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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. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Based on the patient's reported income from the previous month.
Voucher
CPC
( )
2. 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
Open-book
Statement of income and expense
3. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Traveler's
Payee
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
4. A health-care provider who practices under false qualifications/credentials is guilty of...
Inaccurate and/or incorrect billing
Fraud.
Truth in Lending Act
460-519
5. The most common disbursement is for...
$280.
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
6. 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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7. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
False
Payer
Fraud.
8. The person to whom the check is written is the _______________.
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
460-519
Third-party
9. 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?'
Payer
Inaccurate and/or incorrect billing
$280.
10. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Resources
6 months
Check your explanation of benefits form
Based on the patient's reported income from the previous month.
11. 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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12. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
The code may not be used as the first code
Inaccurate and/or incorrect billing
Pre-certification.
Check your explanation of benefits form
13. Prison sentences are possible consequences of...
The code may not be used as the first code
Inaccurate and/or incorrect billing
False
Statement of income and expense
14. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Up to $500 -000 - or 1% of the practice's net worth
Office supplies.
Open-book
15. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
V01-V83
Referrals
Office supplies.
Ask the physician to select a more specific code
16. The number of dependents an employee is claiming is found on the
460-519
Form W-4.
Ask the physician to select a more specific code
False
17. The _______________-_______________ _______________ is the health plan that pays for medical services
False
Includes
Copayment
Third party payer
18. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Inaccurate and/or incorrect billing
6 months
Truth in Lending Act
460-519
19. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payer
Up to $500 -000 - or 1% of the practice's net worth
20. Money paid as compensation as result of a lawsuit is called _______________.
Statement of income and expense
False
Payer
Damages
21. A small fee that is collected at the time of service is called a(n) _______________.
False
Truth in Lending Act
Copayment
False
22. The payment system used by Medicare is based on...
Resources
HCPCS
Disclosure
Punitive damages
23. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
$280.
False
Up to $500 -000 - or 1% of the practice's net worth
Voucher
24. The determination of the amount of money paid by a third-party payer for a procedure is...
Petty cash
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
460-519
Pre-certification.
25. Money paid for intentionally breaking the law is called _______________ _______________.
Disclosure
Punitive damages
Payer
Third-party
26. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Age analysis
460-519
60
27. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Copayment
Statement of income and expense
If the diagnosis makes you ask 'How did that happen?'
Age analysis
28. A small fee that is collected at the time of service is called a(n) _______________.
Pre-certification.
( )
Payer
Copayment
29. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Inaccurate and/or incorrect billing
False
HCPCS Level II codes
30. An easy way to remember when an E code is required is...
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31. Which of the following should be a factor when selecting an outside collection agency?
If the diagnosis makes you ask 'How did that happen?'
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
32. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
V01-V83
False
Age analysis
Disclosure
33. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Based on the patient's reported income from the previous month.
Form W-4.
False
CPC
34. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
( )
HCPCS
60
35. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
60
Ask the physician to select a more specific code
False
36. 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
False
60
Includes
Voucher
37. 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?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
Controlling accounts payable
Inaccurate and/or incorrect billing
38. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Fair Debt Collection Practice Act
Third-party
Office supplies.
39. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Form W-4.
CPC
Includes
Statement of income and expense
40. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
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
60
41. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Ask the physician to select a more specific code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Disclosure
Third party payer
42. 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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43. The ______________ is paid to the provider even if the patient receives no care
Includes
Capitated rate
Petty cash
The code may not be used as the first code
44. National codes issued by CMS that cover many supplies and durable medical equipment are...
Statement of income and expense
Fraud.
HCPCS Level II codes
Liability
45. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
False
Punitive damages
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
False
False
6 months
60
47. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Disclosure
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis
48. Some insurers will not pay a claim unless it is filed within ________ of the date of service
True
Liability
Based on the patient's reported income from the previous month.
6 months
49. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
False
Truth in Lending Act
$280.
50. 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.
Truth in Lending Act
Pre-certification.
Third-party
Disclosure