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. 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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2. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Includes
False
Statement of income and expense
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


3. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Age analysis
460-519
Capitated rate


4. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Disclosure
6 months
Third-party


5. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
The code may not be used as the first code
Form W-4.
HCPCS Level II codes


6. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Controlling accounts payable
True
Based on the patient's reported income from the previous month.


7. 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
Fraud.
HCPCS Level II codes
60
Payee


8. Most practices try to reduce expenses by...
V01-V83
Pre-certification.
Controlling accounts payable
Third party payer


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

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10. 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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11. 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?
Ask the physician to select a more specific code
True
V01-V83
Truth in Lending Act


12. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
True
6 months
Payer
False


13. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Inaccurate and/or incorrect billing
60
Liability
Check your explanation of benefits form


14. The ______________ is paid to the provider even if the patient receives no care
Fair Debt Collection Practices Act
The code may not be used as the first code
Capitated rate
True


15. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
460-519
Fair Debt Collection Practice Act
Truth in Lending Act
Disclosure


16. Money paid as compensation as result of a lawsuit is called _______________.
Damages
V01-V83
Voucher
460-519


17. The person to whom the check is written is the _______________.
Open-book
( )
Payee
Truth in Lending Act


18. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
Disclosure
True
False


19. 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.
Traveler's
Controlling accounts payable
Truth in Lending Act


20. Money paid for intentionally breaking the law is called _______________ _______________.
HCPCS Level II codes
Third party payer
Age analysis
Punitive damages


21. A health-care provider who practices under false qualifications/credentials is guilty of...
Voucher
Statement of income and expense
Fraud.
Punitive damages


22. The most common disbursement is for...
Office supplies.
True
Referrals
Pre-certification.


23. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Capitated rate
True
Pre-certification.
Up to $500 -000 - or 1% of the practice's net worth


24. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
The code may not be used as the first code
460-519
( )
[ ]


25. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
460-519
Disclosure
False


26. 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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27. 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
Liability
Up to $500 -000 - or 1% of the practice's net worth
Payer


28. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Capitated rate
( )
The code may not be used as the first code


29. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Pre-certification.
False
Referrals


30. 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
Check your explanation of benefits form
Ask the physician to select a more specific code
Age analysis.


31. The number of dependents an employee is claiming is found on the
Form W-4.
Payee
Liability
Third-party


32. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Third-party
Disclosure
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


33. A small fee that is collected at the time of service is called a(n) _______________.
Fair Debt Collection Practice Act
Resources
Capitated rate
Copayment


34. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Payee
Referrals
Ask the physician to select a more specific code
Third party payer


35. Which of the following should be a factor when selecting an outside collection agency?
Includes
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


36. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Traveler's
Liability
Fair Debt Collection Practices Act
CPC


37. 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.
Statement of income and expense
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Check your explanation of benefits form


38. National codes issued by CMS that cover many supplies and durable medical equipment are...
Statement of income and expense
HCPCS Level II codes
False
Disclosure


39. Which of the following should be a factor when selecting an outside collection agency?
Includes
Fair Debt Collection Practices Act
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


40. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
460-519
Voucher
Ask the physician to select a more specific code
True


41. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Based on the patient's reported income from the previous month.
Truth in Lending Act
Includes
False


42. Money paid for intentionally breaking the law is called _______________ _______________.
Fair Debt Collection Practices Act
True
Third-party
Punitive damages


43. The Relative Value Unit System was created to...
Capitated rate
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
Third party payer


44. The _______________-_______________ _______________ is the health plan that pays for medical services
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third party payer
Referrals


45. 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
Open-book
False
Payer


46. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Damages
True
Office supplies.
False


47. Which of the following is also called Public Law 95-109?
Payee
Payee
Fair Debt Collection Practice Act
Fraud.


48. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
False
Form W-4.
True
Truth in Lending Act


49. Eligibility for Medicaid is...

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50. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Inaccurate and/or incorrect billing
Damages
False
Referrals