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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. 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
Statement of income and expense
False
Fair Debt Collection Practice Act
2. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
CPC
HCPCS Level II codes
Form W-4.
3. A health-care provider who practices under false qualifications/credentials is guilty of...
Form W-4.
Fraud.
6 months
$280.
4. 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.
( )
Controlling accounts payable
Fair Debt Collection Practices Act
Third-party
5. 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.
Third-party
60
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Petty cash
6. 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
HCPCS Level II codes
$280.
Open-book
Fraud.
7. The ICD-9-CM convention code first underlying disease means...
Damages
The code may not be used as the first code
HCPCS Level II codes
False
8. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Fair Debt Collection Practice Act
Fraud.
Check your explanation of benefits form
9. An easy way to remember when an E code is required is...
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10. 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
Office supplies.
Check your explanation of benefits form
Based on the patient's reported income from the previous month.
11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Ask the physician to select a more specific code
If the diagnosis makes you ask 'How did that happen?'
Disclosure
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
12. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act
Punitive damages
13. 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...
Inaccurate and/or incorrect billing
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Statement of income and expense
14. Which of the following should be a factor when selecting an outside collection agency?
Third party payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
( )
Fraud.
15. 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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16. The determination of the amount of money paid by a third-party payer for a procedure is...
Open-book
Pre-certification.
True
Age analysis.
17. Which of the following is also called Public Law 95-109?
460-519
Includes
Fair Debt Collection Practice Act
HCPCS
18. The number of dependents an employee is claiming is found on the
False
Form W-4.
The code may not be used as the first code
6 months
19. An easy way to remember when an E code is required is...
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20. The number of dependents an employee is claiming is found on the
$280.
If the diagnosis makes you ask 'How did that happen?'
HCPCS Level II codes
Form W-4.
21. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Ask the physician to select a more specific code
Capitated rate
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
22. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Copayment
V01-V83
Statement of income and expense
Voucher
23. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Ask the physician to select a more specific code
Third-party
Fraud.
24. An employer identification number is required by law from every employer for federal tax accounting purposes
Open-book
Form W-4.
True
Pre-certification.
25. 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
Ask the physician to select a more specific code
Petty cash
60
Third party payer
26. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
$280.
False
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
27. Money paid as compensation as result of a lawsuit is called _______________.
Age analysis
HCPCS
Damages
False
28. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practices Act
HCPCS Level II codes
29. 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
6 months
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
30. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Controlling accounts payable
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
If the diagnosis makes you ask 'How did that happen?'
31. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Based on the patient's reported income from the previous month.
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
32. The Relative Value Unit System was created to...
Third party payer
460-519
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Statement of income and expense
33. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Truth in Lending Act
V01-V83
[ ]
False
34. 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.
Truth in Lending Act
Petty cash
Third-party
Third-party
35. A small fee that is collected at the time of service is called a(n) _______________.
Statement of income and expense
Age analysis.
Copayment
If the diagnosis makes you ask 'How did that happen?'
36. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
True
CPC
Age analysis
37. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Damages
Punitive damages
Disclosure
False
38. The payment system used by Medicare is based on...
Traveler's
Resources
True
[ ]
39. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
False
Voucher
Form W-4.
Fair Debt Collection Practices Act
40. Money paid as compensation as result of a lawsuit is called _______________.
Fraud.
Resources
Damages
Form W-4.
41. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
CPC
( )
Office supplies.
Payer
42. 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
Third-party
60
Traveler's
False
43. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Third party payer
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
44. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
460-519
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
45. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Disclosure
Punitive damages
Check your explanation of benefits form
Up to $500 -000 - or 1% of the practice's net worth
46. Eligibility for Medicaid is...
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47. The ______________ is paid to the provider even if the patient receives no care
True
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
48. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Pre-certification.
Voucher
Fraud.
49. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Voucher
Referrals
Open-book
50. 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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