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

2. The _______________-_______________ _______________ is the health plan that pays for medical services
Traveler's
Fair Debt Collection Practice Act
Third party payer
Damages

3. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
60
Statement of income and expense
False

4. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Third-party
Third party payer
Up to $500 -000 - or 1% of the practice's net worth
( )

5. In order to be considered negotiable - a check must be signed by the _______________.
Resources
Fraud.
Resources
Payer

6. 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
Open-book
Copayment
Third party payer
( )

7. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Capitated rate
False

8. Money paid for intentionally breaking the law is called _______________ _______________.
Referrals
Damages
Punitive damages
Damages

9. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Liability
Payee
Disclosure
CPC

10. An act of deception used to take advantage of another person or entity is called...
Traveler's
False
Fraud.
Pre-certification.

11. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Liability
460-519
Ask the physician to select a more specific code
[ ]

12. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Inaccurate and/or incorrect billing
Fraud.
Damages
Includes

13. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act
False

14. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
The code may not be used as the first code
Fraud.
Damages

15. 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.
Pre-certification.
Fair Debt Collection Practices Act
The code may not be used as the first code
Third-party

16. An employer identification number is required by law from every employer for federal tax accounting purposes
Ask the physician to select a more specific code
True
Check your explanation of benefits form
Damages

17. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Capitated rate
( )
Fraud.
Damages

18. 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.
460-519
The code may not be used as the first code
Petty cash
Payee

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

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20. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Up to $500 -000 - or 1% of the practice's net worth
Third-party
HCPCS

21. 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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22. Most practices try to reduce expenses by...
Disclosure
Controlling accounts payable
Pre-certification.
460-519

23. 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
60
Controlling accounts payable
False
Ask the physician to select a more specific code

24. 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
Age analysis.
False
Fair Debt Collection Practice Act
Referrals

25. 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
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
CPC

26. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Resources
Disclosure
Voucher
Ask the physician to select a more specific code

27. The ______________ is paid to the provider even if the patient receives no care
Office supplies.
Inaccurate and/or incorrect billing
False
Capitated rate

28. The most common disbursement is for...
Office supplies.
Fraud.
Fair Debt Collection Practices Act
Traveler's

29. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
HCPCS Level II codes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
False

30. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Fraud.
6 months
Office supplies.
True

31. Which of the following is also called Public Law 95-109?
Copayment
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
Payee

32. Money paid for intentionally breaking the law is called _______________ _______________.
Ask the physician to select a more specific code
$280.
Punitive damages
Payee

33. A small fee that is collected at the time of service is called a(n) _______________.
Fair Debt Collection Practice Act
Ask the physician to select a more specific code
Copayment
Inaccurate and/or incorrect billing

34. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
460-519
V01-V83
$280.
False

35. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Third-party
V01-V83
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

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.
Petty cash
Based on the patient's reported income from the previous month.
Voucher
The code may not be used as the first code

37. An employer identification number is required by law from every employer for federal tax accounting purposes
Controlling accounts payable
True
HCPCS
Age analysis.

38. Money paid as compensation as result of a lawsuit is called _______________.
True
True
Damages
Inaccurate and/or incorrect billing

39. The ______________ is paid to the provider even if the patient receives no care
Third-party
False
Capitated rate
Third party payer

40. The _______________ coding system has two levels and is used for coding services for Medicare patients
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS
Punitive damages
( )

41. The person to whom the check is written is the _______________.
Pre-certification.
Payee
Controlling accounts payable
$280.

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

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44. 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
False
Resources
If the diagnosis makes you ask 'How did that happen?'

45. In order to be considered negotiable - a check must be signed by the _______________.
Payee
Liability
Payer
460-519

46. 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
Check your explanation of benefits form
Statement of income and expense
Open-book

47. The _______________ coding system has two levels and is used for coding services for Medicare patients
Pre-certification.
( )
Fraud.
HCPCS

48. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
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
Copayment

49. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
The code may not be used as the first code
Office supplies.
Controlling accounts payable

50. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis
( )
$280.
Statement of income and expense