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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. Eligibility for Medicaid is...
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2. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Third party payer
Payee
460-519
Voucher
3. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
CPC
Age analysis.
4. National codes issued by CMS that cover many supplies and durable medical equipment are...
False
Referrals
Includes
HCPCS Level II codes
5. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Statement of income and expense
6 months
Capitated rate
6. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Form W-4.
Traveler's
Fair Debt Collection Practices Act
7. In order to be considered negotiable - a check must be signed by the _______________.
Form W-4.
Liability
Payer
Fair Debt Collection Practices Act
8. The number of dependents an employee is claiming is found on the
Third party payer
CPC
Copayment
Form W-4.
9. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Referrals
Petty cash
Resources
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
10. An easy way to remember when an E code is required is...
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11. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
( )
Fair Debt Collection Practice Act
12. An act of deception used to take advantage of another person or entity is called...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
460-519
Fraud.
True
13. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
Office supplies.
Form W-4.
HCPCS
14. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Age analysis
15. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Liability
Petty cash
Third-party
CPC
16. Most practices try to reduce expenses by...
Fair Debt Collection Practices Act
Controlling accounts payable
True
Resources
17. The most common disbursement is for...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
460-519
Office supplies.
Age analysis
18. The ______________ is paid to the provider even if the patient receives no care
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Capitated rate
19. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Form W-4.
HCPCS
Fair Debt Collection Practices Act
20. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Office supplies.
Payee
Ask the physician to select a more specific code
Punitive damages
21. 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
V01-V83
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
Statement of income and expense
22. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
Based on the patient's reported income from the previous month.
Fraud.
HCPCS
23. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Statement of income and expense
[ ]
False
24. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Fraud.
Age analysis
Traveler's
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
25. 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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26. The determination of the amount of money paid by a third-party payer for a procedure is...
Fair Debt Collection Practice Act
HCPCS Level II codes
Pre-certification.
False
27. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Fair Debt Collection Practice Act
False
Traveler's
28. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
60
Fraud.
Controlling accounts payable
29. 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
6 months
False
Payee
Open-book
30. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Controlling accounts payable
Controlling accounts payable
Statement of income and expense
False
31. Money paid as compensation as result of a lawsuit is called _______________.
460-519
Damages
Disclosure
Referrals
32. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Pre-certification.
Referrals
Age analysis
33. The ______________ is paid to the provider even if the patient receives no care
Truth in Lending Act
Capitated rate
False
False
34. 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.
Third-party
Petty cash
60
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
35. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Pre-certification.
Form W-4.
False
Includes
36. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
False
Referrals
False
37. 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
True
460-519
Referrals
Fraud.
38. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6 months
39. An employer identification number is required by law from every employer for federal tax accounting purposes
True
HCPCS Level II codes
Capitated rate
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
40. The payment system used by Medicare is based on...
CPC
Resources
Payer
False
41. 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?'
False
Open-book
Third-party
42. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
( )
Ask the physician to select a more specific code
Damages
False
43. The process of classifying and reviewing past-due accounts from the first date of billing is...
V01-V83
Check your explanation of benefits form
Age analysis.
HCPCS Level II codes
44. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Resources
Fair Debt Collection Practices Act
460-519
Copayment
45. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Age analysis.
Check your explanation of benefits form
CPC
HCPCS
46. Which of the following should be a factor when selecting an outside collection agency?
Damages
6 months
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
47. In order to be considered negotiable - a check must be signed by the _______________.
6 months
Ask the physician to select a more specific code
Payer
$280.
48. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis.
Open-book
Age analysis
Third party payer
49. 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
True
Includes
60
Inaccurate and/or incorrect billing
50. 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?'
Based on the patient's reported income from the previous month.
$280.
False