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. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
( )
Open-book
Statement of income and expense
Voucher


2. 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?
Capitated rate
HCPCS Level II codes
CPC
V01-V83


3. The ______________ is paid to the provider even if the patient receives no care
HCPCS Level II codes
False
Capitated rate
$280.


4. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
The code may not be used as the first code
Disclosure
HCPCS Level II codes
Truth in Lending Act


5. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Petty cash
Payer
HCPCS Level II codes


6. National codes issued by CMS that cover many supplies and durable medical equipment are...
Payee
HCPCS Level II codes
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'


7. 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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8. Which of the following should be a factor when selecting an outside collection agency?
Statement of income and expense
V01-V83
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False


9. 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.
Capitated rate
False
HCPCS
Ask the physician to select a more specific code


10. A health-care provider who practices under false qualifications/credentials is guilty of...
Statement of income and expense
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
True


11. 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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12. 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
6 months
Based on the patient's reported income from the previous month.
Open-book
The code may not be used as the first code


13. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Payee
( )
Age analysis


14. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
6 months
True
Includes
( )


15. The number of dependents an employee is claiming is found on the
Open-book
Punitive damages
HCPCS
Form W-4.


16. The Relative Value Unit System was created to...
Voucher
Includes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
[ ]


17. Eligibility for Medicaid is...

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18. Which of the following is also called Public Law 95-109?
True
Resources
Resources
Fair Debt Collection Practice Act


19. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Fair Debt Collection Practices Act
False
Check your explanation of benefits form
Ask the physician to select a more specific code


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

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21. 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
Includes
Damages


22. Money paid for intentionally breaking the law is called _______________ _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
False
Payer


23. The ICD-9-CM convention code first underlying disease means...
Referrals
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
The code may not be used as the first code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


24. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Disclosure
Voucher
Fair Debt Collection Practices Act


25. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
The code may not be used as the first code
Statement of income and expense
[ ]
Age analysis


26. 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
Open-book
Fraud.
True
Check your explanation of benefits form


27. 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?
Payer
V01-V83
Includes
Third party payer


28. The most common disbursement is for...
True
Office supplies.
Age analysis.
HCPCS Level II codes


29. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Disclosure
[ ]
Pre-certification.
False


30. The _______________ coding system has two levels and is used for coding services for Medicare patients
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS
If the diagnosis makes you ask 'How did that happen?'
Liability


31. The _______________-_______________ _______________ is the health plan that pays for medical services
Controlling accounts payable
Truth in Lending Act
Pre-certification.
Third party payer


32. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Check your explanation of benefits form
60
HCPCS
False


33. 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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34. The _______________-_______________ _______________ is the health plan that pays for medical services
False
Damages
Check your explanation of benefits form
Third party payer


35. 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...
Damages
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60


36. 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
V01-V83
Referrals
$280.
Based on the patient's reported income from the previous month.


37. 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.
Ask the physician to select a more specific code
Copayment
Petty cash
Copayment


38. 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.
Open-book
False
$280.


39. Most practices try to reduce expenses by...
Controlling accounts payable
Fair Debt Collection Practices Act
Third-party
Fair Debt Collection Practice Act


40. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Fraud.
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Age analysis.


41. 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.
Third-party
60
Payee


42. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Includes
The code may not be used as the first code
Damages


43. Eligibility for Medicaid is...

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44. The _______________ coding system has two levels and is used for coding services for Medicare patients
Disclosure
HCPCS
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Punitive damages


45. Most practices try to reduce expenses by...
Controlling accounts payable
If the diagnosis makes you ask 'How did that happen?'
False
False


46. Prison sentences are possible consequences of...
Based on the patient's reported income from the previous month.
Inaccurate and/or incorrect billing
Capitated rate
Fair Debt Collection Practices Act


47. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
Inaccurate and/or incorrect billing


48. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.


49. 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.
Ask the physician to select a more specific code
False
[ ]
Copayment


50. An act of deception used to take advantage of another person or entity is called...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday