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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 try to reduce expenses by...
Capitated rate
Fair Debt Collection Practices Act
Payee
Controlling accounts payable
2. The payment system used by Medicare is based on...
Resources
Payer
The code may not be used as the first code
Controlling accounts payable
3. The most common disbursement is for...
Office supplies.
True
Truth in Lending Act
60
4. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Traveler's
6 months
HCPCS
5. National codes issued by CMS that cover many supplies and durable medical equipment are...
Statement of income and expense
Truth in Lending Act
Age analysis.
HCPCS Level II codes
6. The ICD-9-CM convention code first underlying disease means...
Payer
Damages
The code may not be used as the first code
Check your explanation of benefits form
7. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Includes
HCPCS Level II codes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
8. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
6 months
Liability
Copayment
Fraud.
9. The person to whom the check is written is the _______________.
Third party payer
Voucher
Age analysis.
Payee
10. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Age analysis
Capitated rate
False
Controlling accounts payable
11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Check your explanation of benefits form
Disclosure
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
12. National codes issued by CMS that cover many supplies and durable medical equipment are...
Traveler's
HCPCS Level II codes
Punitive damages
Resources
13. The determination of the amount of money paid by a third-party payer for a procedure is...
Punitive damages
Disclosure
Pre-certification.
The code may not be used as the first code
14. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Referrals
Third party payer
15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher
If the diagnosis makes you ask 'How did that happen?'
Includes
16. The ______________ is paid to the provider even if the patient receives no care
Inaccurate and/or incorrect billing
Capitated rate
False
Third-party
17. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Damages
V01-V83
Voucher
Check your explanation of benefits form
18. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Truth in Lending Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS Level II codes
19. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Disclosure
Fair Debt Collection Practices Act
Statement of income and expense
Controlling accounts payable
20. Which of the following is also called Public Law 95-109?
Resources
Inaccurate and/or incorrect billing
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
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.
Fair Debt Collection Practice Act
Liability
60
Third-party
22. The Relative Value Unit System was created to...
Ask the physician to select a more specific code
Truth in Lending Act
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
23. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Ask the physician to select a more specific code
$280.
Includes
Form W-4.
24. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Resources
V01-V83
False
Fraud.
25. 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.
Capitated rate
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer
26. 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 payer
Third-party
Age analysis.
Pre-certification.
27. Most practices try to reduce expenses by...
Age analysis.
Copayment
Controlling accounts payable
Form W-4.
28. The number of dependents an employee is claiming is found on the
Form W-4.
False
Capitated rate
Age analysis.
29. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Age analysis
If the diagnosis makes you ask 'How did that happen?'
False
CPC
30. Which of the following should be a factor when selecting an outside collection agency?
Fair Debt Collection Practices Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
The code may not be used as the first code
Capitated rate
31. The _______________ coding system has two levels and is used for coding services for Medicare patients
CPC
Fraud.
Statement of income and expense
HCPCS
32. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
False
460-519
Disclosure
Up to $500 -000 - or 1% of the practice's net worth
33. Some insurers will not pay a claim unless it is filed within ________ of the date of service
[ ]
Truth in Lending Act
6 months
Damages
34. A health-care provider who practices under false qualifications/credentials is guilty of...
Based on the patient's reported income from the previous month.
Fraud.
Ask the physician to select a more specific code
60
35. The process of classifying and reviewing past-due accounts from the first date of billing is...
True
Age analysis.
Traveler's
60
36. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Voucher
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Open-book
37. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Truth in Lending Act
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
60
38. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Disclosure
$280.
Check your explanation of benefits form
Copayment
39. Eligibility for Medicaid is...
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40. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Payee
CPC
HCPCS Level II codes
Age analysis
41. A health-care provider who practices under false qualifications/credentials is guilty of...
Pre-certification.
Fraud.
Copayment
Open-book
42. Which of the following should be a factor when selecting an outside collection agency?
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
Petty cash
Payee
43. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
False
Form W-4.
True
44. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Form W-4.
True
Resources
[ ]
45. In order to be considered negotiable - a check must be signed by the _______________.
$280.
Payer
( )
6 months
46. Money paid as compensation as result of a lawsuit is called _______________.
The code may not be used as the first code
True
Damages
True
47. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee
48. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Payee
Fair Debt Collection Practice Act
Fair Debt Collection Practices Act
The code may not be used as the first code
49. An employer identification number is required by law from every employer for federal tax accounting purposes
False
460-519
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
50. 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
False
60
Copayment
Truth in Lending Act
Can you answer 50 questions in 15 minutes?
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