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. Prison sentences are possible consequences of...
True
Form W-4.
True
Inaccurate and/or incorrect billing

2. The person to whom the check is written is the _______________.
False
Open-book
Fair Debt Collection Practice Act
Payee

3. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Third party payer
60
$280.
[ ]

4. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Third party payer
Voucher
Payee
False

5. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Liability
Form W-4.
False
Includes

6. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Traveler's
HCPCS
[ ]

7. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Liability
Capitated rate
False
Third-party

8. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Age analysis.
Liability
Resources

9. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Resources
Controlling accounts payable
Pre-certification.

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
Payee
True
Resources
Open-book

11. Eligibility for Medicaid is...

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12. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis
Voucher

13. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Copayment
( )
Traveler's
Voucher

14. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fair Debt Collection Practices Act
Check your explanation of benefits form
Payee
Payer

15. 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?
Petty cash
Fair Debt Collection Practice Act
V01-V83
Voucher

16. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Third party payer
HCPCS
HCPCS Level II codes

17. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
60
Open-book
V01-V83
False

18. Prison sentences are possible consequences of...
HCPCS
Inaccurate and/or incorrect billing
Third-party
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

19. 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
Open-book
CPC
Fair Debt Collection Practices Act

20. The ICD-9-CM convention code first underlying disease means...
Traveler's
CPC
Includes
The code may not be used as the first code

21. An employer identification number is required by law from every employer for federal tax accounting purposes
Statement of income and expense
True
Payee
Truth in Lending Act

22. The payment system used by Medicare is based on...
Inaccurate and/or incorrect billing
False
Resources
Traveler's

23. The Relative Value Unit System was created to...
Ask the physician to select a more specific code
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
6 months

24. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
60
Third party payer
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

25. A health-care provider who practices under false qualifications/credentials is guilty of...
Controlling accounts payable
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.

26. 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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27. The process of classifying and reviewing past-due accounts from the first date of billing is...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis.
Pre-certification.
Referrals

28. The most common disbursement is for...
Office supplies.
HCPCS
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth

29. 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 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Statement of income and expense
Referrals

30. In order to be considered negotiable - a check must be signed by the _______________.
Damages
Payer
Controlling accounts payable
Based on the patient's reported income from the previous month.

31. The payment system used by Medicare is based on...
60
Third party payer
Age analysis.
Resources

32. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Capitated rate
Statement of income and expense
60

33. In order to be considered negotiable - a check must be signed by the _______________.
Petty cash
V01-V83
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payer

34. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Controlling accounts payable
Punitive damages
60

35. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
6 months
Open-book
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

36. 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
HCPCS
Petty cash
Truth in Lending Act

37. 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
Payer
Referrals
Statement of income and expense
$280.

38. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
False
Liability
Copayment
Age analysis.

39. Money paid as compensation as result of a lawsuit is called _______________.
HCPCS Level II codes
Controlling accounts payable
Damages
The code may not be used as the first code

40. Most practices try to reduce expenses by...
Resources
True
Controlling accounts payable
[ ]

41. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
False
$280.
Punitive damages
True

42. Which of the following is also called Public Law 95-109?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Punitive damages
Disclosure
Fair Debt Collection Practice Act

43. The most common disbursement is for...
Age analysis.
Office supplies.
False
Referrals

44. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Controlling accounts payable
CPC
Statement of income and expense
Fair Debt Collection Practice Act

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

46. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Controlling accounts payable
True
Liability
Check your explanation of benefits form

47. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fair Debt Collection Practice Act
Form W-4.

48. 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
CPC
False

49. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Third-party
True
Ask the physician to select a more specific code

50. An act of deception used to take advantage of another person or entity is called...
False
Fraud.
Payee
Truth in Lending Act