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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. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
False
Form W-4.
False
2. An act of deception used to take advantage of another person or entity is called...
V01-V83
Fraud.
True
If the diagnosis makes you ask 'How did that happen?'
3. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Referrals
Punitive damages
True
4. The ______________ is paid to the provider even if the patient receives no care
60
Capitated rate
Check your explanation of benefits form
Open-book
5. 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
Office supplies.
If the diagnosis makes you ask 'How did that happen?'
Statement of income and expense
6. In order to be considered negotiable - a check must be signed by the _______________.
Based on the patient's reported income from the previous month.
If the diagnosis makes you ask 'How did that happen?'
Payer
Third-party
7. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate
Up to $500 -000 - or 1% of the practice's net worth
[ ]
8. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Fraud.
V01-V83
True
9. 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.
Truth in Lending Act
Petty cash
( )
Punitive damages
10. 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
Traveler's
Open-book
Resources
Ask the physician to select a more specific code
11. 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
Third party payer
60
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
12. 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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13. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Age analysis.
Payer
Truth in Lending Act
Copayment
14. Eligibility for Medicaid is...
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15. 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...
460-519
If the diagnosis makes you ask 'How did that happen?'
Based on the patient's reported income from the previous month.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
16. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
V01-V83
The code may not be used as the first code
False
Age analysis
17. 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
True
[ ]
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
18. A health-care provider who practices under false qualifications/credentials is guilty of...
Up to $500 -000 - or 1% of the practice's net worth
If the diagnosis makes you ask 'How did that happen?'
Fraud.
CPC
19. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Pre-certification.
Age analysis.
Petty cash
True
20. The process of classifying and reviewing past-due accounts from the first date of billing is...
Pre-certification.
Age analysis.
Inaccurate and/or incorrect billing
Check your explanation of benefits form
21. 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.
Statement of income and expense
False
Third-party
Liability
22. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Capitated rate
Up to $500 -000 - or 1% of the practice's net worth
Form W-4.
Age analysis
23. The number of dependents an employee is claiming is found on the
Form W-4.
Third party payer
Inaccurate and/or incorrect billing
Open-book
24. The number of dependents an employee is claiming is found on the
HCPCS Level II codes
Capitated rate
Form W-4.
Controlling accounts payable
25. 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
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Referrals
60
26. Which of the following should be a factor when selecting an outside collection agency?
Damages
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
V01-V83
27. The person to whom the check is written is the _______________.
Referrals
Truth in Lending Act
False
Payee
28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Age analysis.
Damages
False
29. The _______________-_______________ _______________ is the health plan that pays for medical services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third party payer
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
30. Which of the following is also called Public Law 95-109?
The code may not be used as the first code
Fair Debt Collection Practice Act
HCPCS Level II codes
HCPCS
31. Most practices try to reduce expenses by...
60
False
Controlling accounts payable
Pre-certification.
32. 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.
Check your explanation of benefits form
Open-book
Fraud.
False
33. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
$280.
Referrals
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
34. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
Form W-4.
35. The _______________ coding system has two levels and is used for coding services for Medicare patients
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS
Traveler's
Traveler's
36. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Copayment
Age analysis
[ ]
460-519
37. The payment system used by Medicare is based on...
Traveler's
Payee
Fair Debt Collection Practices Act
Resources
38. 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
Form W-4.
Based on the patient's reported income from the previous month.
Based on the patient's reported income from the previous month.
39. Money paid for intentionally breaking the law is called _______________ _______________.
Fraud.
Fair Debt Collection Practices Act
Punitive damages
460-519
40. 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
Traveler's
Open-book
Fraud.
Punitive damages
41. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Office supplies.
Form W-4.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
$280.
42. 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
60
Copayment
Based on the patient's reported income from the previous month.
43. 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.
Includes
Fraud.
CPC
False
44. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
False
( )
Punitive damages
Fair Debt Collection Practices Act
45. An employer identification number is required by law from every employer for federal tax accounting purposes
Voucher
True
Third party payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
46. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
[ ]
If the diagnosis makes you ask 'How did that happen?'
Up to $500 -000 - or 1% of the practice's net worth
47. The person to whom the check is written is the _______________.
Liability
Payee
If the diagnosis makes you ask 'How did that happen?'
V01-V83
48. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Statement of income and expense
Age analysis.
Liability
Fraud.
49. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS
Check your explanation of benefits form
[ ]
50. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Open-book
Form W-4.
Form W-4.
[ ]
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