Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. An act of deception used to take advantage of another person or entity is called...
Voucher
Fraud.
$280.
V01-V83


2. Which of the following should be a factor when selecting an outside collection agency?
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Office supplies.


3. The payment system used by Medicare is based on...
Resources
Third party payer
Voucher
CPC


4. A benefit period for Medicare begins the day a patient goes into the hospital and ends when that patient has not been hospitalized for ____ days
Fair Debt Collection Practices Act
60
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


5. Money paid for intentionally breaking the law is called _______________ _______________.
Based on the patient's reported income from the previous month.
Fair Debt Collection Practices Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Punitive damages


6. According to the Equal Credit Opportunity Act - how much will a practice have to pay if a credit applicant joins and wins a class action lawsuit against the practice?

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7. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
False
Includes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Based on the patient's reported income from the previous month.


8. An employer identification number is required by law from every employer for federal tax accounting purposes
False
Third-party
True
Punitive damages


9. Usual and customary fees are converted to dollar amounts - which form the basis of the fee schedule that creates uniform payments adjusted for geographic differences.
HCPCS Level II codes
Capitated rate
False
The code may not be used as the first code


10. According to the Equal Credit Opportunity Act - how much will a practice have to pay if a credit applicant joins and wins a class action lawsuit against the practice?

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11. The process of classifying and reviewing past-due accounts from the first date of billing is...
False
Age analysis.
Traveler's
60


12. A small fee that is collected at the time of service is called a(n) _______________.
Petty cash
HCPCS
Disclosure
Copayment


13. You should not accept a(n) _______________-_______________ check that is made out to the patient rather than to the practice unless it is from a health insurance company.
V01-V83
Third-party
( )
( )


14. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Resources
6 months
HCPCS
Pre-certification.


15. Which of the following is also called Public Law 95-109?
Capitated rate
Fair Debt Collection Practice Act
False
Check your explanation of benefits form


16. Prison sentences are possible consequences of...
Liability
Fraud.
Inaccurate and/or incorrect billing
False


17. Under a Medicare Managed Care Plan - the PCP provides treatment and manages the patient's medical care through _______________ to specialists when additional care is required
460-519
Fraud.
Statement of income and expense
Referrals


18. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
False
Damages


19. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Disclosure
Fair Debt Collection Practice Act
CPC
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


20. The Relative Value Unit System was created to...
Based on the patient's reported income from the previous month.
Capitated rate
Ask the physician to select a more specific code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


21. The ICD-9-CM convention code first underlying disease means...
False
[ ]
Fraud.
The code may not be used as the first code


22. A(n) _______________ account uses the last date of payment or charge for each illness as the starting date for determining the time limit on that specific debt
Traveler's
[ ]
Open-book
Office supplies.


23. A health-care provider who practices under false qualifications/credentials is guilty of...
Traveler's
Liability
Fraud.
Damages


24. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Punitive damages
( )
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]


25. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
HCPCS Level II codes
True
Office supplies.


26. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Third-party
Based on the patient's reported income from the previous month.
False
Fraud.


27. You should not accept a(n) _______________-_______________ check that is made out to the patient rather than to the practice unless it is from a health insurance company.
Capitated rate
Third-party
Disclosure
( )


28. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
True
The code may not be used as the first code
V01-V83


29. Most practices try to reduce expenses by...
HCPCS Level II codes
Controlling accounts payable
False
Based on the patient's reported income from the previous month.


30. The person to whom the check is written is the _______________.
Payee
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure


31. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
Referrals
Age analysis


32. The payment system used by Medicare is based on...
Resources
False
Inaccurate and/or incorrect billing
Payee


33. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fair Debt Collection Practice Act
False
The code may not be used as the first code
Check your explanation of benefits form


34. Most practices try to reduce expenses by...
Controlling accounts payable
Disclosure
Third-party
Pre-certification.


35. The most likely outcome of an insurance claim submitted with a diagnosis code of a sore throat and a treatment code indicating a cast for a broken leg would be...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Age analysis
Liability
Fraud.


36. The _______________ coding system has two levels and is used for coding services for Medicare patients
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Copayment
Voucher
HCPCS


37. Money paid as compensation as result of a lawsuit is called _______________.
Office supplies.
Age analysis
True
Damages


38. National codes issued by CMS that cover many supplies and durable medical equipment are...
True
Disclosure
HCPCS Level II codes
Includes


39. he ICD code for a home visit for evaluation and management of an established patient is found in which of the following series of codes?
Up to $500 -000 - or 1% of the practice's net worth
Open-book
Third party payer
V01-V83


40. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
True
Fair Debt Collection Practices Act
60


41. Eligibility for Medicaid is...

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42. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
The code may not be used as the first code
CPC
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.


43. Eligibility for Medicaid is...

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44. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Copayment
Third-party
Statement of income and expense
False


45. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
True
Up to $500 -000 - or 1% of the practice's net worth
[ ]


46. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Liability
True
460-519
Referrals


47. A small fee that is collected at the time of service is called a(n) _______________.
( )
Copayment
Open-book
Fraud.


48. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

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49. To avoid writing checks for small amounts - you may pay for small purchases using the _______________ _______________ fund - which is cash kept on hand in the office.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes
Petty cash
Punitive damages


50. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practice Act
Fraud.
Voucher