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. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
V01-V83
Based on the patient's reported income from the previous month.
HCPCS
Ask the physician to select a more specific code


2. 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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3. 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
HCPCS
False
460-519


4. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Copayment
Third party payer
Form W-4.


5. 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?
V01-V83
Pre-certification.
6 months
Fair Debt Collection Practice Act


6. The _______________-_______________ _______________ is the health plan that pays for medical services
V01-V83
Third party payer
Fraud.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


7. A health-care provider who practices under false qualifications/credentials is guilty of...
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
The code may not be used as the first code


8. The payment system used by Medicare is based on...
Statement of income and expense
Resources
Traveler's
Liability


9. The _______________ coding system has two levels and is used for coding services for Medicare patients
The code may not be used as the first code
Check your explanation of benefits form
HCPCS
Form W-4.


10. 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
Fraud.
Open-book
Statement of income and expense
Traveler's


11. The _______________-_______________ _______________ is the health plan that pays for medical services
Ask the physician to select a more specific code
Third-party
Third party payer
The code may not be used as the first code


12. 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
Liability
Petty cash
( )


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
Resources
Open-book
Check your explanation of benefits form
Office supplies.


14. The person to whom the check is written is the _______________.
False
Check your explanation of benefits form
Based on the patient's reported income from the previous month.
Payee


15. Prison sentences are possible consequences of...
Controlling accounts payable
Statement of income and expense
Inaccurate and/or incorrect billing
Based on the patient's reported income from the previous month.


16. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
( )
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
Office supplies.


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

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18. 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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19. Most practices try to reduce expenses by...
Controlling accounts payable
Copayment
V01-V83
Payee


20. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Age analysis
6 months


21. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Office supplies.
False
Check your explanation of benefits form
Based on the patient's reported income from the previous month.


22. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
False
Resources
Age analysis.


23. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Pre-certification.
True
Age analysis.
( )


24. A small fee that is collected at the time of service is called a(n) _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Check your explanation of benefits form
$280.
Copayment


25. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Form W-4.
False
6 months
True


26. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
False
True
Disclosure
False


27. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Fraud.
Punitive damages
Statement of income and expense
Fair Debt Collection Practices Act


28. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
[ ]
Punitive damages
Disclosure
Inaccurate and/or incorrect billing


29. 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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30. An act of deception used to take advantage of another person or entity is called...
Punitive damages
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
False


31. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Office supplies.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
60


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

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33. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
Fair Debt Collection Practice Act


34. The process of classifying and reviewing past-due accounts from the first date of billing is...
True
Age analysis.
False
[ ]


35. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Office supplies.
Includes
[ ]
True


36. Eligibility for Medicaid is...

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37. The most common disbursement is for...
60
Fraud.
Office supplies.
460-519


38. 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
Controlling accounts payable
Includes
Capitated rate


39. Which of the following is also called Public Law 95-109?
True
Age analysis
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act


40. 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.
Payer
Capitated rate
Statement of income and expense
False


41. The payment system used by Medicare is based on...
Resources
False
Third-party
Payee


42. An employer identification number is required by law from every employer for federal tax accounting purposes
Statement of income and expense
Check your explanation of benefits form
True
If the diagnosis makes you ask 'How did that happen?'


43. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Ask the physician to select a more specific code
Based on the patient's reported income from the previous month.
Punitive damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


44. 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
Voucher
Referrals
Statement of income and expense
6 months


45. The person to whom the check is written is the _______________.
Traveler's
V01-V83
Resources
Payee


46. The ______________ is paid to the provider even if the patient receives no care
Includes
Capitated rate
Referrals
Check your explanation of benefits form


47. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Ask the physician to select a more specific code
Liability
Controlling accounts payable
( )


48. 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.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act
Petty cash
False


49. The Relative Value Unit System was created to...
Controlling accounts payable
60
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


50. Money paid for intentionally breaking the law is called _______________ _______________.
Ask the physician to select a more specific code
False
Punitive damages
Statement of income and expense