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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 of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
Controlling accounts payable
2. In order to be considered negotiable - a check must be signed by the _______________.
If the diagnosis makes you ask 'How did that happen?'
Payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Based on the patient's reported income from the previous month.
3. The payment system used by Medicare is based on...
6 months
Voucher
Resources
Based on the patient's reported income from the previous month.
4. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Statement of income and expense
( )
Office supplies.
Third-party
5. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Pre-certification.
Disclosure
6. The _______________ coding system has two levels and is used for coding services for Medicare patients
V01-V83
HCPCS
False
Ask the physician to select a more specific code
7. 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
Truth in Lending Act
Form W-4.
If the diagnosis makes you ask 'How did that happen?'
8. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
False
The code may not be used as the first code
Check your explanation of benefits form
True
9. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Voucher
Third-party
True
Statement of income and expense
10. 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
Referrals
Form W-4.
60
Damages
11. Most practices try to reduce expenses by...
Controlling accounts payable
HCPCS
[ ]
Voucher
12. An employer identification number is required by law from every employer for federal tax accounting purposes
Based on the patient's reported income from the previous month.
Fair Debt Collection Practice Act
True
Capitated rate
13. 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
Third-party
Controlling accounts payable
HCPCS
14. A health-care provider who practices under false qualifications/credentials is guilty of...
Liability
Fraud.
Based on the patient's reported income from the previous month.
Age analysis.
15. The ______________ is paid to the provider even if the patient receives no care
460-519
Capitated rate
Payee
Truth in Lending Act
16. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Referrals
Damages
Pre-certification.
Includes
17. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
True
Check your explanation of benefits form
Liability
Punitive damages
18. Some insurers will not pay a claim unless it is filed within ________ of the date of service
HCPCS Level II codes
Third-party
True
6 months
19. 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
V01-V83
Open-book
If the diagnosis makes you ask 'How did that happen?'
( )
20. Prison sentences are possible consequences of...
Resources
Inaccurate and/or incorrect billing
Fair Debt Collection Practices Act
CPC
21. The process of classifying and reviewing past-due accounts from the first date of billing is...
Truth in Lending Act
False
Capitated rate
Age analysis.
22. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Capitated rate
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Referrals
Disclosure
23. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
True
Fair Debt Collection Practices Act
$280.
Resources
24. The ICD-9-CM convention code first underlying disease means...
Pre-certification.
False
The code may not be used as the first code
Disclosure
25. The person to whom the check is written is the _______________.
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
60
Payee
26. 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
Traveler's
60
True
Truth in Lending Act
27. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
6 months
False
Fair Debt Collection Practices Act
Ask the physician to select a more specific code
28. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Age analysis
False
Age analysis
CPC
29. In order to be considered negotiable - a check must be signed by the _______________.
Check your explanation of benefits form
Petty cash
Truth in Lending Act
Payer
30. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Office supplies.
Form W-4.
Ask the physician to select a more specific code
Fair Debt Collection Practices Act
31. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Liability
Truth in Lending Act
Disclosure
32. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Statement of income and expense
False
$280.
33. 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?
Form W-4.
V01-V83
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
34. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Truth in Lending Act
True
$280.
35. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Referrals
V01-V83
HCPCS
Voucher
36. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Check your explanation of benefits form
The code may not be used as the first code
Referrals
6 months
37. Eligibility for Medicaid is...
38. The _______________-_______________ _______________ is the health plan that pays for medical services
Inaccurate and/or incorrect billing
Office supplies.
Third party payer
False
39. An employer identification number is required by law from every employer for federal tax accounting purposes
Up to $500 -000 - or 1% of the practice's net worth
Office supplies.
True
Truth in Lending Act
40. Which of the following is also called Public Law 95-109?
Payer
Form W-4.
Fair Debt Collection Practice Act
False
41. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
$280.
Voucher
Check your explanation of benefits form
Fraud.
42. The person to whom the check is written is the _______________.
Disclosure
HCPCS
Payee
( )
43. Money paid as compensation as result of a lawsuit is called _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Damages
Check your explanation of benefits form
Inaccurate and/or incorrect billing
44. 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
Open-book
60
Petty cash
$280.
45. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis.
$280.
Age analysis
Liability
46. Money paid as compensation as result of a lawsuit is called _______________.
Damages
False
Open-book
Voucher
47. Prison sentences are possible consequences of...
60
Inaccurate and/or incorrect billing
Fraud.
Based on the patient's reported income from the previous month.
48. The ______________ is paid to the provider even if the patient receives no care
Form W-4.
Ask the physician to select a more specific code
Capitated rate
CPC
49. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Punitive damages
Referrals
Third-party
50. The _______________ coding system has two levels and is used for coding services for Medicare patients
Up to $500 -000 - or 1% of the practice's net worth
HCPCS
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure