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. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Age analysis
6 months
Third-party
Includes

2. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Based on the patient's reported income from the previous month.
False
Check your explanation of benefits form
V01-V83

3. 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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4. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Inaccurate and/or incorrect billing
Disclosure
Up to $500 -000 - or 1% of the practice's net worth
Check your explanation of benefits form

5. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Third party payer
True
False
Includes

6. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
( )
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth

7. National codes issued by CMS that cover many supplies and durable medical equipment are...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS Level II codes
Includes

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

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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
True
False
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

10. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
Punitive damages
$280.

11. A health-care provider who practices under false qualifications/credentials is guilty of...
Voucher
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Fraud.

12. The ICD-9-CM convention code first underlying disease means...
Age analysis
False
Capitated rate
The code may not be used as the first code

13. A small fee that is collected at the time of service is called a(n) _______________.
Truth in Lending Act
Copayment
Fraud.
False

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

15. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
60
Resources
Fair Debt Collection Practices Act

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?
V01-V83
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Damages
Copayment

17. 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
460-519
Includes
V01-V83

18. A health-care provider who practices under false qualifications/credentials is guilty of...
Fair Debt Collection Practice Act
Fraud.
Age analysis.
HCPCS Level II codes

19. An employer identification number is required by law from every employer for federal tax accounting purposes
( )
False
False
True

20. 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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21. 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
Pre-certification.
Open-book
Ask the physician to select a more specific code
Damages

22. The _______________-_______________ _______________ is the health plan that pays for medical services
Fair Debt Collection Practice Act
Resources
Third party payer
Form W-4.

23. 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...
Truth in Lending Act
Fraud.
Age analysis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

24. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Damages
False
Liability
460-519

25. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fraud.
( )
HCPCS
Referrals

26. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
Punitive damages
Capitated rate

27. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
If the diagnosis makes you ask 'How did that happen?'
Truth in Lending Act
Third-party
Includes

28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Damages

29. Money paid for intentionally breaking the law is called _______________ _______________.
Copayment
False
( )
Punitive damages

30. Money paid for intentionally breaking the law is called _______________ _______________.
True
Inaccurate and/or incorrect billing
Punitive damages
True

31. 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?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Punitive damages
V01-V83
Damages

32. An act of deception used to take advantage of another person or entity is called...
V01-V83
Age analysis
Truth in Lending Act
Fraud.

33. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Truth in Lending Act
Statement of income and expense
HCPCS Level II codes
Based on the patient's reported income from the previous month.

34. 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...
60
Referrals
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Resources

35. Most practices try to reduce expenses by...
Petty cash
Controlling accounts payable
Fraud.
Fair Debt Collection Practice Act

36. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Inaccurate and/or incorrect billing
Based on the patient's reported income from the previous month.
V01-V83
False

37. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payee
Liability
Form W-4.
False

38. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Statement of income and expense
Disclosure
Truth in Lending Act
Third party payer

39. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
The code may not be used as the first code
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

40. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
The code may not be used as the first code
False
False

41. 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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42. The number of dependents an employee is claiming is found on the
Office supplies.
Age analysis.
Voucher
Form W-4.

43. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Petty cash
Resources
Up to $500 -000 - or 1% of the practice's net worth
Age analysis

44. The determination of the amount of money paid by a third-party payer for a procedure is...
CPC
Third-party
Controlling accounts payable
Pre-certification.

45. The Relative Value Unit System was created to...
Fair Debt Collection Practices Act
[ ]
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Disclosure

46. Money paid as compensation as result of a lawsuit is called _______________.
Truth in Lending Act
HCPCS
Third-party
Damages

47. Money paid as compensation as result of a lawsuit is called _______________.
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.
Damages

48. The person to whom the check is written is the _______________.
Copayment
Voucher
Payee
Fraud.

49. The process of classifying and reviewing past-due accounts from the first date of billing is...
Traveler's
Ask the physician to select a more specific code
False
Age analysis.

50. 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.
Third party payer
Resources
Third-party
Disclosure