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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. 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
Copayment
Office supplies.
Referrals
2. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
[ ]
Age analysis
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True
3. 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
60
Disclosure
Up to $500 -000 - or 1% of the practice's net worth
$280.
4. Most practices try to reduce expenses by...
[ ]
Fraud.
Controlling accounts payable
Voucher
5. A health-care provider who practices under false qualifications/credentials is guilty of...
HCPCS
Liability
Includes
Fraud.
6. A health-care provider who practices under false qualifications/credentials is guilty of...
True
Referrals
Petty cash
Fraud.
7. 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
Voucher
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
8. 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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9. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
If the diagnosis makes you ask 'How did that happen?'
Damages
The code may not be used as the first code
10. The process of classifying and reviewing past-due accounts from the first date of billing is...
Fraud.
Third-party
Age analysis.
Voucher
11. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Disclosure
The code may not be used as the first code
False
12. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Voucher
Referrals
False
13. The Relative Value Unit System was created to...
Fraud.
Punitive damages
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
14. 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?
Truth in Lending Act
Resources
V01-V83
False
15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
False
Voucher
Third party payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
16. 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
CPC
Punitive damages
Fraud.
Open-book
17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Age analysis.
Disclosure
Damages
True
18. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Age analysis.
Liability
Open-book
60
19. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Third-party
$280.
False
Petty cash
20. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Inaccurate and/or incorrect billing
Payee
Fraud.
21. 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...
Pre-certification.
Traveler's
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
22. The ______________ is paid to the provider even if the patient receives no care
Open-book
Capitated rate
True
Pre-certification.
23. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Third party payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.
24. The payment system used by Medicare is based on...
( )
[ ]
Resources
Fair Debt Collection Practice Act
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.
Up to $500 -000 - or 1% of the practice's net worth
Office supplies.
False
Disclosure
26. 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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27. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Liability
Disclosure
Ask the physician to select a more specific code
28. Eligibility for Medicaid is...
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29. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Third-party
Pre-certification.
Includes
30. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Form W-4.
( )
Controlling accounts payable
False
31. 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
Includes
Fair Debt Collection Practice Act
True
32. Prison sentences are possible consequences of...
True
Inaccurate and/or incorrect billing
Age analysis.
Third party payer
33. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Open-book
False
Open-book
460-519
34. An act of deception used to take advantage of another person or entity is called...
Fraud.
Third-party
460-519
Resources
35. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Fair Debt Collection Practice Act
Petty cash
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
36. In order to be considered negotiable - a check must be signed by the _______________.
Controlling accounts payable
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
$280.
Payer
37. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
If the diagnosis makes you ask 'How did that happen?'
( )
Resources
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
38. 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
True
Open-book
False
Damages
39. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Truth in Lending Act
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
40. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
False
Check your explanation of benefits form
Liability
Payee
41. Eligibility for Medicaid is...
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42. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Up to $500 -000 - or 1% of the practice's net worth
6 months
Check your explanation of benefits form
CPC
43. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
Office supplies.
Based on the patient's reported income from the previous month.
44. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
The code may not be used as the first code
60
Age analysis
V01-V83
45. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
Petty cash
[ ]
Office supplies.
46. Which of the following should be a factor when selecting an outside collection agency?
6 months
False
Controlling accounts payable
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
47. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Up to $500 -000 - or 1% of the practice's net worth
Includes
False
6 months
48. The person to whom the check is written is the _______________.
Payee
Payer
If the diagnosis makes you ask 'How did that happen?'
Based on the patient's reported income from the previous month.
49. The payment system used by Medicare is based on...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Check your explanation of benefits form
Resources
Payer
50. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Petty cash
Petty cash
[ ]
Up to $500 -000 - or 1% of the practice's net worth
Can you answer 50 questions in 15 minutes?
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