Test your basic knowledge |

Medical Coding And Billing Clinical

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...
Voucher
Inaccurate and/or incorrect billing
The code may not be used as the first code
Third party payer

2. Money paid as compensation as result of a lawsuit is called _______________.
Controlling accounts payable
Referrals
Damages
False

3. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Fraud.
Damages
Truth in Lending Act

4. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Up to $500 -000 - or 1% of the practice's net worth
False
Check your explanation of benefits form
6 months

5. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Petty cash
Inaccurate and/or incorrect billing
60
Truth in Lending Act

6. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Age analysis
Punitive damages
Petty cash

7. The most common disbursement is for...
6 months
Ask the physician to select a more specific code
V01-V83
Office supplies.

8. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Payee
False
Ask the physician to select a more specific code
True

9. The payment system used by Medicare is based on...
False
Copayment
Resources
Truth in Lending Act

10. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Copayment
False
Form W-4.
Fair Debt Collection Practices Act

11. An act of deception used to take advantage of another person or entity is called...
Fraud.
Inaccurate and/or incorrect billing
Fair Debt Collection Practices Act
[ ]

12. The most common disbursement is for...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
Age analysis
Office supplies.

13. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
True
Office supplies.
Disclosure

14. The Relative Value Unit System was created to...
Pre-certification.
( )
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False

15. Most practices try to reduce expenses by...
Controlling accounts payable
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer
Inaccurate and/or incorrect billing

16. 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
HCPCS Level II codes
Fraud.
False

17. A health-care provider who practices under false qualifications/credentials is guilty of...
Statement of income and expense
Third-party
Fraud.
Open-book

18. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
V01-V83
Statement of income and expense
Includes
Third-party

19. The _______________ coding system has two levels and is used for coding services for Medicare patients
Disclosure
HCPCS
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's

20. 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
6 months
Up to $500 -000 - or 1% of the practice's net worth

21. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
The code may not be used as the first code
If the diagnosis makes you ask 'How did that happen?'
( )

22. The person to whom the check is written is the _______________.
Pre-certification.
Payee
Petty cash
False

23. National codes issued by CMS that cover many supplies and durable medical equipment are...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
Statement of income and expense
Based on the patient's reported income from the previous month.

24. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
6 months
Fraud.
[ ]
Includes

25. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Resources
Ask the physician to select a more specific code
( )
Inaccurate and/or incorrect billing

26. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Open-book
True
Disclosure
[ ]

27. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
Fair Debt Collection Practices Act
Disclosure

28. The process of classifying and reviewing past-due accounts from the first date of billing is...
Statement of income and expense
Disclosure
Includes
Age analysis.

29. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
HCPCS
Third party payer
Copayment
Age analysis

30. An employer identification number is required by law from every employer for federal tax accounting purposes
Payee
HCPCS Level II codes
Check your explanation of benefits form
True

31. In order to be considered negotiable - a check must be signed by the _______________.
CPC
Payer
Pre-certification.
Pre-certification.

32. A small fee that is collected at the time of service is called a(n) _______________.
Controlling accounts payable
[ ]
Copayment
Petty cash

33. An act of deception used to take advantage of another person or entity is called...
Based on the patient's reported income from the previous month.
Fraud.
6 months
460-519

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. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Ask the physician to select a more specific code
False
Statement of income and expense

36. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fraud.
False
Check your explanation of benefits form
Controlling accounts payable

37. An easy way to remember when an E code is required is...

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38. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Pre-certification.
Includes
Liability
HCPCS

39. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Office supplies.
Disclosure
True
Petty cash

40. 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
Third-party
Truth in Lending Act
Check your explanation of benefits form

41. The payment system used by Medicare is based on...
Fair Debt Collection Practice Act
Resources
Traveler's
False

42. 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
HCPCS
Third-party
60
Includes

43. Which of the following should be a factor when selecting an outside collection agency?
Payee
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Ask the physician to select a more specific code

44. The person to whom the check is written is the _______________.
Payee
Based on the patient's reported income from the previous month.
Capitated rate
The code may not be used as the first code

45. The process of classifying and reviewing past-due accounts from the first date of billing is...
Fraud.
460-519
Punitive damages
Age analysis.

46. 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.
Age analysis
Liability

47. Prison sentences are possible consequences of...
False
True
Fraud.
Inaccurate and/or incorrect billing

48. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Statement of income and expense
Referrals
60
Check your explanation of benefits form

49. 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
Petty cash
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
60

50. Some insurers will not pay a claim unless it is filed within ________ of the date of service
460-519
6 months
If the diagnosis makes you ask 'How did that happen?'
False