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Medical Coding And Billing Clinical

Instructions:
  • Answer 50 questions in 15 minutes.
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  • 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. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached






2. An act of deception used to take advantage of another person or entity is called...






3. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?






4. The ______________ is paid to the provider even if the patient receives no care






5. 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






6. In order to be considered negotiable - a check must be signed by the _______________.






7. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?






8. A health-care provider who practices under false qualifications/credentials is guilty of...






9. 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.






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






11. 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






12. 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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13. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?






14. Eligibility for Medicaid is...

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15. 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...






16. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.






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






18. A health-care provider who practices under false qualifications/credentials is guilty of...






19. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.






20. The process of classifying and reviewing past-due accounts from the first date of billing is...






21. 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.






22. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.






23. The number of dependents an employee is claiming is found on the






24. The number of dependents an employee is claiming is found on the






25. 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?






26. Which of the following should be a factor when selecting an outside collection agency?






27. The person to whom the check is written is the _______________.






28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?






29. The _______________-_______________ _______________ is the health plan that pays for medical services






30. Which of the following is also called Public Law 95-109?






31. Most practices try to reduce expenses by...






32. 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.






33. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so






34. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.






35. The _______________ coding system has two levels and is used for coding services for Medicare patients






36. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?






37. The payment system used by Medicare is based on...






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.






39. Money paid for intentionally breaking the law is called _______________ _______________.






40. 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






41. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...






42. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?






43. 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.






44. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






45. An employer identification number is required by law from every employer for federal tax accounting purposes






46. The _______________-_______________ _______________ is the health plan that pays for medical services






47. The person to whom the check is written is the _______________.






48. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?






49. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...






50. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?







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