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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. The payment system used by Medicare is based on...
Resources
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Voucher
Fair Debt Collection Practice Act
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?
HCPCS Level II codes
V01-V83
HCPCS
Statement of income and expense
3. A health-care provider who practices under false qualifications/credentials is guilty of...
CPC
HCPCS
Fraud.
Referrals
4. The person to whom the check is written is the _______________.
Payer
Payee
Includes
( )
5. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Age analysis.
$280.
6 months
False
6. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Damages
Statement of income and expense
$280.
Controlling accounts payable
7. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
6 months
Petty cash
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
8. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.
Office supplies.
True
9. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Age analysis
10. 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
Petty cash
460-519
Open-book
Voucher
11. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Capitated rate
Inaccurate and/or incorrect billing
False
6 months
12. 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.
Fraud.
False
Controlling accounts payable
Fraud.
13. An employer identification number is required by law from every employer for federal tax accounting purposes
Fraud.
Liability
True
[ ]
14. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
( )
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
15. Some insurers will not pay a claim unless it is filed within ________ of the date of service
False
Third-party
6 months
Referrals
16. 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?
If the diagnosis makes you ask 'How did that happen?'
The code may not be used as the first code
Traveler's
V01-V83
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
Referrals
Check your explanation of benefits form
Truth in Lending Act
Based on the patient's reported income from the previous month.
18. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Fair Debt Collection Practices Act
( )
Ask the physician to select a more specific code
If the diagnosis makes you ask 'How did that happen?'
19. An easy way to remember when an E code is required is...
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20. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Punitive damages
Traveler's
False
21. Eligibility for Medicaid is...
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22. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
Damages
23. The ICD-9-CM convention code first underlying disease means...
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
Statement of income and expense
The code may not be used as the first code
24. The ______________ is paid to the provider even if the patient receives no care
Statement of income and expense
Third-party
Capitated rate
Fair Debt Collection Practice Act
25. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Age analysis
Fraud.
If the diagnosis makes you ask 'How did that happen?'
26. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
V01-V83
Open-book
Based on the patient's reported income from the previous month.
Liability
27. An act of deception used to take advantage of another person or entity is called...
Age analysis.
Third party payer
HCPCS Level II codes
Fraud.
28. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
False
CPC
Damages
29. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Open-book
Fraud.
True
False
30. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Inaccurate and/or incorrect billing
Referrals
Ask the physician to select a more specific code
Open-book
31. The _______________-_______________ _______________ is the health plan that pays for medical services
Punitive damages
Controlling accounts payable
Third party payer
Fair Debt Collection Practices Act
32. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
460-519
Voucher
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
33. 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...
HCPCS
Voucher
Damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
34. In order to be considered negotiable - a check must be signed by the _______________.
Fair Debt Collection Practices Act
Third-party
Copayment
Payer
35. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Controlling accounts payable
Petty cash
HCPCS Level II codes
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
CPC
$280.
False
37. The process of classifying and reviewing past-due accounts from the first date of billing is...
[ ]
Petty cash
Age analysis.
Fraud.
38. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fraud.
Fair Debt Collection Practices Act
Damages
The code may not be used as the first code
39. 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.
6 months
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Disclosure
40. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Third party payer
Copayment
CPC
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
41. National codes issued by CMS that cover many supplies and durable medical equipment are...
Pre-certification.
Payer
Copayment
HCPCS Level II codes
42. The number of dependents an employee is claiming is found on the
Form W-4.
Liability
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
43. 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
460-519
[ ]
False
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.
Truth in Lending Act
Age analysis.
Third-party
Resources
45. Which of the following should be a factor when selecting an outside collection agency?
True
Statement of income and expense
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
46. Money paid as compensation as result of a lawsuit is called _______________.
$280.
Controlling accounts payable
Damages
Includes
47. Money paid for intentionally breaking the law is called _______________ _______________.
True
Punitive damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Open-book
48. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Up to $500 -000 - or 1% of the practice's net worth
$280.
Voucher
Statement of income and expense
49. 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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50. The ______________ is paid to the provider even if the patient receives no care
Form W-4.
Referrals
Capitated rate
6 months