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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. An act of deception used to take advantage of another person or entity is called...
460-519
Fraud.
$280.
CPC
2. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fair Debt Collection Practice Act
HCPCS
True
If the diagnosis makes you ask 'How did that happen?'
3. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Age analysis
Based on the patient's reported income from the previous month.
True
4. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Inaccurate and/or incorrect billing
Third-party
5. Most practices try to reduce expenses by...
Third-party
Fraud.
Controlling accounts payable
Copayment
6. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Age analysis.
False
HCPCS
7. The payment system used by Medicare is based on...
Resources
Fair Debt Collection Practice Act
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
8. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fair Debt Collection Practice Act
Open-book
Liability
HCPCS Level II codes
9. National codes issued by CMS that cover many supplies and durable medical equipment are...
CPC
Based on the patient's reported income from the previous month.
Office supplies.
HCPCS Level II codes
10. An employer identification number is required by law from every employer for federal tax accounting purposes
Age analysis.
Payee
True
60
11. 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
Inaccurate and/or incorrect billing
Capitated rate
Age analysis.
Open-book
12. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
True
Voucher
Third party payer
Payer
13. 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
60
Fraud.
False
14. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Copayment
False
60
Age analysis
15. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Third party payer
Up to $500 -000 - or 1% of the practice's net worth
( )
The code may not be used as the first code
16. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
HCPCS Level II codes
Payer
Punitive damages
17. The number of dependents an employee is claiming is found on the
Form W-4.
True
Referrals
True
18. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
V01-V83
Fair Debt Collection Practices Act
Fair Debt Collection Practice Act
CPC
19. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Age analysis
Check your explanation of benefits form
Truth in Lending Act
The code may not be used as the first code
20. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Controlling accounts payable
Includes
460-519
21. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practice Act
Age analysis.
22. Eligibility for Medicaid is...
23. The determination of the amount of money paid by a third-party payer for a procedure is...
60
True
Pre-certification.
V01-V83
24. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Third-party
False
Capitated rate
25. 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
Damages
Third-party
Open-book
True
26. 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?
Includes
( )
False
V01-V83
27. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment
Age analysis.
Age analysis
28. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
60
460-519
False
29. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Third-party
Disclosure
Ask the physician to select a more specific code
$280.
30. Eligibility for Medicaid is...
31. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
32. The payment system used by Medicare is based on...
Punitive damages
Fair Debt Collection Practices Act
Resources
Referrals
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...
Ask the physician to select a more specific code
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.
60
34. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Disclosure
Fair Debt Collection Practice Act
Third party payer
35. Money paid as compensation as result of a lawsuit is called _______________.
CPC
Damages
Form W-4.
Form W-4.
36. The person to whom the check is written is the _______________.
True
Payee
Fair Debt Collection Practice Act
Referrals
37. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Third-party
Fraud.
Resources
38. 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.
Resources
Copayment
Fair Debt Collection Practice Act
Third-party
39. The most common disbursement is for...
Office supplies.
HCPCS Level II codes
Inaccurate and/or incorrect billing
False
40. The ______________ is paid to the provider even if the patient receives no care
Copayment
Damages
Capitated rate
True
41. Which of the following is also called Public Law 95-109?
Third party payer
True
Fair Debt Collection Practice Act
HCPCS Level II codes
42. A health-care provider who practices under false qualifications/credentials is guilty of...
6 months
Third-party
Petty cash
Fraud.
43. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Based on the patient's reported income from the previous month.
False
Fair Debt Collection Practice Act
Age analysis
44. 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
HCPCS
Up to $500 -000 - or 1% of the practice's net worth
Traveler's
45. Most practices try to reduce expenses by...
$280.
Copayment
Controlling accounts payable
Open-book
46. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
True
Damages
$280.
460-519
47. The number of dependents an employee is claiming is found on the
Punitive damages
Form W-4.
$280.
Truth in Lending Act
48. 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?
49. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Office supplies.
Disclosure
6 months
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.
The code may not be used as the first code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
Third party payer