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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. 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






2. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.






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






4. Most practices try to reduce expenses by...






5. A health-care provider who practices under false qualifications/credentials is guilty of...






6. A health-care provider who practices under false qualifications/credentials is guilty of...






7. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?






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.






10. The process of classifying and reviewing past-due accounts from the first date of billing is...






11. The ______________ is paid to the provider even if the patient receives no care






12. The _______________-_______________ _______________ is the health plan that pays for medical services






13. The Relative Value Unit System was created to...






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?






15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached






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






17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement






18. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?






19. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






20. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached






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...






22. The ______________ is paid to the provider even if the patient receives no care






23. The process of classifying and reviewing past-due accounts from the first date of billing is...






24. The payment system used by Medicare is based on...






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.






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.






28. Eligibility for Medicaid is...

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29. Which of the following is also called Public Law 95-109?






30. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






31. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?






32. Prison sentences are possible consequences of...






33. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?






34. An act of deception used to take advantage of another person or entity is called...






35. National codes issued by CMS that cover many supplies and durable medical equipment are...






36. In order to be considered negotiable - a check must be signed by the _______________.






37. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






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






39. The ICD-9-CM convention code first underlying disease means...






40. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...






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






43. Money paid for intentionally breaking the law is called _______________ _______________.






44. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.






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






46. Which of the following should be a factor when selecting an outside collection agency?






47. Some insurers will not pay a claim unless it is filed within ________ of the date of service






48. The person to whom the check is written is the _______________.






49. The payment system used by Medicare is based on...






50. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?






Can you answer 50 questions in 15 minutes?



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