SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Controlling accounts payable
$280.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
2. 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
Based on the patient's reported income from the previous month.
Open-book
Third-party
6 months
3. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Open-book
Liability
Resources
Disclosure
4. 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
Fair Debt Collection Practice Act
Liability
Referrals
False
5. Money paid for intentionally breaking the law is called _______________ _______________.
$280.
Based on the patient's reported income from the previous month.
Punitive damages
Check your explanation of benefits form
6. Prison sentences are possible consequences of...
Payer
Inaccurate and/or incorrect billing
Pre-certification.
Third-party
7. 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
Payer
Open-book
False
HCPCS
8. 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
Fraud.
Petty cash
60
Up to $500 -000 - or 1% of the practice's net worth
9. The determination of the amount of money paid by a third-party payer for a procedure is...
Third party payer
Pre-certification.
Punitive damages
Voucher
10. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
V01-V83
Voucher
Petty cash
Includes
11. 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?
12. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Based on the patient's reported income from the previous month.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Disclosure
13. 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.
False
Voucher
14. The number of dependents an employee is claiming is found on the
Third party payer
Resources
Form W-4.
Disclosure
15. Eligibility for Medicaid is...
16. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practice Act
False
V01-V83
17. Which of the following is also called Public Law 95-109?
Third-party
Damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fair Debt Collection Practice Act
18. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Fair Debt Collection Practices Act
Disclosure
True
( )
19. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Third party payer
Inaccurate and/or incorrect billing
Age analysis
Ask the physician to select a more specific code
20. Which of the following is also called Public Law 95-109?
Voucher
Fair Debt Collection Practice Act
Form W-4.
False
21. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
False
Payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
22. National codes issued by CMS that cover many supplies and durable medical equipment are...
Capitated rate
HCPCS Level II codes
6 months
Truth in Lending Act
23. Prison sentences are possible consequences of...
True
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Based on the patient's reported income from the previous month.
24. The most common disbursement is for...
False
Referrals
Fair Debt Collection Practice Act
Office supplies.
25. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6 months
Check your explanation of benefits form
26. The payment system used by Medicare is based on...
Resources
If the diagnosis makes you ask 'How did that happen?'
[ ]
Punitive damages
27. In order to be considered negotiable - a check must be signed by the _______________.
60
Payer
60
Based on the patient's reported income from the previous month.
28. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Resources
$280.
Age analysis.
29. Eligibility for Medicaid is...
30. 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.
Open-book
6 months
Fraud.
Third-party
31. The _______________ coding system has two levels and is used for coding services for Medicare patients
Includes
Payer
HCPCS
Includes
32. 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
Fair Debt Collection Practice Act
33. The ICD-9-CM convention code first underlying disease means...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
The code may not be used as the first code
Payee
Third party payer
34. Most practices try to reduce expenses by...
Includes
$280.
Controlling accounts payable
Payee
35. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third-party
Fraud.
False
Check your explanation of benefits form
36. Money paid as compensation as result of a lawsuit is called _______________.
60
Age analysis
If the diagnosis makes you ask 'How did that happen?'
Damages
37. An employer identification number is required by law from every employer for federal tax accounting purposes
6 months
True
Truth in Lending Act
Payer
38. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practice Act
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
Office supplies.
39. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Fair Debt Collection Practice Act
False
V01-V83
40. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third-party
Payer
Controlling accounts payable
Check your explanation of benefits form
41. Which of the following should be a factor when selecting an outside collection agency?
The code may not be used as the first code
Based on the patient's reported income from the previous month.
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
42. The person to whom the check is written is the _______________.
Includes
Payee
HCPCS Level II codes
Pre-certification.
43. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Payee
HCPCS
Copayment
Disclosure
44. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Referrals
Based on the patient's reported income from the previous month.
[ ]
Up to $500 -000 - or 1% of the practice's net worth
45. 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.
Age analysis.
HCPCS Level II codes
False
Petty cash
46. The payment system used by Medicare is based on...
Capitated rate
Resources
Copayment
V01-V83
47. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Pre-certification.
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
Pre-certification.
False
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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Based on the patient's reported income from the previous month.
V01-V83
60
50. An act of deception used to take advantage of another person or entity is called...
The code may not be used as the first code
Fraud.
If the diagnosis makes you ask 'How did that happen?'
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.