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. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Pre-certification.
Petty cash
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act


2. Money paid for intentionally breaking the law is called _______________ _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
If the diagnosis makes you ask 'How did that happen?'
Third-party
Punitive damages


3. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Fraud.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


4. The _______________-_______________ _______________ is the health plan that pays for medical services
Ask the physician to select a more specific code
( )
Third party payer
Payer


5. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Copayment
V01-V83
Office supplies.


6. 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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7. An employer identification number is required by law from every employer for federal tax accounting purposes
False
True
Age analysis
460-519


8. National codes issued by CMS that cover many supplies and durable medical equipment are...
Copayment
Pre-certification.
Petty cash
HCPCS Level II codes


9. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Petty cash
[ ]
Third party payer


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

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11. The payment system used by Medicare is based on...
Age analysis.
Resources
Truth in Lending Act
$280.


12. 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
Fair Debt Collection Practice Act
Disclosure
Referrals


13. 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.
True
Ask the physician to select a more specific code
CPC


14. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
( )
Form W-4.
Fraud.
False


15. Money paid for intentionally breaking the law is called _______________ _______________.
Based on the patient's reported income from the previous month.
Age analysis
Damages
Punitive damages


16. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
60
Disclosure
$280.
Fair Debt Collection Practices Act


17. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Office supplies.
[ ]
Liability
Form W-4.


18. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
False
CPC
Controlling accounts payable


19. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
V01-V83
Voucher
[ ]
Based on the patient's reported income from the previous month.


20. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Ask the physician to select a more specific code
If the diagnosis makes you ask 'How did that happen?'
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


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.
Third party payer
False
Payee
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


22. 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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23. The _______________-_______________ _______________ is the health plan that pays for medical services
Fair Debt Collection Practice Act
Third party payer
Liability
Up to $500 -000 - or 1% of the practice's net worth


24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
460-519
Copayment
Fair Debt Collection Practice Act
Includes


25. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Office supplies.
Petty cash
Includes
Liability


26. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
Statement of income and expense
[ ]


27. 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
Resources
60
If the diagnosis makes you ask 'How did that happen?'
Includes


28. 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.
Disclosure
False
Based on the patient's reported income from the previous month.
Referrals


29. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Based on the patient's reported income from the previous month.
HCPCS
Liability
460-519


30. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
CPC
HCPCS Level II codes
460-519
Fair Debt Collection Practices Act


31. 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?
False
V01-V83
False
Up to $500 -000 - or 1% of the practice's net worth


32. 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.
CPC
Copayment
$280.
Petty cash


33. Eligibility for Medicaid is...

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34. The number of dependents an employee is claiming is found on the
Voucher
Form W-4.
Based on the patient's reported income from the previous month.
False


35. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.
Age analysis
6 months


36. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Fair Debt Collection Practices Act
$280.
HCPCS Level II codes
Includes


37. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
V01-V83
Check your explanation of benefits form
Third party payer


38. 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.
True
Third-party
False
Inaccurate and/or incorrect billing


39. The ICD-9-CM convention code first underlying disease means...
Includes
Resources
[ ]
The code may not be used as the first code


40. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Liability
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes


41. 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
False
Pre-certification.
Open-book
[ ]


42. 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
Form W-4.
Up to $500 -000 - or 1% of the practice's net worth
Referrals
$280.


43. The _______________ coding system has two levels and is used for coding services for Medicare patients
460-519
60
HCPCS
Third party payer


44. 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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45. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Open-book
Copayment
Age analysis
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.


46. The ______________ is paid to the provider even if the patient receives no care
False
CPC
Capitated rate
True


47. An act of deception used to take advantage of another person or entity is called...
Payer
False
Age analysis.
Fraud.


48. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Office supplies.
Fraud.
460-519


49. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Petty cash
Resources
[ ]
HCPCS


50. Eligibility for Medicaid is...

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