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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. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
False
Open-book
True
False
2. 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?
Statement of income and expense
Fraud.
Age analysis
V01-V83
3. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
If the diagnosis makes you ask 'How did that happen?'
Third-party
Office supplies.
CPC
4. The number of dependents an employee is claiming is found on the
Form W-4.
Office supplies.
Fraud.
Payer
5. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Truth in Lending Act
Check your explanation of benefits form
( )
V01-V83
6. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
( )
False
Truth in Lending Act
If the diagnosis makes you ask 'How did that happen?'
7. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Payee
Payee
Third party payer
8. The most common disbursement is for...
Fair Debt Collection Practices Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
9. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
CPC
Referrals
Traveler's
Check your explanation of benefits form
10. A health-care provider who practices under false qualifications/credentials is guilty of...
Ask the physician to select a more specific code
Truth in Lending Act
Fraud.
Open-book
11. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Third-party
Form W-4.
Statement of income and expense
Fair Debt Collection Practices Act
12. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Liability
$280.
Age analysis
Fair Debt Collection Practice Act
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?
Fraud.
False
V01-V83
Office supplies.
14. 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
Payer
60
Disclosure
Age analysis
15. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Age analysis.
Includes
Truth in Lending Act
Capitated rate
16. An act of deception used to take advantage of another person or entity is called...
Fraud.
Referrals
Voucher
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
17. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Fair Debt Collection Practice Act
False
Referrals
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
18. The process of classifying and reviewing past-due accounts from the first date of billing is...
Inaccurate and/or incorrect billing
Age analysis.
60
Payer
19. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Damages
Inaccurate and/or incorrect billing
[ ]
Open-book
20. Money paid as compensation as result of a lawsuit is called _______________.
Damages
[ ]
The code may not be used as the first code
60
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
HCPCS
Statement of income and expense
V01-V83
Referrals
22. 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.
Based on the patient's reported income from the previous month.
Third party payer
6 months
False
23. The ICD-9-CM convention code first underlying disease means...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
The code may not be used as the first code
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
24. A small fee that is collected at the time of service is called a(n) _______________.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
( )
Damages
Copayment
25. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
6 months
Statement of income and expense
CPC
Payer
26. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practices Act
460-519
Fair Debt Collection Practice Act
True
27. The Relative Value Unit System was created to...
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS
Copayment
28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Truth in Lending Act
Fraud.
460-519
Office supplies.
29. An act of deception used to take advantage of another person or entity is called...
CPC
Fraud.
6 months
Pre-certification.
30. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
60
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act
31. Money paid for intentionally breaking the law is called _______________ _______________.
Pre-certification.
Includes
460-519
Punitive damages
32. An employer identification number is required by law from every employer for federal tax accounting purposes
Age analysis.
Controlling accounts payable
True
Based on the patient's reported income from the previous month.
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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Up to $500 -000 - or 1% of the practice's net worth
False
$280.
34. The payment system used by Medicare is based on...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Resources
Copayment
Fraud.
35. The most common disbursement is for...
Office supplies.
The code may not be used as the first code
Ask the physician to select a more specific code
Includes
36. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Liability
Voucher
Damages
( )
37. An employer identification number is required by law from every employer for federal tax accounting purposes
Fraud.
Includes
True
Third-party
38. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Referrals
$280.
39. Which of the following is also called Public Law 95-109?
HCPCS
Form W-4.
False
Fair Debt Collection Practice Act
40. The ICD-9-CM convention code first underlying disease means...
Based on the patient's reported income from the previous month.
Open-book
The code may not be used as the first code
Pre-certification.
41. The determination of the amount of money paid by a third-party payer for a procedure is...
If the diagnosis makes you ask 'How did that happen?'
Fraud.
Age analysis.
Pre-certification.
42. In order to be considered negotiable - a check must be signed by the _______________.
Punitive damages
Ask the physician to select a more specific code
Inaccurate and/or incorrect billing
Payer
43. An easy way to remember when an E code is required is...
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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. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
460-519
Disclosure
Fraud.
Payer
46. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Statement of income and expense
CPC
Payer
47. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
HCPCS
CPC
Fair Debt Collection Practices Act
Voucher
48. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Voucher
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
49. Which of the following should be a factor when selecting an outside collection agency?
HCPCS Level II codes
Controlling accounts payable
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
50. The ______________ is paid to the provider even if the patient receives no care
Office supplies.
False
CPC
Capitated rate