M. Smith
• Language: English
• Paperback ISBN: 9780323795364 9 7 8 - 0 - 3 2 3 - 7 9 5 3 6 - 4
• eBook ISBN: 9780323810784 9 7 8 - 0 - 3 2 3 - 8 1 0 7 8 - 4

Get hands-on practice in medical insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance and Billing, 16th Edition, this workbook provides… Read more

Purchase options

Limited Offer

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. no promo code needed..

Institutional subscription on ScienceDirect

Get hands-on practice in medical insurance billing and coding! Corresponding to the chapters in Fordney's Medical Insurance and Billing, 16th Edition, this workbook provides realistic exercises that help you apply concepts and develop the critical thinking skills needed by insurance billing specialists. Review questions reinforce your understanding of your role and responsibilities, and assignments ask you to complete claim forms by extracting information from patient records and properly selecting procedural and diagnostic codes. Not only will you master the CMS-1500 and 837P claim forms, but you will understand each stage of an insurance claim.

• Self-study exercises
• Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know.
• Study outlines focus your review by listing the key points for each chapter.
• Performance objectives make learning easier by highlighting what you need to accomplish in each chapter.
• Critical Thinking assignments are based on short, real-world vignettes, preparing you to work in a real medical office and allowing you to apply theory learned from the textbook.
• Updated mock fee schedules present the latest information available, for use in completing forms and activities.
• Expanded coverage of inpatient insurance billing includes ICD-10 coding and CMS coding, ensuring that you are prepared to work in healthcare facility settings as well as the physician’s office and outpatient settings.
• Updated information on general compliance issues, HIPAA, the Affordable Care Act, and coding reflects changes to the Fordney's Medical Insurance and Billing, 16th Edition text.
• Ambulatory Surgery Center chapter provides the foundation and skills needed for billing in this outpatient setting.
• Medical Assisting Students in Educational Programs (237,414 – IPEDS 2017)
• Coding and Insurance Students in Educational Programs (24,916 – IPEDS 2017)
• Cover image
• Table of Contents
• Contributor
• Instruction Guide to the Workbook
• Learning Objectives
• Instructions to the Student
• Key Terms and Key Abbreviations
• Note Taking
• Review Question Assignments
• Simulation Assignments
• Medical Terminology and Abbreviations
• Patient Records
• Financial Records
• Cms-1500 Claim Form
• Performance Evaluation Checklist
• Student Reference Notebook
• Reference Material
• Employee Insurance Procedural Manual
• Unit One: Career Roles and Responsibilities
• 1. Role of an Insurance Billing Specialist
• Key Abbreviations
• Performance Objectives
• Study Outline
• Assignment 1.1 Review Questions
• Criticalthinking
• Assignment 1.2 Critical Thinking
• Assignment 1.3 Visit Websites
• Assignment 1.4 Compose Email Messages
• 2. Privacy, Security, and HIPAA
• Assignment 2.1 Review Questions
• Assignment 2.2 Critical Thinking: Incidental Disclosure Versus Hipaa Violation
• Assignment 2.3 Visit Websites
• 3. Compliance, Fraud, and Abuse
• Assignment 3.1 Review Questions
• Assignment 3.2 Critical Thinking: Fraud Versus Abuse
• Assignment 3.3 Visit Websites
• Unit Two: Introduction to Health Insurance
• 4. Basics of Health Insurance
• Assignment 4.1 Review Questions
• Assignment 4.2 Critical Thinking: Administrative Sequence of Processing an Insurance Claim
• Assignment 4.3 Critical Thinking: Differences in Insurance Keyterms
• Assignment 4.4 Abstract Data from an Insurance Identification Card
• Assignment 4.5 Abstract Data from an Insurance Identificationcard
• Assignment 4.6 Abstract Data from an Insurance Identification card
• 5. The Blue Plans, Private Insurance, and Managed Care Plans
• Assignment 5.1 Review Questions
• Assignment 5.2 Obtain Authorization for a Consultation from a Managed Care Plan
• Assignment 5.3 Obtain Authorization for Physical Therapy from a Managed Care Plan
• Assignment 5.4 Obtain Authorization for Diagnostic Arthroscopy from a Managed Care Plan
• Assignment 5.5 Obtain Authorization for Consultation from a Managed Care Plan
• Assignment 5.6 Obtain Authorization for Diagnostic Body Scan from a Managed Care Plan
• 6. Medicare
• Assignment 6.1 Review Questions
• Assignment 6.2 Calculate Mathematical Problems
• Assignment 6.3 Complete a Medicare Advance Beneficiary Notice of Noncoverage
• 7. Medicaid and Other State Programs
• Assignment 7.1 Review Questions
• Assignment 7.2 Critical Thinking
• 8. TRICARE and Veterans’ Health Care
• Assignment 8.1 Review Questions
• Assignment 8.2 Critical Thinking
• 9. Workers’ Compensation
• Assignment 9.1 Review Questions
• Assignment 9.2 Complete a Doctor’s First Report of Occupational Injury or Illness Form for a Workers’ Compensation Case
• Assignment 9.3 Complete a Doctor’s First Report of Occupational Injury or Illness form for a Workers’ Compensation Case
• 10. Disability Income Insurance and Disability Benefits Programs
• Assignment 10.1 Review Questions
• Assignment 10.2 Complete a State Disability Insurance Form
• Assignment 10.3 Complete a State Disability Insurance Form
• Assignment 10.4 Complete a State Disability Insurance Form
• Assignment 10.5 Complete a State Disability Insurance Form
• Unit Three: Documentation and Coding for Professional Services
• 11. Medical Documentation and the Electronic Health Record
• Assignment 11.1 Review Questions
• Assignment 11.2 Critical Thinking: Solve an Office Problem
• Assignment 11.3 Abstract Subjective Observations and Objective Findings from Patient Records
• Assignment 11.4 Review of a Patient Record
• Assignment 11.5 Review an Operative Report
• Assignment 11.6 Review Radiology Record
• Assignment 11.7 Review Pathology/Laboratory Report
• Assignment 11.8 Review Physical Therapy Record
• 12. Diagnostic Coding
• Assignment 12.1 Review Questions
• Assignment 12.2 Locating Information in Icd-10-Cm, Volume 2
• Diagnostic Coding Assignments
• Assignment 12.3 Obtain General Diagnostic Codes for Conditions
• Assignment 12.4 Code Diagnoses from Medical Records
• Assignment 12.5 Code Diagnoses Using Z Codes
• Assignment 12.6 Code Neoplastic Diagnoses
• Assignment 12.7 Code Diagnoses for Patients With Diabetes
• Assignment 12.8 Code Diagnoses for Patients with Hypertension
• Assignment 12.9 Code Diagnoses for Injuries, Fractures, Burns, Late Effects, and Complications
• Assignment 12.10 Code Diagnoses for Pregnancy, Delivery, and Newborn Care
• Assignment 12.11 Code Diagnoses Using Table of Drugs and Chemicals
• 13. Procedural Coding
• Assignment 13.1 Review Questions
• Procedure Coding Assignments
• Assignment 13.2 Introduction to CPT and Coding Evaluation and Management Services
• Assignment 13.3 Code Anesthesia Problems
• Assignment 13.4 Code Surgical Problems
• Assignment 13.5 Code Problems for Radiology and Pathology
• Assignment 13.6 Procedure Code and Modifier Problems
• Assignment 13.7 Hcpcs/Modifier Code Match
• Assignment 13.8 Procedural Coding Case Scenarios
• Assignment 13.9 Case Scenario for Critical Thinking
• Assignment 13.10 Calculate Fees Based on Resource-Based Relative Value System
• Unit Four: Claims Submission in the Medical Office
• 14. The Paper Claim: CMS-1500
• Assignment 14.1 Review Questions
• Part III Multiple Choice
• Part IV True/False
• Assignment 14.2 Complete a Health Insurance Claim Form for a Private Case
• Assignment 14.3 Complete One Health Insurance Claim Form for a Private Case
• Assignment 14.4 Locate Errors on a Completed Health Insurance Claim Form
• Assignment 14.5 Complete a Claim Form for a Medicare/Medicaid Case
• Assignment 14.6 Complete a Claim Form for a Medicare Case
• Assignment 14.7 Complete a Claim Form for a Medicaid Case
• Assignment 14.8 Complete a Claim Form for a Medicaid Case
• Assignment 14.9 Complete a Claim Form for a Tricare Standard Case
• Assignment 14.10 Complete a Claim Form for a Tricare Extra Case
• Assignment 14.11 Complete a Claim Form for a Workers’ Compensation Case
• Assignment 14.12 Complete a Claim Form for a Workers’ Compensation Case
• 15. The Electronic Claim
• Key abbreviations
• Assignment 15.1 Review Questions
• Assignment 15.2 Input Data Into Element for Place of Service Codes for 837P Electronic Claims Submissions
• Assignment 15.3 Select the Correct Individual Relationship Code Number for 837P Electronic Claims Submission
• Assignment 15.4 Select the Correct Taxonomy Codes for Medical Specialists for 837P Electronic Claims Submission
• Unit Five: Revenue Cycle Management
• 16. Receiving Payments and Insurance Problem Solving
• Assignment 16.1 Review Questions
• Assignment 16.2 Using an Aging Report for Follow-Up
• Assignment 16.3 Post to a Financial Accounting Record (Ledger) from an Explanation of Benefits (Eob) Document
• Assignment 16.4 Locate Errors on a Returned Insurance Claim
• Assignment 16.5 Locate Errors on a Returned Insurance Claim
• Assignment 16.6 Locate Errors on a Returned Insurance Claim
• Assignment 16.7 File an Appeal
• 17. Collection Strategies
• Assignment 17.1 Review Questions
• Assignment 17.2 Select a Dun Message
• Assignment 17.3 Manually Post a Courtesy Adjustment
• Assignment 17.4 Manually Post a Patient’s Charges and Payment
• Assignment 17.5 Compose a Collection Letter
• Assignment 17.6 Accepting Credit Card Payments
• Assignment 17.7 Complete a Financial Agreement
• Unit Six: Health Care Facility Billing
• 18. Introduction to Health Care Facilities and Ambulatory Surgery Centers
• Assignment 18.1 Review Questions
• Critical Thinking Assignments
• Assignment 18.3 Calculating MS-DRG
• Assignment 18.4 APC Discounting
• Assignment 18.5 Critique of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI)
• 19. Billing for Health Care Facilities
• Assignment 19.1 Review Questions
• Part II Mix and Match
• Assignment 19.3 Assigning Character 3 for Root Operation (ICD-10-PCS)
• Assignment 19.4 Assigning ICD-10-PCS Codes
• Assignment 19.5 Completeing The UB-04
• Unit Seven: Employment
• 20. Seeking a Job and Attaining Professional Advancement
• Assignment 20.1 Review Questions
• Assignment 20.2 Job Searching and Job Skills
• Assignment 20.3 Complete a Worksheet and Type a Résumé
• Assignment 20.4 Complete a Cover Letter
• Assignment 20.5 Complete a Job Application Form
• Assignment 20.6 Prepare a Follow-Up Thank-You Letter
• Assignment 20.7 Visit Websites for Job Opportunities
• Assignment 20.8 Critical Thinking
• Test 1: Procedure (E/M and Medicine Sections) and Diagnostic Procedure Code Test
• Test 2: Procedure Code with Modifiers and Diagnostic Code Test
• Test 3: Procedure (Radiology and Pathology Sections) and Diagnostic Code Test
• Test 4: Complete a CMS-1500 Claim Form
• Test 5: Complete a CMS-1500 Claim Form
• Test 6: Complete a Claim form for a Medicare Case
• Test 7: Complete a claim form for a medicare/Medigap case
• Test 8: Complete a Claim form for a Medicaid Case
• Test 9: Complete a Claim form for a Tricare Case
• Test 10: Complete a Claim form for a Private Plan
• A. College Clinic Office Policies and Mock Fee Schedule
• College Clinic
• College Clinic Staff
• Abbreviations and Symbols
• Abbreviations
• Laboratory Abbreviations
• Mock Fee Schedule
• No. of pages : 376
• Language : English
• Edition : 16
• Published : December 13, 2021
• Imprint : Saunders
• Paperback ISBN : 9780323795364
• eBook ISBN : 9780323810784

Linda M. Smith

New inventions fueled industrial growth, and the development of commercial electricity—along with the use of steam engines—allowed industries that had previously situated themselves close to sources of water power to shift away from those areas and move their production into cities. Immigrants sought employment in these urban factories and settled nearby, transforming the country’s population from mostly rural to largely urban.

“Captains of industry” (such as Carnegie or Rockefeller) are noted for their new business models, entrepreneurial approaches, and, to varying degrees, philanthropic efforts, all of which transformed late nineteenth-century America. “Robber barons” (such as Gould) are noted for their self-centered drive for profit at the expense of workers and the general public, who seldom benefitted to any great degree. The terms, however, remain a gray area, as one could characterize the ruthless business practices of Rockefeller, or some of Carnegie’s tactics with regard to workers’ efforts to organize, as similar to the methods of robber barons. Nevertheless, “captains of industry” are noted for contributions that fundamentally changed and typically improved the nation, whereas “robber barons” can seldom point to such concrete contributions.

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Access for free at https://openstax.org/books/us-history/pages/1-introduction

• Authors: P. Scott Corbett, Volker Janssen, John M. Lund, Todd Pfannestiel, Sylvie Waskiewicz, Paul Vickery
• Publisher/website: OpenStax
• Book title: U.S. History
• Publication date: Dec 30, 2014
• Location: Houston, Texas
• Book URL: https://openstax.org/books/us-history/pages/1-introduction
• Section URL: https://openstax.org/books/us-history/pages/chapter-18

© Jul 18, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.

Want to create or adapt books like this? Learn more about how Pressbooks supports open publishing practices.

18.1 Intercultural Communication

Learning objectives.

• Define and discuss how to facilitate intercultural communication.
• Define and discuss the effects of ethnocentrism.

Communication is the sharing of understanding and meaning (Pearson, J. and Nelson, P., 2000), but what is intercultural communication? If you answered, “The sharing of understanding and meaning across cultures,” you’d be close, but the definition requires more attention. What is a culture? Where does one culture stop and another start? How are cultures created, maintained, and dissolved? Donald Klopf described culture as “that part of the environment made by humans” (Klopf, D., 1991). From the building we erect that represents design values to the fences we install that delineate borders, our environment is a representation of culture, but it is not all that is culture.

Culture involves beliefs, attitudes, values, and traditions that are shared by a group of people. Thus, we must consider more than the clothes we wear, the movies we watch, or the video games we play, all representations of environment, as culture. Culture also involves the psychological aspects of our expectations of the communication context. For example, if we are raised in a culture where males speak while females are expected to remain silent, the context of the communication interaction governs behavior, which in itself is a representation of culture. From the choice of words (message), to how we communicate (in person, or by e-mail), to how we acknowledge understanding with a nod or a glance (nonverbal feedback), to the internal and external interference, all aspects of communication are influenced by culture.

In defining intercultural communication, we only have eight components of communication to work with and yet we must bridge divergent cultures with distinct values across languages and time zones to exchange value, a representation of meaning. It may be tempting to consider only the source and receiver within a transaction as a representation of intercultural communication, but if we do that, we miss the other six components—the message, channel, feedback, context, environment, and interference—in every communicative act. Each component influences and is influenced by culture. Is culture context? Environment? Message? Culture is represented in all eight components every time we communicate. All communication is intercultural.

We may be tempted to think of intercultural communication as interaction between two people from different countries. While two distinct national passports may be artifacts , or nonverbal representations of communication, what happens when two people from two different parts of the same country communicate? From high and low Germanic dialects, to the perspective of a Southerner versus a Northerner in the United States, to the rural versus urban dynamic, our geographic, linguistic, educational, sociological, and psychological traits influence our communication.

It is not enough to say that someone from rural Southern Chile and the capital, Santiago, both speak Castellano (the Chilean word for the Spanish language), so that communication between them must be intracultural communication , or communication within the same culture. What is life like for the rural Southerner? For the city dweller? Were their educational experiences the same? Do they share the same vocabulary? Do they value the same things? To a city dweller, all the sheep look the same. To the rural Southerner, the sheep are distinct, with unique markings; they have value as a food source, a source of wool with which to create sweaters and socks that keep the cold winters at bay, and in their numbers they represent wealth. Even if both Chileans speak the same language, their socialization will influence how they communicate and what they value, and their vocabulary will reflect these differences.

Let’s take this intranational comparison a step further. Within the same family, can there be intercultural communication? If all communication is intercultural, then the answer would be yes, but we still have to prove our case. Imagine a three-generation family living in one house. The grandparents may represent another time and different values from the grandchildren. The parents may have a different level of education and pursue different careers from the grandparents; the schooling the children are receiving may prepare them for yet another career. From music, to food preferences, to how work is done may vary across time; Elvis Presley may seem like ancient history to the children. The communication across generations represents intercultural communication, even if only to a limited degree.

But suppose we have a group of students who are all similar in age and educational level. Do gender and the societal expectations of roles influence interaction? Of course. And so we see that among these students not only do the boys and girls communicate in distinct ways but also not all boys and girls are the same. With a group of sisters, there may be common characteristics, but they will still have differences, and these differences contribute to intercultural communication. We are each shaped by our upbringing and it influences our worldview, what we value, and how we interact with each other. We create culture, and it creates us.

Everett Rogers and Thomas Steinfatt define intercultural communication as the exchange of information between individuals who are “unalike culturally” (Rogers, E. and Steinfatt, T., 1999). If you follow our discussion and its implications, you may arrive at the idea that ultimately we are each a “culture of one”—we are simultaneously a part of a community and its culture(s) and separate from it in the unique combination that represents us as an individual. All of us are separated by a matter of degrees from each other even if we were raised on the same street or by parents of similar educational background and profession, and yet, we have many other things in common.

Communication with yourself is called intrapersonal communication , which may also be intracultural, as you may only represent one culture. But most people belong to many groups, each with their own culture. Within our imaginary intergenerational home, how many cultures do you think we might find? If we only consider the parents and consider work one culture, and family another, we now have two. If we were to examine the options more closely, we would find many more groups, and the complexity would grow exponentially. Does a conversation with yourself ever involve competing goals, objectives, needs, wants, or values? How did you learn of those goals, or values? Through communication within and between individuals, they themselves representatives of many cultures. We struggle with the demands of each group and their expectations and could consider this internal struggle intercultural conflict or simply intercultural communication.

Culture is part of the very fabric of our thought, and we cannot separate ourselves from it, even as we leave home, defining ourselves anew in work and achievements. Every business or organization has a culture, and within what may be considered a global culture, there are many subcultures or co-cultures. For example, consider the difference between the sales and accounting departments in a corporation. We can quickly see two distinct groups with their own symbols, vocabulary, and values. Within each group, there may also be smaller groups, and each member of each department comes from a distinct background that in itself influences behavior and interaction.

Intercultural communication is a fascinating area of study within business communication, and it is essential to your success. One idea to keep in mind as we examine this topic is the importance of considering multiple points of view. If you tend to dismiss ideas or views that are “unalike culturally,” you will find it challenging to learn about diverse cultures. If you cannot learn, how can you grow and be successful?

Ethnocentrism is the tendency to view other cultures as inferior to one’s own. Having pride in your culture can be healthy, but history has taught us that having a predisposition to discount other cultures simply because they are different can be hurtful, damaging, and dangerous. Ethnocentrism makes us far less likely to be able to bridge the gap with others and often increases intolerance of difference. Business and industry are no longer regional, and in your career, you will necessarily cross borders, languages, and cultures. You will need tolerance, understanding, patience, and openness to difference. A skilled business communicator knows that the process of learning is never complete, and being open to new ideas is a key strategy for success.

Key Takeaway

Intercultural communication is an aspect of all communicative interactions, and attention to your perspective is key to your effectiveness. Ethnocentrism is a major obstacle to intercultural communication.

• Please list five words to describe your dominant culture. Please list five words to describe a culture with which you are not a member, have little or no contact, or have limited knowledge. Now, compare and contrast the terms noting their inherent value statements.
• Identify a country you would like to visit. Research the country and find one interesting business fact and share it with the class.
• Write a brief summary about a city, region, state, or country you have visited that is not like where you live. Share and compare with classmates.

Klopf, D. (1991). Intercultural encounters: The fundamentals of intercultural communication (2nd ed.). Inglewood, CA: Morton Publishing Company.

Pearson, J., & Nelson, P. (2000). An introduction to human communication: Understanding and sharing . Boston, MA: McGraw-Hill.

Rogers, E., & Steinfatt, T. (1999). Intercultural communication . Prospect Heights, IL: Waveland Press.

Business Communication for Success Copyright © 2015 by University of Minnesota is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.

Pardon Our Interruption

As you were browsing something about your browser made us think you were a bot. There are a few reasons this might happen:

• You've disabled JavaScript in your web browser.
• You're a power user moving through this website with super-human speed.
• You've disabled cookies in your web browser.
• A third-party browser plugin, such as Ghostery or NoScript, is preventing JavaScript from running. Additional information is available in this support article .

To regain access, please make sure that cookies and JavaScript are enabled before reloading the page.