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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. 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.
Pre-certification.
Petty cash
460-519
Based on the patient's reported income from the previous month.
2. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Third-party
False
Traveler's
3. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Fraud.
Pre-certification.
Includes
False
4. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
If the diagnosis makes you ask 'How did that happen?'
5. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
False
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
Truth in Lending Act
6. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Fraud.
Petty cash
Payee
True
7. The _______________-_______________ _______________ is the health plan that pays for medical services
Fair Debt Collection Practices Act
Disclosure
Third party payer
False
8. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Age analysis
Referrals
Copayment
9. 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
Statement of income and expense
10. A small fee that is collected at the time of service is called a(n) _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Inaccurate and/or incorrect billing
Up to $500 -000 - or 1% of the practice's net worth
Copayment
11. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Truth in Lending Act
Form W-4.
False
( )
12. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
( )
V01-V83
False
Age analysis.
13. Which of the following should be a factor when selecting an outside collection agency?
HCPCS
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Copayment
14. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
15. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash
$280.
16. Eligibility for Medicaid is...
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17. In order to be considered negotiable - a check must be signed by the _______________.
Form W-4.
Pre-certification.
Payer
The code may not be used as the first code
18. 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
Traveler's
Voucher
Referrals
True
19. Most practices try to reduce expenses by...
Office supplies.
Controlling accounts payable
Statement of income and expense
Fair Debt Collection Practices Act
20. The payment system used by Medicare is based on...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Office supplies.
Pre-certification.
Resources
21. An easy way to remember when an E code is required is...
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22. 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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23. Which of the following should be a factor when selecting an outside collection agency?
If the diagnosis makes you ask 'How did that happen?'
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
24. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Fraud.
Ask the physician to select a more specific code
If the diagnosis makes you ask 'How did that happen?'
25. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Disclosure
Traveler's
Liability
Petty cash
26. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Traveler's
Based on the patient's reported income from the previous month.
Referrals
27. 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.
Ask the physician to select a more specific code
Petty cash
Disclosure
Includes
28. 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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29. The most common disbursement is for...
HCPCS Level II codes
CPC
Fair Debt Collection Practice Act
Office supplies.
30. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
( )
Third-party
Capitated rate
31. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Fraud.
( )
Payer
$280.
32. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
The code may not be used as the first code
Fraud.
Payee
33. Which of the following is also called Public Law 95-109?
Open-book
Liability
Resources
Fair Debt Collection Practice Act
34. The number of dependents an employee is claiming is found on the
Form W-4.
HCPCS
[ ]
Check your explanation of benefits form
35. In order to be considered negotiable - a check must be signed by the _______________.
Copayment
Form W-4.
Payer
The code may not be used as the first code
36. The _______________-_______________ _______________ is the health plan that pays for medical services
Voucher
Third party payer
If the diagnosis makes you ask 'How did that happen?'
Fraud.
37. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Copayment
[ ]
Office supplies.
Statement of income and expense
38. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Open-book
460-519
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
39. 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
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practice Act
40. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
Up to $500 -000 - or 1% of the practice's net worth
False
HCPCS
41. 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
False
Truth in Lending Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
42. The ICD-9-CM convention code first underlying disease means...
Fraud.
False
The code may not be used as the first code
True
43. 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
HCPCS Level II codes
Capitated rate
44. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
$280.
CPC
Copayment
Ask the physician to select a more specific code
45. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
( )
6 months
Traveler's
46. Money paid for intentionally breaking the law is called _______________ _______________.
True
Punitive damages
60
Includes
47. An easy way to remember when an E code is required is...
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48. 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?
( )
60
V01-V83
Payer
49. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Voucher
Truth in Lending Act
60
50. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Check your explanation of benefits form
Liability
V01-V83
CPC
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