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. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Disclosure
True
Includes
Fair Debt Collection Practices Act

2. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fair Debt Collection Practice Act
HCPCS
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True

3. 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
Liability
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
V01-V83
Open-book

4. The number of dependents an employee is claiming is found on the
Form W-4.
Truth in Lending Act
Third party payer
60

5. 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.
HCPCS
False
Payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

6. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
The code may not be used as the first code
Controlling accounts payable
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure

7. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Damages
Check your explanation of benefits form
False

8. The most common disbursement is for...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate
Age analysis.
Office supplies.

9. 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
Open-book
V01-V83
$280.

10. The Relative Value Unit System was created to...
Includes
Age analysis
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

11. In order to be considered negotiable - a check must be signed by the _______________.
Pre-certification.
Payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.

12. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Office supplies.
Liability
Includes

13. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis
$280.
Petty cash
Traveler's

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

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

16. Money paid as compensation as result of a lawsuit is called _______________.
Damages
True
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

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?
Payer
HCPCS Level II codes
V01-V83
Open-book

18. 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.
Pre-certification.
460-519
Copayment
Petty cash

19. 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
Fair Debt Collection Practice Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

20. 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
False
60
( )

21. The most common disbursement is for...
Petty cash
[ ]
HCPCS Level II codes
Office supplies.

22. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Punitive damages
Disclosure
Open-book

23. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Check your explanation of benefits form
Referrals
True
HCPCS

24. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Inaccurate and/or incorrect billing
Fair Debt Collection Practices Act
Payer

25. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third party payer
Third-party
6 months

26. Money paid for intentionally breaking the law is called _______________ _______________.
Controlling accounts payable
Punitive damages
Capitated rate
False

27. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Inaccurate and/or incorrect billing
Third-party
[ ]

28. A small fee that is collected at the time of service is called a(n) _______________.
Third-party
Ask the physician to select a more specific code
HCPCS
Copayment

29. The payment system used by Medicare is based on...
Form W-4.
True
Office supplies.
Resources

30. The ______________ is paid to the provider even if the patient receives no care
Truth in Lending Act
Capitated rate
CPC
$280.

31. The _______________-_______________ _______________ is the health plan that pays for medical services
True
Third party payer
HCPCS
Fair Debt Collection Practices Act

32. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
6 months
False
Traveler's
60

33. The process of classifying and reviewing past-due accounts from the first date of billing is...
Includes
Age analysis.
False
Payee

34. An act of deception used to take advantage of another person or entity is called...
CPC
Copayment
Fraud.
Inaccurate and/or incorrect billing

35. 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?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

36. National codes issued by CMS that cover many supplies and durable medical equipment are...
Check your explanation of benefits form
HCPCS Level II codes
Damages
Disclosure

37. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
( )
Pre-certification.
Third-party
Includes

38. The Relative Value Unit System was created to...
Copayment
Office supplies.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

39. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Petty cash
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act

40. An employer identification number is required by law from every employer for federal tax accounting purposes
6 months
Fair Debt Collection Practices Act
True
Voucher

41. The _______________-_______________ _______________ is the health plan that pays for medical services
Fraud.
Disclosure
False
Third party payer

42. An easy way to remember when an E code is required is...

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

43. 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
Pre-certification.
HCPCS Level II codes
$280.
Referrals

44. 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.
False
Capitated rate
Age analysis
Petty cash

45. The ICD-9-CM convention code first underlying disease means...
6 months
Third-party
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
The code may not be used as the first code

46. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
$280.
Check your explanation of benefits form
Inaccurate and/or incorrect billing
Payee

47. 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?'
Open-book
Check your explanation of benefits form

48. 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
Ask the physician to select a more specific code
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

49. Prison sentences are possible consequences of...
The code may not be used as the first code
False
Inaccurate and/or incorrect billing
Punitive damages

50. An easy way to remember when an E code is required is...

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183