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...
Resources
Fair Debt Collection Practice Act
Inaccurate and/or incorrect billing
Age analysis.

2. The determination of the amount of money paid by a third-party payer for a procedure is...
Resources
Pre-certification.
Office supplies.
Controlling accounts payable

3. 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
Fair Debt Collection Practice Act
Pre-certification.
[ ]

4. The _______________ coding system has two levels and is used for coding services for Medicare patients
Open-book
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third party payer
HCPCS

5. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Traveler's
( )
HCPCS
Referrals

6. Eligibility for Medicaid is...

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

7. An act of deception used to take advantage of another person or entity is called...
Payer
Fraud.
60
Liability

8. Money paid for intentionally breaking the law is called _______________ _______________.
The code may not be used as the first code
Liability
Fair Debt Collection Practice Act
Punitive damages

9. National codes issued by CMS that cover many supplies and durable medical equipment are...
Copayment
6 months
False
HCPCS Level II codes

10. The most common disbursement is for...
Office supplies.
Fair Debt Collection Practice Act
Fair Debt Collection Practice Act
Inaccurate and/or incorrect billing

11. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book
Resources

12. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
V01-V83
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
The code may not be used as the first code
Ask the physician to select a more specific code

13. 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
Includes
60
460-519
( )

14. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Damages
Inaccurate and/or incorrect billing
Check your explanation of benefits form
( )

15. The most common disbursement is for...
Office supplies.
Liability
Resources
Open-book

16. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
False
( )

17. 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
HCPCS Level II codes
Third party payer
Referrals
Liability

18. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Damages
HCPCS
Office supplies.
False

19. In order to be considered negotiable - a check must be signed by the _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer
Copayment
If the diagnosis makes you ask 'How did that happen?'

20. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Controlling accounts payable
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate
Check your explanation of benefits form

21. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure
Truth in Lending Act
Capitated rate

22. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Payee
Based on the patient's reported income from the previous month.
Third-party

23. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Disclosure
False
Traveler's
Age analysis

24. Which of the following is also called Public Law 95-109?
The code may not be used as the first code
Fair Debt Collection Practice Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Check your explanation of benefits form

25. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fraud.
Liability
Includes
Check your explanation of benefits form

26. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Third-party
CPC
460-519
Capitated rate

27. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

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.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate
False
Controlling accounts payable

29. 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
( )
6 months
If the diagnosis makes you ask 'How did that happen?'

30. 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.
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Petty cash
Liability

31. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fair Debt Collection Practices Act
Copayment
Disclosure
Up to $500 -000 - or 1% of the practice's net worth

32. Money paid for intentionally breaking the law is called _______________ _______________.
Office supplies.
Punitive damages
Fraud.
Age analysis.

33. The number of dependents an employee is claiming is found on the
The code may not be used as the first code
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Form W-4.

34. 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?
V01-V83
True
Liability
Third-party

35. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Referrals
Third-party
False
Ask the physician to select a more specific code

36. 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
Age analysis.
Fair Debt Collection Practice Act
CPC

37. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Third party payer
Includes
Liability
False

38. Which of the following should be a factor when selecting an outside collection agency?
Payer
Disclosure
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

39. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
V01-V83
If the diagnosis makes you ask 'How did that happen?'
Fraud.

40. The payment system used by Medicare is based on...
$280.
Up to $500 -000 - or 1% of the practice's net worth
Form W-4.
Resources

41. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Fraud.
Fair Debt Collection Practice Act
Age analysis.
[ ]

42. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Open-book
Office supplies.
Voucher
Truth in Lending Act

43. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
[ ]
True
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

44. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Liability
Disclosure
True
CPC

45. The person to whom the check is written is the _______________.
False
60
Payee
Age analysis.

46. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Up to $500 -000 - or 1% of the practice's net worth
( )
Fair Debt Collection Practices Act

47. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Controlling accounts payable
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form
Age analysis

48. A health-care provider who practices under false qualifications/credentials is guilty of...
460-519
Fraud.
CPC
Petty cash

49. 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
Liability
Includes

50. A small fee that is collected at the time of service is called a(n) _______________.
Third-party
Capitated rate
True
Copayment