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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. The _______________ coding system has two levels and is used for coding services for Medicare patients
Inaccurate and/or incorrect billing
Payer
HCPCS
460-519
2. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
True
True
Up to $500 -000 - or 1% of the practice's net worth
False
3. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Referrals
$280.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
4. 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.
Payer
Payee
False
Pre-certification.
5. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Form W-4.
Check your explanation of benefits form
[ ]
[ ]
6. National codes issued by CMS that cover many supplies and durable medical equipment are...
Referrals
HCPCS Level II codes
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
7. An act of deception used to take advantage of another person or entity is called...
False
Truth in Lending Act
Copayment
Fraud.
8. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
60
Payee
Check your explanation of benefits form
Liability
9. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Disclosure
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
Age analysis
10. An employer identification number is required by law from every employer for federal tax accounting purposes
Truth in Lending Act
Voucher
460-519
True
11. The ______________ is paid to the provider even if the patient receives no care
Fraud.
Capitated rate
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
12. The determination of the amount of money paid by a third-party payer for a procedure is...
Damages
Petty cash
Pre-certification.
Liability
13. Money paid for intentionally breaking the law is called _______________ _______________.
Office supplies.
Age analysis
Punitive damages
Based on the patient's reported income from the previous month.
14. The Relative Value Unit System was created to...
$280.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
False
15. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Based on the patient's reported income from the previous month.
Age analysis.
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
16. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Ask the physician to select a more specific code
Statement of income and expense
True
True
17. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
Ask the physician to select a more specific code
18. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practice Act
Inaccurate and/or incorrect billing
False
19. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment
20. The payment system used by Medicare is based on...
False
Resources
60
Referrals
21. The person to whom the check is written is the _______________.
Payee
Damages
$280.
Petty cash
22. A small fee that is collected at the time of service is called a(n) _______________.
Voucher
Controlling accounts payable
Copayment
Traveler's
23. 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.
Third party payer
CPC
Copayment
24. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
460-519
Controlling accounts payable
Fair Debt Collection Practice Act
25. 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.
Age analysis.
Third-party
False
460-519
26. Money paid as compensation as result of a lawsuit is called _______________.
Payer
HCPCS Level II codes
Liability
Damages
27. The person to whom the check is written is the _______________.
60
Payee
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Open-book
28. 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
460-519
HCPCS Level II codes
29. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Form W-4.
Referrals
Fair Debt Collection Practice Act
( )
30. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Petty cash
Office supplies.
Disclosure
460-519
31. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Based on the patient's reported income from the previous month.
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
32. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
$280.
33. The most common disbursement is for...
The code may not be used as the first code
Office supplies.
V01-V83
Traveler's
34. Prison sentences are possible consequences of...
Third party payer
Payer
Inaccurate and/or incorrect billing
The code may not be used as the first code
35. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Third-party
6 months
HCPCS Level II codes
36. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
False
37. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Ask the physician to select a more specific code
Liability
Resources
38. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
[ ]
Includes
Form W-4.
39. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Third party payer
Payee
Inaccurate and/or incorrect billing
40. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Disclosure
True
Damages
Form W-4.
41. 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.
Based on the patient's reported income from the previous month.
False
Includes
Petty cash
42. 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
Age analysis.
Open-book
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Based on the patient's reported income from the previous month.
43. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Fair Debt Collection Practices Act
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis.
44. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Liability
Check your explanation of benefits form
Truth in Lending Act
Pre-certification.
45. 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
Capitated rate
Referrals
False
Payer
46. Eligibility for Medicaid is...
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47. 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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48. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
V01-V83
Petty cash
False
Resources
49. 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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50. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Capitated rate
False
Up to $500 -000 - or 1% of the practice's net worth
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
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