Test your basic knowledge |

Medical Coding And Billing Clinical

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. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
Ask the physician to select a more specific code
Payer
Traveler's

2. Money paid as compensation as result of a lawsuit is called _______________.
Resources
Office supplies.
HCPCS
Damages

3. The Relative Value Unit System was created to...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Office supplies.

4. The payment system used by Medicare is based on...
Resources
[ ]
Copayment
CPC

5. 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
Open-book
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Up to $500 -000 - or 1% of the practice's net worth
( )

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

7. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Ask the physician to select a more specific code
If the diagnosis makes you ask 'How did that happen?'
True
Fair Debt Collection Practices Act

8. The ICD-9-CM convention code first underlying disease means...
Based on the patient's reported income from the previous month.
Statement of income and expense
The code may not be used as the first code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

9. 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...
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

10. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Payer
Includes
Resources
Check your explanation of benefits form

11. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practice Act
True
False

12. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Third-party

13. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
Form W-4.
$280.
False

14. The person to whom the check is written is the _______________.
Payee
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Resources
Voucher

15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Referrals
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Voucher

16. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Petty cash
Fraud.
Office supplies.

17. The number of dependents an employee is claiming is found on the
HCPCS Level II codes
Check your explanation of benefits form
Fair Debt Collection Practices Act
Form W-4.

18. Prison sentences are possible consequences of...
Pre-certification.
Copayment
Inaccurate and/or incorrect billing
Check your explanation of benefits form

19. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Inaccurate and/or incorrect billing
Third-party
60

20. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes
Referrals
Statement of income and expense

21. In order to be considered negotiable - a check must be signed by the _______________.
CPC
Payer
Inaccurate and/or incorrect billing
Referrals

22. The Relative Value Unit System was created to...
True
Age analysis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
60

23. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
$280.
$280.
Copayment
Disclosure

24. Which of the following should be a factor when selecting an outside collection agency?
Disclosure
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Punitive damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

25. The _______________ coding system has two levels and is used for coding services for Medicare patients
Pre-certification.
HCPCS
Fair Debt Collection Practice Act
Fraud.

26. Prison sentences are possible consequences of...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payee
Check your explanation of benefits form
Inaccurate and/or incorrect billing

27. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Payer
Traveler's
Payee

28. 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.
Based on the patient's reported income from the previous month.
( )
6 months
Petty cash

29. 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
Form W-4.
60
Punitive damages
Referrals

30. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Fraud.
60
60

31. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Includes
Pre-certification.
Fraud.
Ask the physician to select a more specific code

32. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
460-519
False
Age analysis
Truth in Lending Act

33. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
The code may not be used as the first code
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS Level II codes

34. The _______________-_______________ _______________ is the health plan that pays for medical services
Includes
Disclosure
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

35. Money paid as compensation as result of a lawsuit is called _______________.
Office supplies.
460-519
Damages
Payee

36. Eligibility for Medicaid is...

37. The most common disbursement is for...
Office supplies.
CPC
CPC
Open-book

38. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Controlling accounts payable
Payee
Fair Debt Collection Practice Act

39. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Resources
( )
False
Petty cash

40. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Statement of income and expense
Age analysis
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

41. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
Office supplies.
Pre-certification.
Voucher

42. 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...
False
60
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Punitive damages

43. The determination of the amount of money paid by a third-party payer for a procedure is...
60
Punitive damages
Referrals
Pre-certification.

44. 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?
V01-V83
Fraud.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Copayment

45. 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
Check your explanation of benefits form
HCPCS
Age analysis.
Referrals

46. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Payer
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes
Age analysis

47. Which of the following is also called Public Law 95-109?
False
True
[ ]
Fair Debt Collection Practice Act

48. Which of the following is also called Public Law 95-109?
V01-V83
Third party payer
True
Fair Debt Collection Practice Act

49. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
$280.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
60

50. An easy way to remember when an E code is required is...