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 ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
True
Traveler's
60
( )

2. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
Fair Debt Collection Practices Act
$280.
( )

3. Most practices try to reduce expenses by...
Damages
Ask the physician to select a more specific code
Check your explanation of benefits form
Controlling accounts payable

4. The number of dependents an employee is claiming is found on the
Payer
Check your explanation of benefits form
Form W-4.
Based on the patient's reported income from the previous month.

5. An employer identification number is required by law from every employer for federal tax accounting purposes
False
True
460-519
[ ]

6. The determination of the amount of money paid by a third-party payer for a procedure is...
Ask the physician to select a more specific code
Third party payer
( )
Pre-certification.

7. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Based on the patient's reported income from the previous month.
Truth in Lending Act
Pre-certification.

8. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
6 months
If the diagnosis makes you ask 'How did that happen?'
True

9. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment

10. The ______________ is paid to the provider even if the patient receives no care
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate
False
Controlling accounts payable

11. 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.
Petty cash
460-519
Resources
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

12. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act
HCPCS

13. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Office supplies.
Includes
V01-V83
CPC

14. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Form W-4.
If the diagnosis makes you ask 'How did that happen?'
Fraud.

15. A small fee that is collected at the time of service is called a(n) _______________.
Based on the patient's reported income from the previous month.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Copayment
Inaccurate and/or incorrect billing

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

17. Money paid for intentionally breaking the law is called _______________ _______________.
False
Punitive damages
False
Capitated rate

18. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Office supplies.
Statement of income and expense
Controlling accounts payable
Capitated rate

19. The ICD-9-CM convention code first underlying disease means...
Office supplies.
Third party payer
The code may not be used as the first code
Inaccurate and/or incorrect billing

20. 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
Payer
HCPCS
Traveler's

21. 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
If the diagnosis makes you ask 'How did that happen?'
[ ]
Fair Debt Collection Practices Act

22. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fraud.
Liability
True
Ask the physician to select a more specific code

23. The _______________-_______________ _______________ is the health plan that pays for medical services
True
$280.
Third party payer
Based on the patient's reported income from the previous month.

24. National codes issued by CMS that cover many supplies and durable medical equipment are...
Punitive damages
Office supplies.
HCPCS Level II codes
Statement of income and expense

25. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Ask the physician to select a more specific code
Petty cash
Fair Debt Collection Practice Act
Check your explanation of benefits form

26. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practices Act
True

27. An employer identification number is required by law from every employer for federal tax accounting purposes
CPC
Form W-4.
True
Voucher

28. An act of deception used to take advantage of another person or entity is called...
Includes
460-519
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.

29. The Relative Value Unit System was created to...
$280.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Referrals

30. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Open-book

31. 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?

32. The most common disbursement is for...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Office supplies.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Copayment

33. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Resources
HCPCS Level II codes
Age analysis
Voucher

34. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
True
Statement of income and expense
Voucher
False

35. 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
60
Petty cash
False
V01-V83

36. 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
Fraud.
Fair Debt Collection Practice Act
Open-book
460-519

37. 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.
False
CPC
Resources
True

38. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Punitive damages
Pre-certification.
Petty cash
CPC

39. Money paid as compensation as result of a lawsuit is called _______________.
Third-party
False
CPC
Damages

40. 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
Liability
6 months
$280.

41. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Capitated rate
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True

42. Prison sentences are possible consequences of...
Statement of income and expense
False
True
Inaccurate and/or incorrect billing

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

44. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Statement of income and expense
60

45. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Truth in Lending Act
True
Petty cash
Copayment

46. A small fee that is collected at the time of service is called a(n) _______________.
Controlling accounts payable
Copayment
Damages
If the diagnosis makes you ask 'How did that happen?'

47. The ______________ is paid to the provider even if the patient receives no care
Controlling accounts payable
Capitated rate
False
True

48. The most common disbursement is for...
False
Check your explanation of benefits form
CPC
Office supplies.

49. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
460-519
Voucher
$280.
False

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