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. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
60

2. Eligibility for Medicaid is...

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3. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third party payer
Check your explanation of benefits form
Payee
Fraud.

4. The payment system used by Medicare is based on...
Payer
V01-V83
Resources
Traveler's

5. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Fraud.
HCPCS Level II codes
Referrals

6. The determination of the amount of money paid by a third-party payer for a procedure is...
Truth in Lending Act
CPC
Pre-certification.
False

7. The most common disbursement is for...
Check your explanation of benefits form
HCPCS Level II codes
False
Office supplies.

8. 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
CPC
Form W-4.
60
If the diagnosis makes you ask 'How did that happen?'

9. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
[ ]

10. The ______________ is paid to the provider even if the patient receives no care
Fair Debt Collection Practice Act
Capitated rate
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Payer
Liability
Disclosure
Ask the physician to select a more specific code

12. An act of deception used to take advantage of another person or entity is called...
Punitive damages
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Fraud.

13. A health-care provider who practices under false qualifications/credentials is guilty of...
Voucher
Fair Debt Collection Practice Act
Fraud.
False

14. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fair Debt Collection Practice Act
HCPCS Level II codes
Disclosure
Truth in Lending Act

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

16. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Capitated rate
Age analysis.
Punitive damages

17. 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.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act
Petty cash
$280.

18. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
False
Petty cash
Capitated rate

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.
Office supplies.
False
Third-party
True

20. Which of the following should be a factor when selecting an outside collection agency?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.

21. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Copayment
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Voucher
460-519

22. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
If the diagnosis makes you ask 'How did that happen?'
Up to $500 -000 - or 1% of the practice's net worth
Liability
Fair Debt Collection Practices Act

23. The payment system used by Medicare is based on...
Resources
Truth in Lending Act
Check your explanation of benefits form
[ ]

24. 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
( )
Resources
Inaccurate and/or incorrect billing

25. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Capitated rate
Copayment
Fair Debt Collection Practices Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

26. Which of the following is also called Public Law 95-109?
[ ]
Fair Debt Collection Practice Act
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

27. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Inaccurate and/or incorrect billing
Based on the patient's reported income from the previous month.
False
Liability

28. Most practices try to reduce expenses by...
Age analysis.
Controlling accounts payable
60
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

29. 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
Controlling accounts payable
True
Third party payer

30. 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
False
Age analysis.
Open-book
The code may not be used as the first code

31. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher
Truth in Lending Act
Pre-certification.

32. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
( )
460-519
Form W-4.
Petty cash

33. 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
Punitive damages
Fraud.
( )

34. 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...
Disclosure
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Copayment
Referrals

35. Money paid for intentionally breaking the law is called _______________ _______________.
Petty cash
[ ]
Punitive damages
Fraud.

36. An act of deception used to take advantage of another person or entity is called...
Fraud.
Third party payer
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

37. 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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38. An easy way to remember when an E code is required is...

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39. A small fee that is collected at the time of service is called a(n) _______________.
Office supplies.
If the diagnosis makes you ask 'How did that happen?'
Copayment
Third-party

40. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Fraud.
6 months
Referrals
Liability

41. The person to whom the check is written is the _______________.
6 months
Controlling accounts payable
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payee

42. Money paid as compensation as result of a lawsuit is called _______________.
Disclosure
False
Damages
Traveler's

43. An employer identification number is required by law from every employer for federal tax accounting purposes
6 months
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
True

44. 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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45. The process of classifying and reviewing past-due accounts from the first date of billing is...
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
460-519
Age analysis.

46. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
False
Punitive damages
The code may not be used as the first code

47. The _______________-_______________ _______________ is the health plan that pays for medical services
Damages
V01-V83
Open-book
Third party payer

48. 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.
Punitive damages
HCPCS Level II codes
Third-party
Fair Debt Collection Practices Act

49. 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
HCPCS Level II codes
Truth in Lending Act
60
Controlling accounts payable

50. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
6 months
[ ]
Fraud.
Ask the physician to select a more specific code