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. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
False
460-519
Payer
6 months

2. An employer identification number is required by law from every employer for federal tax accounting purposes
Voucher
True
Fair Debt Collection Practices Act
Voucher

3. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
True
Open-book
Statement of income and expense
Includes

4. The ______________ is paid to the provider even if the patient receives no care
Referrals
The code may not be used as the first code
True
Capitated rate

5. A health-care provider who practices under false qualifications/credentials is guilty of...
Resources
Truth in Lending Act
Fraud.
Third-party

6. An act of deception used to take advantage of another person or entity is called...
True
Statement of income and expense
Form W-4.
Fraud.

7. 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
Pre-certification.
Capitated rate

8. Some insurers will not pay a claim unless it is filed within ________ of the date of service
460-519
[ ]
Statement of income and expense
6 months

9. 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.
Controlling accounts payable
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
False

10. A health-care provider who practices under false qualifications/credentials is guilty of...
CPC
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
60
Fraud.

11. 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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12. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Resources
False
Up to $500 -000 - or 1% of the practice's net worth
Includes

13. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Punitive damages
Voucher
The code may not be used as the first code

14. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
Includes
True

15. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
60
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practice Act

16. Which of the following is also called Public Law 95-109?
Third party payer
Fair Debt Collection Practice Act
Capitated rate
Age analysis.

17. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
HCPCS
V01-V83
Includes
True

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.
True
Open-book
Petty cash
Third-party

19. The number of dependents an employee is claiming is found on the
Pre-certification.
Open-book
Age analysis.
Form W-4.

20. The process of classifying and reviewing past-due accounts from the first date of billing is...
False
HCPCS
False
Age analysis.

21. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Traveler's
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

22. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis
Age analysis.
$280.
Traveler's

23. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Inaccurate and/or incorrect billing
Open-book
60
False

24. The process of classifying and reviewing past-due accounts from the first date of billing is...
Includes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519
Age analysis.

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

26. Eligibility for Medicaid is...

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27. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Disclosure
Traveler's
Damages

28. The Relative Value Unit System was created to...
Based on the patient's reported income from the previous month.
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

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

30. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
The code may not be used as the first code
The code may not be used as the first code
Truth in Lending Act

31. The determination of the amount of money paid by a third-party payer for a procedure is...
Inaccurate and/or incorrect billing
Based on the patient's reported income from the previous month.
Ask the physician to select a more specific code
Pre-certification.

32. 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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33. The most common disbursement is for...
Includes
Office supplies.
Form W-4.
Open-book

34. The payment system used by Medicare is based on...
Age analysis.
Punitive damages
Controlling accounts payable
Resources

35. The ICD-9-CM convention code first underlying disease means...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
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
Age analysis

36. Prison sentences are possible consequences of...
460-519
Inaccurate and/or incorrect billing
60
Includes

37. In order to be considered negotiable - a check must be signed by the _______________.
HCPCS
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payer
HCPCS

38. 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
Fraud.
Based on the patient's reported income from the previous month.
Ask the physician to select a more specific code

39. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Ask the physician to select a more specific code
Petty cash
Age analysis.

40. 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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41. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fair Debt Collection Practices Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Form W-4.
Check your explanation of benefits form

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

43. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
False
Damages
Ask the physician to select a more specific code
( )

44. 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
Resources
Age analysis.
Open-book
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

45. Money paid for intentionally breaking the law is called _______________ _______________.
Office supplies.
Age analysis.
Punitive damages
Damages

46. The number of dependents an employee is claiming is found on the
Form W-4.
Age analysis
Inaccurate and/or incorrect billing
Voucher

47. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

48. 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
Petty cash
False
Controlling accounts payable

49. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Controlling accounts payable
False
Fraud.
True

50. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Based on the patient's reported income from the previous month.
Liability
$280.
Punitive damages