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. The most common disbursement is for...
If the diagnosis makes you ask 'How did that happen?'
Office supplies.
Petty cash
Truth in Lending Act

2. Money paid for intentionally breaking the law is called _______________ _______________.
Payer
Punitive damages
The code may not be used as the first code
Check your explanation of benefits form

3. 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.
Statement of income and expense
Petty cash
Includes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

4. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
Ask the physician to select a more specific code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

5. Prison sentences are possible consequences of...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Inaccurate and/or incorrect billing
Liability
Fair Debt Collection Practices Act

6. The person to whom the check is written is the _______________.
Petty cash
The code may not be used as the first code
Payee
Copayment

7. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
Third party payer
CPC
V01-V83

8. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
HCPCS
True
Voucher
Age analysis

9. 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
Liability
Ask the physician to select a more specific code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
60

10. The payment system used by Medicare is based on...
Form W-4.
False
True
Resources

11. The _______________-_______________ _______________ is the health plan that pays for medical services
Based on the patient's reported income from the previous month.
Third party payer
Disclosure
Includes

12. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
60
Disclosure
If the diagnosis makes you ask 'How did that happen?'
[ ]

13. 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.
Fraud.
False
If the diagnosis makes you ask 'How did that happen?'
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

14. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
( )
CPC
Voucher

15. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

16. The process of classifying and reviewing past-due accounts from the first date of billing is...
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
Age analysis.

17. The number of dependents an employee is claiming is found on the
Form W-4.
Ask the physician to select a more specific code
Age analysis.
Age analysis

18. The ______________ is paid to the provider even if the patient receives no care
6 months
Includes
Damages
Capitated rate

19. Money paid as compensation as result of a lawsuit is called _______________.
Form W-4.
Damages
6 months
Inaccurate and/or incorrect billing

20. 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.
Traveler's
False
Voucher
Age analysis

21. Most practices try to reduce expenses by...
Resources
Fair Debt Collection Practice Act
Controlling accounts payable
CPC

22. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
False
Capitated rate
Office supplies.

23. 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.
Fraud.
Damages
Third-party
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

24. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Fair Debt Collection Practices Act
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

25. The Relative Value Unit System was created to...
Controlling accounts payable
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis
Damages

26. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
False

27. National codes issued by CMS that cover many supplies and durable medical equipment are...
( )
HCPCS Level II codes
Fraud.
True

28. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Liability

29. Money paid for intentionally breaking the law is called _______________ _______________.
Controlling accounts payable
Third-party
Punitive damages
Truth in Lending Act

30. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Payer
Check your explanation of benefits form
Statement of income and expense
The code may not be used as the first code

31. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Petty cash
Disclosure
Statement of income and expense
The code may not be used as the first code

32. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Payee
460-519
Ask the physician to select a more specific code
Controlling accounts payable

33. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
Office supplies.
False

34. Eligibility for Medicaid is...

35. Money paid as compensation as result of a lawsuit is called _______________.
Damages
False
Fraud.
Copayment

36. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Based on the patient's reported income from the previous month.
( )
Inaccurate and/or incorrect billing
Capitated rate

37. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Check your explanation of benefits form
False
Age analysis.

38. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
Third party payer
Pre-certification.
V01-V83

39. Most practices try to reduce expenses by...
Fraud.
V01-V83
CPC
Controlling accounts payable

40. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Ask the physician to select a more specific code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Damages

41. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Payer
Traveler's
Open-book
False

42. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Pre-certification.
CPC
Ask the physician to select a more specific code
Based on the patient's reported income from the previous month.

43. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Referrals
Payer
Controlling accounts payable

44. 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?
Truth in Lending Act
V01-V83
Punitive damages
Based on the patient's reported income from the previous month.

45. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fraud.
Copayment
Liability
( )

46. 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
Fair Debt Collection Practice Act
If the diagnosis makes you ask 'How did that happen?'
60
Liability

47. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
False
Controlling accounts payable
Punitive damages
[ ]

48. The _______________ coding system has two levels and is used for coding services for Medicare patients
Controlling accounts payable
HCPCS
Referrals
Age analysis

49. The ______________ is paid to the provider even if the patient receives no care
False
Age analysis.
Capitated rate
Based on the patient's reported income from the previous month.

50. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
False
Office supplies.
The code may not be used as the first code