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. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Third-party
HCPCS Level II codes
( )

2. A small fee that is collected at the time of service is called a(n) _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
V01-V83
( )
Copayment

3. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
V01-V83
HCPCS
6 months

4. Money paid for intentionally breaking the law is called _______________ _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Traveler's
Punitive damages
Check your explanation of benefits form

5. The number of dependents an employee is claiming is found on the
Truth in Lending Act
Form W-4.
Statement of income and expense
HCPCS

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

7. Money paid as compensation as result of a lawsuit is called _______________.
6 months
Damages
( )
False

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

9. The payment system used by Medicare is based on...
Resources
6 months
Fair Debt Collection Practices Act
CPC

10. The person to whom the check is written is the _______________.
[ ]
Fraud.
Payee
Copayment

11. In order to be considered negotiable - a check must be signed by the _______________.
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Payer

12. National codes issued by CMS that cover many supplies and durable medical equipment are...
Petty cash
Third party payer
HCPCS
HCPCS Level II codes

13. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Third party payer
V01-V83
False

14. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
HCPCS Level II codes
460-519
Disclosure
Age analysis

15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
True
If the diagnosis makes you ask 'How did that happen?'
Voucher
Check your explanation of benefits form

16. 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...
Third party payer
Statement of income and expense
Petty cash
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

17. The most common disbursement is for...
Petty cash
Office supplies.
Voucher
460-519

18. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Pre-certification.
Petty cash
False
Open-book

19. Money paid for intentionally breaking the law is called _______________ _______________.
Up to $500 -000 - or 1% of the practice's net worth
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Controlling accounts payable
Punitive damages

20. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
The code may not be used as the first code
Fair Debt Collection Practices Act
True

21. The Relative Value Unit System was created to...
Copayment
Truth in Lending Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Form W-4.

22. 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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23. 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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24. An act of deception used to take advantage of another person or entity is called...
Open-book
Punitive damages
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

25. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Resources
True
False
Includes

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

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27. A health-care provider who practices under false qualifications/credentials is guilty of...
Capitated rate
Resources
Fraud.
( )

28. Which of the following should be a factor when selecting an outside collection agency?
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
Statement of income and expense

29. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Includes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Form W-4.
[ ]

30. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Copayment
Liability
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

31. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Third-party
6 months
Payee
Form W-4.

32. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
460-519

33. 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
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Up to $500 -000 - or 1% of the practice's net worth

34. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Includes
Copayment
False

35. The number of dependents an employee is claiming is found on the
Age analysis.
Form W-4.
Office supplies.
Pre-certification.

36. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Form W-4.
( )
Third party payer
Fraud.

37. 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
460-519
Statement of income and expense
Voucher

38. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
HCPCS
Pre-certification.
Third-party

39. The payment system used by Medicare is based on...
Resources
True
Based on the patient's reported income from the previous month.
Petty cash

40. 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
Petty cash
Capitated rate
Damages

41. An act of deception used to take advantage of another person or entity is called...
460-519
Office supplies.
True
Fraud.

42. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Office supplies.
460-519
Form W-4.
Copayment

43. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Payee
False
Form W-4.
Age analysis

44. The most common disbursement is for...
Third party payer
HCPCS
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.

45. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Copayment
Office supplies.
Open-book

46. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
False
Ask the physician to select a more specific code
Open-book
Third party payer

47. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
HCPCS Level II codes
Voucher
$280.
Third party payer

48. 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.
Damages
The code may not be used as the first code
Petty cash
60

49. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Resources
Open-book
Traveler's
Check your explanation of benefits form

50. The person to whom the check is written is the _______________.
Payee
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Inaccurate and/or incorrect billing