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. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
True
Office supplies.
Includes

2. An employer identification number is required by law from every employer for federal tax accounting purposes
Check your explanation of benefits form
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
If the diagnosis makes you ask 'How did that happen?'

3. 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...
Truth in Lending Act
Resources
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act

4. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
460-519
Capitated rate
False
Age analysis

5. 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
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.
Referrals
If the diagnosis makes you ask 'How did that happen?'

6. Prison sentences are possible consequences of...
Statement of income and expense
CPC
Copayment
Inaccurate and/or incorrect billing

7. 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

8. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Check your explanation of benefits form
Check your explanation of benefits form
Payee
( )

9. An employer identification number is required by law from every employer for federal tax accounting purposes
Payer
Statement of income and expense
True
Open-book

10. Eligibility for Medicaid is...

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

11. The number of dependents an employee is claiming is found on the
Form W-4.
Open-book
Up to $500 -000 - or 1% of the practice's net worth
Open-book

12. 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.
Voucher
Inaccurate and/or incorrect billing
60

13. Money paid as compensation as result of a lawsuit is called _______________.
Damages
6 months
Controlling accounts payable
Fraud.

14. 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
Fair Debt Collection Practices Act
60
Statement of income and expense
True

15. A health-care provider who practices under false qualifications/credentials is guilty of...
Disclosure
True
False
Fraud.

16. Prison sentences are possible consequences of...
Payee
Inaccurate and/or incorrect billing
Liability
False

17. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fair Debt Collection Practice Act
Copayment
CPC
Check your explanation of benefits form

18. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Payer
Pre-certification.
( )
If the diagnosis makes you ask 'How did that happen?'

19. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Office supplies.
Includes
Referrals
False

20. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
Pre-certification.
Inaccurate and/or incorrect billing
Voucher

21. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Open-book
HCPCS Level II codes
[ ]
False

22. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Age analysis
Petty cash
6 months
Truth in Lending Act

23. The payment system used by Medicare is based on...
True
Resources
HCPCS
Referrals

24. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.

25. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Liability
False
Inaccurate and/or incorrect billing

26. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Disclosure
False
Disclosure
Fair Debt Collection Practice Act

27. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Third-party
Open-book

28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Based on the patient's reported income from the previous month.
Pre-certification.
Fair Debt Collection Practices Act

29. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Truth in Lending Act
Ask the physician to select a more specific code
$280.
Open-book

30. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Pre-certification.
6 months
If the diagnosis makes you ask 'How did that happen?'

31. 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.
Disclosure
Damages
Resources
Third-party

32. Which of the following should be a factor when selecting an outside collection agency?
Third party payer
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

33. 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.
Check your explanation of benefits form
Petty cash
460-519
The code may not be used as the first code

34. A small fee that is collected at the time of service is called a(n) _______________.
Includes
Controlling accounts payable
Copayment
460-519

35. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519
False
HCPCS

36. National codes issued by CMS that cover many supplies and durable medical equipment are...
CPC
Statement of income and expense
HCPCS Level II codes
Damages

37. Most practices try to reduce expenses by...
Controlling accounts payable
False
60
Third party payer

38. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Based on the patient's reported income from the previous month.
CPC
[ ]
The code may not be used as the first code

39. 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

40. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
[ ]
Controlling accounts payable
False

41. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Inaccurate and/or incorrect billing
Copayment
Age analysis
Payer

42. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Check your explanation of benefits form
Check your explanation of benefits form
$280.

43. The _______________-_______________ _______________ is the health plan that pays for medical services
$280.
Third party payer
True
Liability

44. An act of deception used to take advantage of another person or entity is called...
Fraud.
Liability
Liability
Resources

45. 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.
Payee
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Petty cash

46. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Ask the physician to select a more specific code
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act

47. An act of deception used to take advantage of another person or entity is called...
Age analysis.
True
Fraud.
Copayment

48. The Relative Value Unit System was created to...
False
Disclosure
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Voucher

49. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Copayment
CPC
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Includes

50. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
460-519
Fair Debt Collection Practices Act
True
Based on the patient's reported income from the previous month.