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. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Traveler's
Payee
Fair Debt Collection Practices Act
The code may not be used as the first code

2. Most practices try to reduce expenses by...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable
Includes

3. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Age analysis
Voucher
Statement of income and expense

4. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Form W-4.
Punitive damages
$280.

5. The person to whom the check is written is the _______________.
Pre-certification.
6 months
[ ]
Payee

6. Which of the following is also called Public Law 95-109?
Open-book
Traveler's
Fair Debt Collection Practice Act
Liability

7. Prison sentences are possible consequences of...
True
Age analysis
Capitated rate
Inaccurate and/or incorrect billing

8. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
Inaccurate and/or incorrect billing
6 months

9. The ______________ is paid to the provider even if the patient receives no care
Disclosure
Third party payer
Capitated rate
460-519

10. Money paid for intentionally breaking the law is called _______________ _______________.
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
Punitive damages

11. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
The code may not be used as the first code
HCPCS Level II codes
460-519
Inaccurate and/or incorrect billing

12. 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
Fair Debt Collection Practices Act
Third party payer
Fraud.

13. 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
Pre-certification.
60
False
$280.

14. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
460-519
Controlling accounts payable
Includes

15. The most common disbursement is for...
Third-party
60
Office supplies.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

16. The ______________ is paid to the provider even if the patient receives no care
60
False
Capitated rate
Referrals

17. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
CPC
Damages
Truth in Lending Act
[ ]

18. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
460-519
Check your explanation of benefits form
( )
Truth in Lending Act

19. An employer identification number is required by law from every employer for federal tax accounting purposes
Voucher
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True

20. The number of dependents an employee is claiming is found on the
$280.
False
Form W-4.
Fraud.

21. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
6 months
Fair Debt Collection Practices Act
Disclosure

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

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23. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
Damages
Fair Debt Collection Practices Act
CPC

24. In order to be considered negotiable - a check must be signed by the _______________.
Open-book
Third party payer
Petty cash
Payer

25. 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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26. Money paid as compensation as result of a lawsuit is called _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Damages
60
HCPCS Level II codes

27. 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
460-519
Payer
[ ]

28. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Pre-certification.
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

29. 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
Office supplies.
Controlling accounts payable
Fraud.

30. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Truth in Lending Act
Fair Debt Collection Practice Act
False
CPC

31. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Traveler's
V01-V83
60
Check your explanation of benefits form

32. Money paid for intentionally breaking the law is called _______________ _______________.
460-519
Pre-certification.
Punitive damages
Third-party

33. An act of deception used to take advantage of another person or entity is called...
6 months
Payee
Copayment
Fraud.

34. The _______________-_______________ _______________ is the health plan that pays for medical services
Resources
Third party payer
Truth in Lending Act
Liability

35. Eligibility for Medicaid is...

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36. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
60
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
$280.
Includes

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
Referrals
Check your explanation of benefits form
60
Capitated rate

38. Most practices try to reduce expenses by...
Controlling accounts payable
Damages
Pre-certification.
Age analysis

39. The payment system used by Medicare is based on...
460-519
Resources
Age analysis
False

40. The Relative Value Unit System was created to...
Disclosure
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Ask the physician to select a more specific code

41. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
V01-V83

42. The payment system used by Medicare is based on...
Resources
$280.
Fair Debt Collection Practices Act
True

43. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Includes
False
Age analysis.

44. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
False
[ ]
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.

45. 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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46. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Pre-certification.
True
Traveler's
$280.

47. An employer identification number is required by law from every employer for federal tax accounting purposes
Damages
Capitated rate
Inaccurate and/or incorrect billing
True

48. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Fair Debt Collection Practice Act
Includes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Up to $500 -000 - or 1% of the practice's net worth

49. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Disclosure
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.

50. The most common disbursement is for...
Fraud.
Damages
Office supplies.
Payer