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 as compensation as result of a lawsuit is called _______________.
Office supplies.
Damages
Up to $500 -000 - or 1% of the practice's net worth
False


2. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
460-519
Liability
Fair Debt Collection Practice Act


3. The person to whom the check is written is the _______________.
Payee
Damages
6 months
Fraud.


4. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Voucher
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


5. The number of dependents an employee is claiming is found on the
Fraud.
Controlling accounts payable
False
Form W-4.


6. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Referrals
Age analysis
Based on the patient's reported income from the previous month.
6 months


7. An act of deception used to take advantage of another person or entity is called...
6 months
60
True
Fraud.


8. A health-care provider who practices under false qualifications/credentials is guilty of...
True
Petty cash
60
Fraud.


9. 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
[ ]
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Open-book
Check your explanation of benefits form


10. 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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11. The payment system used by Medicare is based on...
Age analysis.
Resources
Includes
Ask the physician to select a more specific code


12. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Fair Debt Collection Practices Act
Statement of income and expense
Payee
Office supplies.


13. In order to be considered negotiable - a check must be signed by the _______________.
If the diagnosis makes you ask 'How did that happen?'
Up to $500 -000 - or 1% of the practice's net worth
Payer
Voucher


14. 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.
Based on the patient's reported income from the previous month.
Petty cash
Disclosure
Third party payer


15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Ask the physician to select a more specific code
Voucher
False
Third-party


16. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Third-party
Includes
Check your explanation of benefits form
False


17. 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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18. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
$280.
Check your explanation of benefits form
Petty cash
False


19. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
460-519
V01-V83
Up to $500 -000 - or 1% of the practice's net worth


20. Money paid as compensation as result of a lawsuit is called _______________.
Controlling accounts payable
Damages
$280.
True


21. 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.
Voucher
False
HCPCS Level II codes
Controlling accounts payable


22. 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
Third party payer
Referrals
Fair Debt Collection Practice Act
Payee


23. The ______________ is paid to the provider even if the patient receives no care
Based on the patient's reported income from the previous month.
Capitated rate
Controlling accounts payable
True


24. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Damages
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Third-party


25. 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
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
60
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]


26. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
V01-V83
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form


27. The ______________ is paid to the provider even if the patient receives no care
Petty cash
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Capitated rate


28. Most practices try to reduce expenses by...
Petty cash
Form W-4.
CPC
Controlling accounts payable


29. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Damages
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False


30. 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?'
Age analysis.
The code may not be used as the first code
( )


31. The most common disbursement is for...
Petty cash
Office supplies.
Form W-4.
Age analysis.


32. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
True
( )
Inaccurate and/or incorrect billing
Resources


33. Which of the following should be a factor when selecting an outside collection agency?
Office supplies.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practices Act


34. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
[ ]
Damages
HCPCS


35. The person to whom the check is written is the _______________.
Payee
Third party payer
Traveler's
[ ]


36. Eligibility for Medicaid is...

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37. 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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38. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
Age analysis.
True
Pre-certification.


39. An easy way to remember when an E code is required is...

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40. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Based on the patient's reported income from the previous month.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
[ ]
CPC


41. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Age analysis
True
Fraud.
Traveler's


42. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Fraud.
Controlling accounts payable
Truth in Lending Act
Open-book


43. 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.
Age analysis
Third-party
Ask the physician to select a more specific code
Controlling accounts payable


44. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Check your explanation of benefits form
60
True
Copayment


45. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Check your explanation of benefits form
Payee
V01-V83


46. The payment system used by Medicare is based on...
Disclosure
Controlling accounts payable
Referrals
Resources


47. The ICD-9-CM convention code first underlying disease means...
Disclosure
HCPCS Level II codes
The code may not be used as the first code
Fraud.


48. An easy way to remember when an E code is required is...

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49. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Controlling accounts payable
( )
Ask the physician to select a more specific code
Form W-4.


50. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
[ ]
Controlling accounts payable
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday