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