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. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Controlling accounts payable
Traveler's
Fraud.
False

2. Eligibility for Medicaid is...

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3. A small fee that is collected at the time of service is called a(n) _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment
Referrals
Controlling accounts payable

4. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Capitated rate
Resources
HCPCS Level II codes

5. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Fair Debt Collection Practice Act
True
Petty cash
If the diagnosis makes you ask 'How did that happen?'

6. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Controlling accounts payable
( )
False

7. An act of deception used to take advantage of another person or entity is called...
Fraud.
Office supplies.
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

8. Prison sentences are possible consequences of...
True
Inaccurate and/or incorrect billing
Voucher
HCPCS

9. 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
Fair Debt Collection Practice Act
V01-V83
Controlling accounts payable

10. Which of the following should be a factor when selecting an outside collection agency?
Disclosure
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Controlling accounts payable
$280.

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. In order to be considered negotiable - a check must be signed by the _______________.
Petty cash
Voucher
Payer
Controlling accounts payable

13. 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.
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
Payer

14. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Payer
True
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

15. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
$280.
Fair Debt Collection Practices Act
Punitive damages
6 months

16. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
$280.
Liability
Controlling accounts payable

17. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Third-party
False
Voucher
The code may not be used as the first code

18. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
Pre-certification.
Capitated rate

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

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20. 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.
Fair Debt Collection Practices Act
Petty cash
$280.
Punitive damages

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
Petty cash
Pre-certification.
False

22. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
If the diagnosis makes you ask 'How did that happen?'
Petty cash
Based on the patient's reported income from the previous month.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

23. Most practices try to reduce expenses by...
Capitated rate
Controlling accounts payable
Punitive damages
Payer

24. 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
Resources
Damages
Office supplies.
Referrals

25. Money paid as compensation as result of a lawsuit is called _______________.
Up to $500 -000 - or 1% of the practice's net worth
CPC
Punitive damages
Damages

26. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
False
Age analysis.
Payee

27. The _______________ coding system has two levels and is used for coding services for Medicare patients
Statement of income and expense
HCPCS
HCPCS Level II codes
Controlling accounts payable

28. The determination of the amount of money paid by a third-party payer for a procedure is...
Inaccurate and/or incorrect billing
True
Resources
Pre-certification.

29. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third-party
Check your explanation of benefits form
Punitive damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

30. The ______________ is paid to the provider even if the patient receives no care
Inaccurate and/or incorrect billing
Capitated rate
Third party payer
[ ]

31. 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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32. National codes issued by CMS that cover many supplies and durable medical equipment are...
Petty cash
Damages
HCPCS Level II codes
Liability

33. A health-care provider who practices under false qualifications/credentials is guilty of...
Statement of income and expense
Fraud.
True
[ ]

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

35. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Controlling accounts payable
Capitated rate
False

36. The most common disbursement is for...
Office supplies.
Inaccurate and/or incorrect billing
True
6 months

37. The ICD-9-CM convention code first underlying disease means...
Copayment
Payer
The code may not be used as the first code
Fraud.

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...
Fair Debt Collection Practices Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True

39. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Controlling accounts payable
60
Form W-4.

40. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Office supplies.
Traveler's
Pre-certification.
False

41. The payment system used by Medicare is based on...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Up to $500 -000 - or 1% of the practice's net worth
Resources

42. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Statement of income and expense
Form W-4.

43. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
HCPCS Level II codes
Ask the physician to select a more specific code
True
Fair Debt Collection Practices Act

44. 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.
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third party payer
Third-party

45. 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
Disclosure
Statement of income and expense
60
Age analysis.

46. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Third-party
Damages
False

47. 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.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Resources

48. The ICD-9-CM convention code first underlying disease means...
Payee
Fair Debt Collection Practice Act
The code may not be used as the first code
Petty cash

49. 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
Check your explanation of benefits form
True
Pre-certification.
Open-book

50. An employer identification number is required by law from every employer for federal tax accounting purposes
Inaccurate and/or incorrect billing
True
60
Age analysis