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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. An act of deception used to take advantage of another person or entity is called...
Fraud.
CPC
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
2. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
HCPCS
Includes
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.
3. Money paid as compensation as result of a lawsuit is called _______________.
Damages
The code may not be used as the first code
Resources
Fraud.
4. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Resources
6 months
Fair Debt Collection Practice Act
Fair Debt Collection Practices Act
5. Which of the following should be a factor when selecting an outside collection agency?
Payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Capitated rate
V01-V83
6. 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
Open-book
[ ]
Truth in Lending Act
7. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
V01-V83
Referrals
False
CPC
8. The number of dependents an employee is claiming is found on the
Copayment
Form W-4.
Pre-certification.
Ask the physician to select a more specific code
9. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
V01-V83
Third party payer
Voucher
Traveler's
10. 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.
Ask the physician to select a more specific code
Up to $500 -000 - or 1% of the practice's net worth
Petty cash
False
11. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Check your explanation of benefits form
Traveler's
Pre-certification.
12. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Includes
Damages
Third-party
Statement of income and expense
13. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
Pre-certification.
Age analysis.
HCPCS
14. 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?
15. Eligibility for Medicaid is...
16. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
[ ]
HCPCS Level II codes
Form W-4.
Ask the physician to select a more specific code
17. 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.
Fraud.
Fair Debt Collection Practices Act
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
18. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Pre-certification.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Statement of income and expense
The code may not be used as the first code
19. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
Pre-certification.
False
20. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
HCPCS Level II codes
HCPCS
Payee
21. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Form W-4.
460-519
Fraud.
Fair Debt Collection Practices Act
22. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
23. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
HCPCS Level II codes
Copayment
Form W-4.
Voucher
24. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
[ ]
Payee
25. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Form W-4.
Third-party
Includes
Fair Debt Collection Practices Act
26. 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?
27. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Traveler's
Payee
Open-book
False
28. The _______________ coding system has two levels and is used for coding services for Medicare patients
6 months
Fair Debt Collection Practices Act
HCPCS
False
29. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
False
[ ]
Traveler's
30. 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
Inaccurate and/or incorrect billing
Referrals
Form W-4.
Fair Debt Collection Practices Act
31. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Check your explanation of benefits form
Fair Debt Collection Practices Act
V01-V83
32. The process of classifying and reviewing past-due accounts from the first date of billing is...
6 months
Fraud.
Age analysis.
CPC
33. Most practices try to reduce expenses by...
Controlling accounts payable
Traveler's
Up to $500 -000 - or 1% of the practice's net worth
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
34. The ICD-9-CM convention code first underlying disease means...
HCPCS
True
Controlling accounts payable
The code may not be used as the first code
35. National codes issued by CMS that cover many supplies and durable medical equipment are...
Capitated rate
HCPCS Level II codes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Punitive damages
36. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
HCPCS Level II codes
Fair Debt Collection Practice Act
Statement of income and expense
37. The determination of the amount of money paid by a third-party payer for a procedure is...
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes
CPC
Pre-certification.
38. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Check your explanation of benefits form
False
Damages
( )
39. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Age analysis.
Third-party
Resources
40. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Truth in Lending Act
Age analysis
Check your explanation of benefits form
[ ]
41. In order to be considered negotiable - a check must be signed by the _______________.
Payee
Capitated rate
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer
42. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Fraud.
Third-party
Punitive damages
43. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Includes
Check your explanation of benefits form
( )
Copayment
44. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Includes
False
Statement of income and expense
Form W-4.
45. In order to be considered negotiable - a check must be signed by the _______________.
Fair Debt Collection Practice Act
460-519
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
46. The most common disbursement is for...
Office supplies.
Age analysis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
47. The payment system used by Medicare is based on...
Resources
HCPCS
Age analysis.
6 months
48. The payment system used by Medicare is based on...
Capitated rate
Statement of income and expense
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Resources
49. 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
Liability
[ ]
False
50. A health-care provider who practices under false qualifications/credentials is guilty of...
Inaccurate and/or incorrect billing
Fraud.
Third-party
460-519