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?
Includes
Petty cash
Up to $500 -000 - or 1% of the practice's net worth
Based on the patient's reported income from the previous month.

2. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Ask the physician to select a more specific code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Statement of income and expense

3. Most practices try to reduce expenses by...
Controlling accounts payable
CPC
Payer
False

4. Money paid as compensation as result of a lawsuit is called _______________.
Inaccurate and/or incorrect billing
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
Damages

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
False
$280.
Up to $500 -000 - or 1% of the practice's net worth
Ask the physician to select a more specific code

6. Which of the following is also called Public Law 95-109?
Inaccurate and/or incorrect billing
Truth in Lending Act
Check your explanation of benefits form
Fair Debt Collection Practice Act

7. The determination of the amount of money paid by a third-party payer for a procedure is...
Statement of income and expense
Copayment
Pre-certification.
Age analysis.

8. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
Fair Debt Collection Practices Act
V01-V83
( )

9. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Age analysis
Liability
Inaccurate and/or incorrect billing
[ ]

10. The ICD-9-CM convention code first underlying disease means...
False
The code may not be used as the first code
Pre-certification.
Check your explanation of benefits form

11. The ______________ is paid to the provider even if the patient receives no care
False
Capitated rate
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.

12. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
Office supplies.

13. An employer identification number is required by law from every employer for federal tax accounting purposes
Liability
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
True

14. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
[ ]
Check your explanation of benefits form
Third-party
Damages

15. An act of deception used to take advantage of another person or entity is called...
Age analysis.
Fraud.
Punitive damages
Includes

16. 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
$280.
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

17. 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...
$280.
Age analysis
Includes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

18. The person to whom the check is written is the _______________.
Payee
Fair Debt Collection Practices Act
Punitive damages
HCPCS

19. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Voucher
If the diagnosis makes you ask 'How did that happen?'
Referrals

20. An employer identification number is required by law from every employer for federal tax accounting purposes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee
True
Up to $500 -000 - or 1% of the practice's net worth

21. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Petty cash
Referrals
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

22. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Office supplies.
Capitated rate
60

23. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
HCPCS Level II codes
$280.
Inaccurate and/or incorrect billing
Referrals

24. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payee
False

25. Which of the following should be a factor when selecting an outside collection agency?
The code may not be used as the first code
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Disclosure

26. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
False
60
Check your explanation of benefits form

27. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Inaccurate and/or incorrect billing
CPC
Age analysis
Fraud.

28. The Relative Value Unit System was created to...
Payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Check your explanation of benefits form

29. Eligibility for Medicaid is...

30. Money paid as compensation as result of a lawsuit is called _______________.
60
Fair Debt Collection Practices Act
60
Damages

31. 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
Controlling accounts payable
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Referrals
False

32. An act of deception used to take advantage of another person or entity is called...
Fair Debt Collection Practice Act
Fraud.
Controlling accounts payable
True

33. 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
HCPCS Level II codes
Up to $500 -000 - or 1% of the practice's net worth
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

34. 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?

35. 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
Inaccurate and/or incorrect billing
$280.
True

36. The process of classifying and reviewing past-due accounts from the first date of billing is...
Open-book
The code may not be used as the first code
Traveler's
Age analysis.

37. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
Ask the physician to select a more specific code
Truth in Lending Act

38. 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
Ask the physician to select a more specific code
Petty cash
Office supplies.

39. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
( )
Check your explanation of benefits form
Age analysis
Based on the patient's reported income from the previous month.

40. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Fair Debt Collection Practice Act
Controlling accounts payable
Ask the physician to select a more specific code
Copayment

41. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

42. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
( )
Open-book
6 months
Age analysis

43. 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?
Open-book
V01-V83
If the diagnosis makes you ask 'How did that happen?'
Statement of income and expense

44. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Up to $500 -000 - or 1% of the practice's net worth
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Pre-certification.
Ask the physician to select a more specific code

45. The payment system used by Medicare is based on...
False
Resources
( )
Punitive damages

46. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Fair Debt Collection Practices Act
False
Voucher
Referrals

47. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
Age analysis
Disclosure
Office supplies.

48. The most common disbursement is for...
False
False
V01-V83
Office supplies.

49. The ______________ is paid to the provider even if the patient receives no care
Resources
Form W-4.
Capitated rate
( )

50. National codes issued by CMS that cover many supplies and durable medical equipment are...
Liability
60
Statement of income and expense
HCPCS Level II codes