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Test your basic knowledge |
Medical Coding And Billing Clinical
Start Test
Study First
Subject
:
medical-transcription
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. National codes issued by CMS that cover many supplies and durable medical equipment are...
Third party payer
Age analysis.
Check your explanation of benefits form
HCPCS Level II codes
2. The person to whom the check is written is the _______________.
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee
$280.
3. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Payer
Check your explanation of benefits form
Ask the physician to select a more specific code
False
4. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
( )
5. An act of deception used to take advantage of another person or entity is called...
HCPCS
Fraud.
Copayment
If the diagnosis makes you ask 'How did that happen?'
6. The payment system used by Medicare is based on...
Resources
Based on the patient's reported income from the previous month.
Damages
Statement of income and expense
7. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
HCPCS Level II codes
Age analysis.
Petty cash
8. 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
Payer
Age analysis
HCPCS
Referrals
9. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Pre-certification.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
10. Which of the following should be a factor when selecting an outside collection agency?
Third party payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
11. 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.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
$280.
The code may not be used as the first code
12. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Pre-certification.
6 months
Third-party
Truth in Lending Act
13. 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?
Punitive damages
Payer
Fraud.
V01-V83
14. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
The code may not be used as the first code
False
Age analysis
Inaccurate and/or incorrect billing
15. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
True
Damages
False
Petty cash
16. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
460-519
Age analysis
Payer
Controlling accounts payable
17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Controlling accounts payable
Inaccurate and/or incorrect billing
Payer
18. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
460-519
$280.
Payee
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
19. An easy way to remember when an E code is required is...
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20. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
The code may not be used as the first code
False
460-519
21. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Statement of income and expense
True
Check your explanation of benefits form
Form W-4.
22. Most practices try to reduce expenses by...
Petty cash
True
False
Controlling accounts payable
23. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Controlling accounts payable
Statement of income and expense
Liability
Third-party
24. The payment system used by Medicare is based on...
Statement of income and expense
Form W-4.
Payer
Resources
25. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Office supplies.
Third-party
False
Third-party
26. 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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27. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Copayment
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practice Act
28. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
V01-V83
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis
Based on the patient's reported income from the previous month.
29. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Truth in Lending Act
False
CPC
Includes
30. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
The code may not be used as the first code
460-519
Fraud.
Disclosure
31. 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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32. Most practices try to reduce expenses by...
Controlling accounts payable
False
Payee
Traveler's
33. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Truth in Lending Act
Check your explanation of benefits form
34. 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
Fraud.
60
Capitated rate
Office supplies.
35. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
$280.
True
6 months
The code may not be used as the first code
36. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Truth in Lending Act
37. Which of the following is also called Public Law 95-109?
HCPCS Level II codes
Based on the patient's reported income from the previous month.
Fair Debt Collection Practice Act
True
38. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Open-book
HCPCS
( )
Fair Debt Collection Practices Act
39. Money paid as compensation as result of a lawsuit is called _______________.
Up to $500 -000 - or 1% of the practice's net worth
V01-V83
Damages
Payee
40. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
False
[ ]
Capitated rate
Fair Debt Collection Practices Act
41. The number of dependents an employee is claiming is found on the
Form W-4.
Controlling accounts payable
Based on the patient's reported income from the previous month.
60
42. Money paid for intentionally breaking the law is called _______________ _______________.
Liability
Punitive damages
Damages
Referrals
43. The determination of the amount of money paid by a third-party payer for a procedure is...
Age analysis
Traveler's
Pre-certification.
Damages
44. A health-care provider who practices under false qualifications/credentials is guilty of...
$280.
Fraud.
60
Punitive damages
45. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fraud.
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
46. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Inaccurate and/or incorrect billing
Punitive damages
460-519
( )
47. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Liability
60
48. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Pre-certification.
HCPCS Level II codes
Statement of income and expense
49. A health-care provider who practices under false qualifications/credentials is guilty of...
Inaccurate and/or incorrect billing
Fraud.
Form W-4.
Statement of income and expense
50. Prison sentences are possible consequences of...
Third-party
Third party payer
Inaccurate and/or incorrect billing
Check your explanation of benefits form
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