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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. A health-care provider who practices under false qualifications/credentials is guilty of...
HCPCS Level II codes
Copayment
Fraud.
Voucher
2. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Voucher
HCPCS Level II codes
( )
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
3. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
6 months
( )
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
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.
Fair Debt Collection Practice Act
Fraud.
Controlling accounts payable
False
5. 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?
Fraud.
False
V01-V83
Inaccurate and/or incorrect billing
6. The determination of the amount of money paid by a third-party payer for a procedure is...
60
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
CPC
7. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Controlling accounts payable
Office supplies.
Fraud.
8. 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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9. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
True
Third party payer
Disclosure
Check your explanation of benefits form
10. The ______________ is paid to the provider even if the patient receives no care
V01-V83
Damages
Payee
Capitated rate
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?
6 months
[ ]
Fair Debt Collection Practice Act
V01-V83
12. 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
Controlling accounts payable
Open-book
Resources
Disclosure
13. 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
[ ]
Third-party
$280.
14. The _______________ coding system has two levels and is used for coding services for Medicare patients
Inaccurate and/or incorrect billing
HCPCS
Fraud.
Copayment
15. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
If the diagnosis makes you ask 'How did that happen?'
Payee
$280.
Fair Debt Collection Practices Act
16. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Third-party
Payer
False
Statement of income and expense
17. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Punitive damages
Referrals
Controlling accounts payable
False
18. Most practices try to reduce expenses by...
HCPCS Level II codes
Truth in Lending Act
Disclosure
Controlling accounts payable
19. The determination of the amount of money paid by a third-party payer for a procedure is...
The code may not be used as the first code
Pre-certification.
Office supplies.
$280.
20. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Controlling accounts payable
Fair Debt Collection Practice Act
Age analysis
V01-V83
21. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
Includes
The code may not be used as the first code
22. Most practices try to reduce expenses by...
Third-party
Fair Debt Collection Practices Act
Includes
Controlling accounts payable
23. Which of the following is also called Public Law 95-109?
Payee
Petty cash
Fair Debt Collection Practice Act
Third-party
24. A small fee that is collected at the time of service is called a(n) _______________.
60
Disclosure
Voucher
Copayment
25. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
CPC
460-519
Form W-4.
False
26. 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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27. 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
Disclosure
Copayment
Capitated rate
60
28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Disclosure
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act
29. Eligibility for Medicaid is...
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30. 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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31. 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
Voucher
Fair Debt Collection Practice Act
Payer
Referrals
32. The person to whom the check is written is the _______________.
Payee
$280.
Disclosure
Fraud.
33. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure
Traveler's
Third party payer
34. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]
Voucher
True
35. An act of deception used to take advantage of another person or entity is called...
Office supplies.
$280.
Fraud.
60
36. The process of classifying and reviewing past-due accounts from the first date of billing is...
60
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis.
Payer
37. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Third party payer
Ask the physician to select a more specific code
True
Fair Debt Collection Practice Act
38. An easy way to remember when an E code is required is...
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39. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Punitive damages
False
Voucher
CPC
40. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Punitive damages
Truth in Lending Act
Age analysis.
[ ]
41. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
[ ]
Statement of income and expense
Voucher
Based on the patient's reported income from the previous month.
42. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
Ask the physician to select a more specific code
460-519
HCPCS
43. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Ask the physician to select a more specific code
Open-book
True
Age analysis.
44. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
The code may not be used as the first code
Resources
False
6 months
45. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
True
HCPCS
Truth in Lending Act
Payer
46. 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...
HCPCS
Voucher
Up to $500 -000 - or 1% of the practice's net worth
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
47. The ICD-9-CM convention code first underlying disease means...
HCPCS
Open-book
60
The code may not be used as the first code
48. 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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49. 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.
Payer
Third-party
Damages
Punitive damages
50. An employer identification number is required by law from every employer for federal tax accounting purposes
False
Office supplies.
Age analysis.
True