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Test your basic knowledge |
Medical Coding And Billing Clinical
Start Test
Study First
Subject
:
medical-transcription
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. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
False
Open-book
True
Form W-4.
2. In order to be considered negotiable - a check must be signed by the _______________.
Fair Debt Collection Practice Act
Damages
Payer
Up to $500 -000 - or 1% of the practice's net worth
3. 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
False
Referrals
Statement of income and expense
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
4. The payment system used by Medicare is based on...
Resources
Third-party
CPC
Third-party
5. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Office supplies.
Capitated rate
( )
V01-V83
6. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Petty cash
Includes
( )
False
7. 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.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Petty cash
True
8. Which of the following should be a factor when selecting an outside collection agency?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS
9. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Third party payer
Truth in Lending Act
Traveler's
10. Most practices try to reduce expenses by...
Statement of income and expense
Age analysis
Controlling accounts payable
V01-V83
11. An easy way to remember when an E code is required is...
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12. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Age analysis
( )
Damages
Check your explanation of benefits form
13. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Inaccurate and/or incorrect billing
Up to $500 -000 - or 1% of the practice's net worth
Liability
Ask the physician to select a more specific code
14. The ICD-9-CM convention code first underlying disease means...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
False
The code may not be used as the first code
15. 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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16. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Liability
Age analysis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6 months
17. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Office supplies.
[ ]
Third party payer
Controlling accounts payable
18. An act of deception used to take advantage of another person or entity is called...
Fraud.
V01-V83
Open-book
Includes
19. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Office supplies.
Petty cash
True
False
20. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
HCPCS
$280.
False
CPC
21. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
True
Payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
22. The determination of the amount of money paid by a third-party payer for a procedure is...
False
Referrals
Pre-certification.
( )
23. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Traveler's
Third party payer
Based on the patient's reported income from the previous month.
24. 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
True
Up to $500 -000 - or 1% of the practice's net worth
Statement of income and expense
25. The determination of the amount of money paid by a third-party payer for a procedure is...
60
Payer
460-519
Pre-certification.
26. Which of the following is also called Public Law 95-109?
True
Includes
Fair Debt Collection Practice Act
[ ]
27. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Form W-4.
Damages
( )
28. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
True
Includes
Age analysis.
Check your explanation of benefits form
29. The most common disbursement is for...
Includes
Age analysis.
Office supplies.
Voucher
30. The number of dependents an employee is claiming is found on the
Form W-4.
460-519
Punitive damages
60
31. An employer identification number is required by law from every employer for federal tax accounting purposes
Copayment
Age analysis.
True
Capitated rate
32. An act of deception used to take advantage of another person or entity is called...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
33. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
False
Disclosure
Copayment
34. 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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35. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
True
False
CPC
Fair Debt Collection Practice Act
36. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Age analysis.
Damages
CPC
Traveler's
37. The number of dependents an employee is claiming is found on the
Age analysis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Form W-4.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
38. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Liability
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
39. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
HCPCS Level II codes
$280.
Voucher
Age analysis
40. 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.
[ ]
Third-party
Includes
Form W-4.
41. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fraud.
Disclosure
Fair Debt Collection Practices Act
$280.
42. 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
CPC
Inaccurate and/or incorrect billing
Third-party
43. Money paid as compensation as result of a lawsuit is called _______________.
Damages
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure
44. 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.
Fair Debt Collection Practices Act
False
Statement of income and expense
Petty cash
45. 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
Voucher
Age analysis.
True
Open-book
46. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
True
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
Liability
47. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Voucher
Based on the patient's reported income from the previous month.
Check your explanation of benefits form
48. A small fee that is collected at the time of service is called a(n) _______________.
Pre-certification.
Copayment
True
False
49. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Inaccurate and/or incorrect billing
Copayment
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Ask the physician to select a more specific code
50. 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
Age analysis
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS
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