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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. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
60
False
HCPCS
2. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Statement of income and expense
HCPCS Level II codes
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
3. 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
Statement of income and expense
Open-book
Ask the physician to select a more specific code
Up to $500 -000 - or 1% of the practice's net worth
4. 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
Traveler's
Fraud.
5. 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?
Damages
Punitive damages
V01-V83
Statement of income and expense
6. 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.
Fair Debt Collection Practices Act
V01-V83
False
Fraud.
7. An employer identification number is required by law from every employer for federal tax accounting purposes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
[ ]
Based on the patient's reported income from the previous month.
8. The payment system used by Medicare is based on...
Up to $500 -000 - or 1% of the practice's net worth
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
Resources
9. National codes issued by CMS that cover many supplies and durable medical equipment are...
Office supplies.
Damages
Payee
HCPCS Level II codes
10. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Disclosure
Age analysis
Ask the physician to select a more specific code
Form W-4.
11. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Payer
Check your explanation of benefits form
Form W-4.
Controlling accounts payable
12. Which of the following should be a factor when selecting an outside collection agency?
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6 months
13. 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.
Referrals
Third-party
CPC
False
14. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Age analysis.
The code may not be used as the first code
Pre-certification.
Voucher
15. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Damages
Traveler's
16. The most common disbursement is for...
Form W-4.
Office supplies.
Liability
Age analysis.
17. An easy way to remember when an E code is required is...
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18. 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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19. Eligibility for Medicaid is...
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20. 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
Up to $500 -000 - or 1% of the practice's net worth
Referrals
Voucher
21. 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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22. An act of deception used to take advantage of another person or entity is called...
$280.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Punitive damages
Fraud.
23. The number of dependents an employee is claiming is found on the
Form W-4.
Truth in Lending Act
Fraud.
Damages
24. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Damages
Age analysis
Resources
25. An easy way to remember when an E code is required is...
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26. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Statement of income and expense
[ ]
Third-party
CPC
27. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Resources
Fair Debt Collection Practices Act
60
Open-book
28. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Petty cash
V01-V83
Statement of income and expense
29. 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
Copayment
Pre-certification.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
30. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
True
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
31. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Liability
Payer
Disclosure
Statement of income and expense
32. The Relative Value Unit System was created to...
Fair Debt Collection Practices Act
V01-V83
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Check your explanation of benefits form
33. 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.
( )
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash
34. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
False
True
True
460-519
35. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Age analysis
Includes
False
Truth in Lending Act
36. 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?
True
Inaccurate and/or incorrect billing
Check your explanation of benefits form
V01-V83
37. The _______________ coding system has two levels and is used for coding services for Medicare patients
Capitated rate
HCPCS
Disclosure
Includes
38. 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
If the diagnosis makes you ask 'How did that happen?'
460-519
Referrals
Age analysis.
39. Which of the following is also called Public Law 95-109?
Disclosure
False
Fair Debt Collection Practice Act
Traveler's
40. The ICD-9-CM convention code first underlying disease means...
Fair Debt Collection Practice Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
The code may not be used as the first code
$280.
41. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Truth in Lending Act
HCPCS
Based on the patient's reported income from the previous month.
42. Prison sentences are possible consequences of...
False
False
[ ]
Inaccurate and/or incorrect billing
43. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Fair Debt Collection Practice Act
Payer
False
44. The ______________ is paid to the provider even if the patient receives no care
True
Capitated rate
460-519
HCPCS
45. In order to be considered negotiable - a check must be signed by the _______________.
Open-book
Fair Debt Collection Practice Act
V01-V83
Payer
46. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Payer
Damages
Truth in Lending Act
6 months
47. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
True
Fraud.
6 months
48. 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...
$280.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Statement of income and expense
Fair Debt Collection Practice Act
49. The _______________ coding system has two levels and is used for coding services for Medicare patients
460-519
HCPCS
Up to $500 -000 - or 1% of the practice's net worth
Punitive damages
50. 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.
Age analysis.
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
Third-party