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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. Which of the following is also called Public Law 95-109?
( )
Ask the physician to select a more specific code
Age analysis.
Fair Debt Collection Practice Act
2. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Capitated rate
$280.
Payer
3. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Age analysis.
Open-book
Liability
True
4. A health-care provider who practices under false qualifications/credentials is guilty of...
Check your explanation of benefits form
Fair Debt Collection Practices Act
Fraud.
Capitated rate
5. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Third party payer
Resources
Traveler's
6. 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
60
Open-book
Damages
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.
Resources
False
Age analysis
Punitive damages
8. The _______________-_______________ _______________ is the health plan that pays for medical services
Copayment
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Damages
9. 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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10. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
( )
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payee
False
11. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Referrals
True
True
12. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
V01-V83
Inaccurate and/or incorrect billing
Age analysis.
13. Eligibility for Medicaid is...
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14. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Ask the physician to select a more specific code
Petty cash
Damages
15. Money paid as compensation as result of a lawsuit is called _______________.
( )
Damages
False
True
16. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Referrals
Payer
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
17. The ______________ is paid to the provider even if the patient receives no care
Traveler's
False
Capitated rate
The code may not be used as the first code
18. A health-care provider who practices under false qualifications/credentials is guilty of...
Payee
Traveler's
Fraud.
CPC
19. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
HCPCS
Check your explanation of benefits form
Controlling accounts payable
Traveler's
20. The person to whom the check is written is the _______________.
Disclosure
Payee
60
False
21. An employer identification number is required by law from every employer for federal tax accounting purposes
Punitive damages
Pre-certification.
Age analysis.
True
22. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Fraud.
Third party payer
False
23. An act of deception used to take advantage of another person or entity is called...
V01-V83
Up to $500 -000 - or 1% of the practice's net worth
True
Fraud.
24. An act of deception used to take advantage of another person or entity is called...
HCPCS
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
Pre-certification.
25. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Ask the physician to select a more specific code
False
( )
26. 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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27. 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
Punitive damages
Fair Debt Collection Practices Act
Punitive damages
Referrals
28. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
If the diagnosis makes you ask 'How did that happen?'
60
Traveler's
Includes
29. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Third-party
Age analysis
Copayment
Capitated rate
30. Most practices try to reduce expenses by...
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate
Controlling accounts payable
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?
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32. 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
Age analysis
Payee
Payer
33. The _______________ coding system has two levels and is used for coding services for Medicare patients
Disclosure
HCPCS
Statement of income and expense
Includes
34. The ICD-9-CM convention code first underlying disease means...
Punitive damages
False
$280.
The code may not be used as the first code
35. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
CPC
6 months
If the diagnosis makes you ask 'How did that happen?'
Statement of income and expense
36. 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...
Traveler's
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
( )
Payer
37. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
True
Based on the patient's reported income from the previous month.
Pre-certification.
38. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Ask the physician to select a more specific code
Traveler's
39. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Pre-certification.
Fraud.
40. Prison sentences are possible consequences of...
Damages
Age analysis.
Based on the patient's reported income from the previous month.
Inaccurate and/or incorrect billing
41. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Includes
Fraud.
False
If the diagnosis makes you ask 'How did that happen?'
42. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
HCPCS
If the diagnosis makes you ask 'How did that happen?'
Open-book
43. 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.
True
False
44. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
True
Truth in Lending Act
Voucher
Traveler's
45. A small fee that is collected at the time of service is called a(n) _______________.
Voucher
( )
Copayment
False
46. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Check your explanation of benefits form
Age analysis
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Ask the physician to select a more specific code
47. 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.
Capitated rate
False
Punitive damages
Voucher
48. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Ask the physician to select a more specific code
CPC
Damages
49. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Check your explanation of benefits form
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS
50. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Petty cash
Disclosure
Form W-4.
Check your explanation of benefits form