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. The process of classifying and reviewing past-due accounts from the first date of billing is...
Petty cash
Check your explanation of benefits form
Fraud.
Age analysis.

2. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
$280.
If the diagnosis makes you ask 'How did that happen?'
Liability
Check your explanation of benefits form

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

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4. 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.
Damages
HCPCS
Third-party
Capitated rate

5. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Statement of income and expense
True
Damages

6. Money paid as compensation as result of a lawsuit is called _______________.
[ ]
Controlling accounts payable
Payee
Damages

7. 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
Payer
Open-book
CPC
False

8. In order to be considered negotiable - a check must be signed by the _______________.
Payer
False
Statement of income and expense
Check your explanation of benefits form

9. The payment system used by Medicare is based on...
HCPCS Level II codes
CPC
Resources
Copayment

10. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
False
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Truth in Lending Act

11. Eligibility for Medicaid is...

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12. An employer identification number is required by law from every employer for federal tax accounting purposes
V01-V83
Form W-4.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
True

13. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Truth in Lending Act
Age analysis
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Up to $500 -000 - or 1% of the practice's net worth

14. 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.
False
460-519
Truth in Lending Act
Traveler's

15. 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
Fraud.
CPC
Disclosure
Referrals

16. Which of the following is also called Public Law 95-109?
Third party payer
Controlling accounts payable
Payee
Fair Debt Collection Practice Act

17. An employer identification number is required by law from every employer for federal tax accounting purposes
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
True
Traveler's

18. National codes issued by CMS that cover many supplies and durable medical equipment are...
Includes
HCPCS Level II codes
Petty cash
Disclosure

19. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
If the diagnosis makes you ask 'How did that happen?'
False
Truth in Lending Act

20. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Punitive damages
Controlling accounts payable
True

21. The payment system used by Medicare is based on...
Age analysis
Payer
Pre-certification.
Resources

22. The ICD-9-CM convention code first underlying disease means...
CPC
60
The code may not be used as the first code
Based on the patient's reported income from the previous month.

23. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Age analysis.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Ask the physician to select a more specific code
Damages

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?
Damages
Age analysis
V01-V83
False

25. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
460-519
CPC
Open-book

26. Prison sentences are possible consequences of...
460-519
Ask the physician to select a more specific code
Inaccurate and/or incorrect billing
Punitive damages

27. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Third-party
Statement of income and expense
Payee
Payer

28. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Based on the patient's reported income from the previous month.
CPC
Damages

29. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Based on the patient's reported income from the previous month.
Disclosure
Petty cash
[ ]

30. The process of classifying and reviewing past-due accounts from the first date of billing is...
Controlling accounts payable
[ ]
Petty cash
Age analysis.

31. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
Disclosure
Age analysis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

32. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Fraud.
Third-party
V01-V83
Ask the physician to select a more specific code

33. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Truth in Lending Act
Capitated rate
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

34. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
60
Ask the physician to select a more specific code
Includes
False

35. 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
False
Age analysis.
Resources

36. The ______________ is paid to the provider even if the patient receives no care
Copayment
Capitated rate
Payee
Check your explanation of benefits form

37. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Petty cash
False
Disclosure

38. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Pre-certification.
The code may not be used as the first code
CPC

39. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Damages
Petty cash
Statement of income and expense

40. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Inaccurate and/or incorrect billing
Includes
[ ]
Liability

41. 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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42. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
60
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
CPC
$280.

43. 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...
Age analysis.
Fair Debt Collection Practice Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]

44. 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
Referrals
60
Payer
Based on the patient's reported income from the previous month.

45. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
( )
Inaccurate and/or incorrect billing

46. A health-care provider who practices under false qualifications/credentials is guilty of...
Controlling accounts payable
Petty cash
Fraud.
Third party payer

47. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Age analysis
Statement of income and expense
Based on the patient's reported income from the previous month.
Form W-4.

48. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Payer
HCPCS
Form W-4.

49. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
( )
Disclosure
CPC

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

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