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

2. The ICD-9-CM convention code first underlying disease means...
Liability
Form W-4.
6 months
The code may not be used as the first code

3. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Petty cash
Truth in Lending Act
Resources
460-519

4. Prison sentences are possible consequences of...
HCPCS Level II codes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Inaccurate and/or incorrect billing
Damages

5. The person to whom the check is written is the _______________.
Up to $500 -000 - or 1% of the practice's net worth
If the diagnosis makes you ask 'How did that happen?'
Payee
CPC

6. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Resources
Controlling accounts payable
6 months
Check your explanation of benefits form

7. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
$280.
$280.
[ ]

8. The payment system used by Medicare is based on...
Resources
( )
HCPCS
Damages

9. 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.
Traveler's
Petty cash
Pre-certification.
Third party payer

10. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Based on the patient's reported income from the previous month.
False
Pre-certification.
6 months

11. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
True
$280.
Resources
Includes

12. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
V01-V83
Fair Debt Collection Practices Act
Petty cash

13. The ______________ is paid to the provider even if the patient receives no care
Referrals
False
Capitated rate
Fair Debt Collection Practices Act

14. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Disclosure
Capitated rate
Fair Debt Collection Practice Act

15. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Punitive damages
CPC
False
The code may not be used as the first code

16. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
If the diagnosis makes you ask 'How did that happen?'
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

17. Money paid as compensation as result of a lawsuit is called _______________.
Petty cash
Truth in Lending Act
Damages
Resources

18. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
CPC
Copayment
Statement of income and expense

19. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fair Debt Collection Practice Act
Liability
Inaccurate and/or incorrect billing
Referrals

20. The process of classifying and reviewing past-due accounts from the first date of billing is...
Fair Debt Collection Practices Act
Fraud.
Age analysis.
Payee

21. An act of deception used to take advantage of another person or entity is called...
Fraud.
[ ]
Disclosure
Based on the patient's reported income from the previous month.

22. Eligibility for Medicaid is...

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23. The _______________-_______________ _______________ is the health plan that pays for medical services
False
Age analysis
Form W-4.
Third party payer

24. A health-care provider who practices under false qualifications/credentials is guilty of...
Controlling accounts payable
Fraud.
False
The code may not be used as the first code

25. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fraud.
Liability
HCPCS
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

26. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis.
True
Age analysis
( )

27. 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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28. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
HCPCS Level II codes
Check your explanation of benefits form
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

29. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
False
Truth in Lending Act
False
Statement of income and expense

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.
Petty cash
Damages
Truth in Lending Act
True

31. A small fee that is collected at the time of service is called a(n) _______________.
Open-book
Ask the physician to select a more specific code
Copayment
Based on the patient's reported income from the previous month.

32. Eligibility for Medicaid is...

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33. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Fraud.
Statement of income and expense
If the diagnosis makes you ask 'How did that happen?'
True

34. Money paid for intentionally breaking the law is called _______________ _______________.
Includes
Punitive damages
True
Controlling accounts payable

35. 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
Fraud.
Liability
Third party payer

36. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
True
Referrals
( )
False

37. The Relative Value Unit System was created to...
Payee
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practice Act
( )

38. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Up to $500 -000 - or 1% of the practice's net worth
60
Disclosure
Fraud.

39. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
Third party payer
True
Form W-4.

40. The determination of the amount of money paid by a third-party payer for a procedure is...
False
Pre-certification.
False
Third party payer

41. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Inaccurate and/or incorrect billing
Ask the physician to select a more specific code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

42. The person to whom the check is written is the _______________.
False
( )
60
Payee

43. The most common disbursement is for...
Office supplies.
Liability
Resources
Truth in Lending Act

44. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Capitated rate
The code may not be used as the first code
[ ]
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

45. 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...
Controlling accounts payable
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
Up to $500 -000 - or 1% of the practice's net worth

46. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Payer
False
Voucher
CPC

47. An employer identification number is required by law from every employer for federal tax accounting purposes
False
Petty cash
Includes
True

48. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
False
Payer
Includes

49. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Up to $500 -000 - or 1% of the practice's net worth
Disclosure
Statement of income and expense
Age analysis

50. In order to be considered negotiable - a check must be signed by the _______________.
Includes
False
Payer
Third party payer