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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. 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.
If the diagnosis makes you ask 'How did that happen?'
Liability
Fraud.
2. The number of dependents an employee is claiming is found on the
Office supplies.
Form W-4.
Office supplies.
Payer
3. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Resources
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
[ ]
4. The process of classifying and reviewing past-due accounts from the first date of billing is...
Resources
Petty cash
Third party payer
Age analysis.
5. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
460-519
Voucher
Based on the patient's reported income from the previous month.
Check your explanation of benefits form
6. 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...
False
Referrals
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
7. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Statement of income and expense
True
Form W-4.
False
8. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
HCPCS
False
Capitated rate
Up to $500 -000 - or 1% of the practice's net worth
9. The _______________ coding system has two levels and is used for coding services for Medicare patients
Based on the patient's reported income from the previous month.
Statement of income and expense
Resources
HCPCS
10. An act of deception used to take advantage of another person or entity is called...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practice Act
V01-V83
Fraud.
11. The ICD-9-CM convention code first underlying disease means...
Truth in Lending Act
The code may not be used as the first code
Age analysis
Capitated rate
12. An act of deception used to take advantage of another person or entity is called...
Age analysis.
Fair Debt Collection Practices Act
The code may not be used as the first code
Fraud.
13. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
Disclosure
14. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Capitated rate
Controlling accounts payable
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
15. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Fair Debt Collection Practice Act
If the diagnosis makes you ask 'How did that happen?'
$280.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
16. The payment system used by Medicare is based on...
Resources
Fraud.
False
False
17. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Referrals
Age analysis
Office supplies.
$280.
18. Money paid for intentionally breaking the law is called _______________ _______________.
Third-party
[ ]
Punitive damages
False
19. An employer identification number is required by law from every employer for federal tax accounting purposes
HCPCS
False
True
CPC
20. Prison sentences are possible consequences of...
Office supplies.
Inaccurate and/or incorrect billing
Form W-4.
False
21. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Truth in Lending Act
Inaccurate and/or incorrect billing
Form W-4.
22. 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
Damages
6 months
Age analysis
23. 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
Fair Debt Collection Practices Act
Third-party
60
The code may not be used as the first code
24. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Damages
[ ]
Fair Debt Collection Practices Act
Fair Debt Collection Practice Act
25. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Resources
460-519
V01-V83
HCPCS
26. Eligibility for Medicaid is...
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27. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Inaccurate and/or incorrect billing
460-519
HCPCS
28. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Statement of income and expense
Statement of income and expense
CPC
False
29. Most practices try to reduce expenses by...
Controlling accounts payable
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate
HCPCS
30. A small fee that is collected at the time of service is called a(n) _______________.
Payer
Copayment
[ ]
Third party payer
31. 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
Controlling accounts payable
Resources
False
32. The determination of the amount of money paid by a third-party payer for a procedure is...
True
False
Pre-certification.
False
33. Most practices try to reduce expenses by...
Punitive damages
The code may not be used as the first code
Controlling accounts payable
60
34. National codes issued by CMS that cover many supplies and durable medical equipment are...
60
True
Controlling accounts payable
HCPCS Level II codes
35. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Based on the patient's reported income from the previous month.
Fair Debt Collection Practices Act
Age analysis
36. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
False
CPC
Liability
37. The _______________ coding system has two levels and is used for coding services for Medicare patients
Referrals
Open-book
Includes
HCPCS
38. 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
Statement of income and expense
Referrals
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
39. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
60
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
460-519
40. The _______________-_______________ _______________ is the health plan that pays for medical services
False
True
Third party payer
Includes
41. The payment system used by Medicare is based on...
Resources
[ ]
Truth in Lending Act
CPC
42. Which of the following should be a factor when selecting an outside collection agency?
$280.
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
43. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
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44. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Payee
Fraud.
Ask the physician to select a more specific code
Resources
45. The most common disbursement is for...
Office supplies.
Open-book
Referrals
Check your explanation of benefits form
46. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
V01-V83
HCPCS Level II codes
Controlling accounts payable
True
47. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
CPC
Office supplies.
Third-party
Truth in Lending Act
48. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Petty cash
Fraud.
HCPCS
Includes
49. 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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50. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fraud.
Age analysis
Disclosure
Liability