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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. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
If the diagnosis makes you ask 'How did that happen?'
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
( )
2. Most practices try to reduce expenses by...
Controlling accounts payable
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Form W-4.
3. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Includes
True
Check your explanation of benefits form
The code may not be used as the first code
4. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Fraud.
460-519
Traveler's
Third-party
5. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Check your explanation of benefits form
( )
$280.
Pre-certification.
6. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Damages
Capitated rate
CPC
6 months
7. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Age analysis.
Includes
Up to $500 -000 - or 1% of the practice's net worth
8. The payment system used by Medicare is based on...
Damages
[ ]
( )
Resources
9. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
V01-V83
Check your explanation of benefits form
False
If the diagnosis makes you ask 'How did that happen?'
10. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Third-party
Third party payer
CPC
Resources
11. Eligibility for Medicaid is...
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12. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
True
Punitive damages
( )
Petty cash
13. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fair Debt Collection Practice Act
Third party payer
[ ]
Disclosure
14. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Pre-certification.
False
Age analysis.
Liability
15. In order to be considered negotiable - a check must be signed by the _______________.
False
460-519
CPC
Payer
16. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Capitated rate
Statement of income and expense
Based on the patient's reported income from the previous month.
Third party payer
17. 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?
Inaccurate and/or incorrect billing
Payee
Third party payer
V01-V83
18. The most common disbursement is for...
Age analysis.
Payee
Controlling accounts payable
Office supplies.
19. Money paid as compensation as result of a lawsuit is called _______________.
True
Referrals
Damages
False
20. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
( )
Liability
Fraud.
Resources
21. 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.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Fraud.
Inaccurate and/or incorrect billing
22. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Copayment
[ ]
460-519
60
23. The determination of the amount of money paid by a third-party payer for a procedure is...
Referrals
Pre-certification.
Fair Debt Collection Practice Act
Third party payer
24. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Third-party
Fair Debt Collection Practice Act
Capitated rate
25. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Fair Debt Collection Practice Act
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
26. A health-care provider who practices under false qualifications/credentials is guilty of...
Liability
Fraud.
Includes
True
27. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Based on the patient's reported income from the previous month.
460-519
Fraud.
False
28. 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?
Resources
Fraud.
V01-V83
6 months
29. 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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30. Prison sentences are possible consequences of...
Ask the physician to select a more specific code
False
Age analysis.
Inaccurate and/or incorrect billing
31. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Includes
Petty cash
False
HCPCS
32. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Form W-4.
Referrals
False
6 months
33. The _______________ coding system has two levels and is used for coding services for Medicare patients
Statement of income and expense
Form W-4.
Pre-certification.
HCPCS
34. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Copayment
( )
Voucher
Damages
35. Most practices try to reduce expenses by...
Check your explanation of benefits form
Controlling accounts payable
Referrals
Form W-4.
36. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
False
460-519
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
37. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
6 months
Liability
Fraud.
Statement of income and expense
38. An act of deception used to take advantage of another person or entity is called...
6 months
Fraud.
Damages
Fair Debt Collection Practice Act
39. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Fair Debt Collection Practices Act
$280.
460-519
40. The number of dependents an employee is claiming is found on the
False
Form W-4.
( )
Controlling accounts payable
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.
Punitive damages
Petty cash
60
Referrals
42. The ICD-9-CM convention code first underlying disease means...
Ask the physician to select a more specific code
The code may not be used as the first code
Statement of income and expense
Age analysis.
43. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Third-party
Fair Debt Collection Practices Act
The code may not be used as the first code
Check your explanation of benefits form
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
CPC
Office supplies.
Inaccurate and/or incorrect billing
45. An easy way to remember when an E code is required is...
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46. The ______________ is paid to the provider even if the patient receives no care
Pre-certification.
Capitated rate
Form W-4.
Payee
47. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
HCPCS
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
V01-V83
48. 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
460-519
Up to $500 -000 - or 1% of the practice's net worth
Payer
Referrals
49. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Open-book
Age analysis
If the diagnosis makes you ask 'How did that happen?'
50. Money paid for intentionally breaking the law is called _______________ _______________.
HCPCS Level II codes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Truth in Lending Act
Punitive damages