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. Money paid for intentionally breaking the law is called _______________ _______________.
Liability
60
Punitive damages
Petty cash

2. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Includes
False
Capitated rate

3. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
True
60
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

4. In order to be considered negotiable - a check must be signed by the _______________.
Form W-4.
HCPCS Level II codes
Office supplies.
Payer

5. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
( )
Fraud.
Ask the physician to select a more specific code

6. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
The code may not be used as the first code
False
Truth in Lending Act
Petty cash

7. A health-care provider who practices under false qualifications/credentials is guilty of...
Controlling accounts payable
False
Fraud.
False

8. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
HCPCS
Ask the physician to select a more specific code
Fraud.

9. The payment system used by Medicare is based on...
HCPCS Level II codes
Controlling accounts payable
Resources
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

10. A small fee that is collected at the time of service is called a(n) _______________.
False
Copayment
False
Age analysis

11. The person to whom the check is written is the _______________.
False
Fair Debt Collection Practices Act
Traveler's
Payee

12. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
The code may not be used as the first code
Pre-certification.
Statement of income and expense
[ ]

13. An act of deception used to take advantage of another person or entity is called...
Open-book
Fraud.
Resources
If the diagnosis makes you ask 'How did that happen?'

14. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Fair Debt Collection Practices Act
Age analysis
Payee
Punitive damages

15. The ICD-9-CM convention code first underlying disease means...
If the diagnosis makes you ask 'How did that happen?'
$280.
The code may not be used as the first code
6 months

16. 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
Age analysis.
60
Capitated rate
Voucher

17. The determination of the amount of money paid by a third-party payer for a procedure is...
False
Fraud.
Pre-certification.
Third-party

18. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Liability
False
6 months
Check your explanation of benefits form

19. 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.
Pre-certification.
Petty cash
Third party payer
Statement of income and expense

20. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Pre-certification.
Copayment
Referrals
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

21. The payment system used by Medicare is based on...
Controlling accounts payable
Third party payer
( )
Resources

22. The person to whom the check is written is the _______________.
Ask the physician to select a more specific code
Damages
Inaccurate and/or incorrect billing
Payee

23. 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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24. 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?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Age analysis.
Referrals
V01-V83

25. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Up to $500 -000 - or 1% of the practice's net worth
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
( )

26. In order to be considered negotiable - a check must be signed by the _______________.
Open-book
Payer
Based on the patient's reported income from the previous month.
60

27. Money paid as compensation as result of a lawsuit is called _______________.
Damages
False
Ask the physician to select a more specific code
( )

28. The _______________ coding system has two levels and is used for coding services for Medicare patients
Office supplies.
HCPCS
$280.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

29. Money paid as compensation as result of a lawsuit is called _______________.
True
Fair Debt Collection Practice Act
Up to $500 -000 - or 1% of the practice's net worth
Damages

30. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Damages
6 months
Based on the patient's reported income from the previous month.
True

31. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Statement of income and expense
CPC
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

32. 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.
Third party payer
Third party payer
Controlling accounts payable

33. Which of the following is also called Public Law 95-109?
False
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
Fair Debt Collection Practice Act

34. The number of dependents an employee is claiming is found on the
Ask the physician to select a more specific code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
Form W-4.

35. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
$280.
Ask the physician to select a more specific code
Age analysis
False

36. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

37. The Relative Value Unit System was created to...
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practice Act
HCPCS Level II codes

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.
Damages
Form W-4.
Petty cash
Resources

39. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
False

40. The most common disbursement is for...
Office supplies.
Fraud.
Truth in Lending Act
Capitated rate

41. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
True
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

42. An employer identification number is required by law from every employer for federal tax accounting purposes
Up to $500 -000 - or 1% of the practice's net worth
True
V01-V83
( )

43. 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
Payee
Punitive damages
Payee
Referrals

44. 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
$280.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Open-book
Copayment

45. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Statement of income and expense
Ask the physician to select a more specific code
6 months
60

46. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Form W-4.
Resources
Traveler's
( )

47. The _______________-_______________ _______________ is the health plan that pays for medical services
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.
Pre-certification.
Third party payer

48. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis
Damages

49. The most common disbursement is for...
Fraud.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Office supplies.
60

50. Which of the following is also called Public Law 95-109?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
The code may not be used as the first code
Fair Debt Collection Practice Act