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. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
( )
Damages
False

2. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
False
CPC
True
460-519

3. The determination of the amount of money paid by a third-party payer for a procedure is...
False
Check your explanation of benefits form
Age analysis
Pre-certification.

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

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5. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
$280.
Third party payer
If the diagnosis makes you ask 'How did that happen?'

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 prohibits harassment and false statements when attempting to collect from a patient?
Payer
Third-party
Fair Debt Collection Practices Act
Traveler's

8. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
460-519
False
Traveler's
Resources

9. 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.
False
Third-party
Copayment
Referrals

10. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Damages
Resources
Includes

11. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
True
Office supplies.
Petty cash

12. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Ask the physician to select a more specific code
[ ]
Fraud.
True

13. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
The code may not be used as the first code
Office supplies.
HCPCS Level II codes

14. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
False
Voucher
Third-party

15. Money paid as compensation as result of a lawsuit is called _______________.
( )
CPC
Damages
True

16. The _______________-_______________ _______________ is the health plan that pays for medical services
Form W-4.
Fraud.
Third party payer
Capitated rate

17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Liability
Capitated rate
Disclosure
Referrals

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

19. Which of the following is also called Public Law 95-109?
( )
False
Liability
Fair Debt Collection Practice Act

20. 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.
60
Third party payer
Liability
False

21. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Resources
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

22. 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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23. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Includes
Controlling accounts payable
Liability
Statement of income and expense

24. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Controlling accounts payable
Check your explanation of benefits form
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519

25. The number of dependents an employee is claiming is found on the
Ask the physician to select a more specific code
$280.
Form W-4.
Copayment

26. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Voucher
Fair Debt Collection Practices Act
Truth in Lending Act
Copayment

27. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
True
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

28. 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...
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
460-519
Referrals

29. The _______________-_______________ _______________ is the health plan that pays for medical services
Pre-certification.
Third party payer
Fraud.
Controlling accounts payable

30. An act of deception used to take advantage of another person or entity is called...
Fraud.
[ ]
Open-book
CPC

31. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
Voucher

32. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
$280.
False
[ ]
Traveler's

33. An act of deception used to take advantage of another person or entity is called...
Third party payer
HCPCS
Fair Debt Collection Practices Act
Fraud.

34. The Relative Value Unit System was created to...
True
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False

35. The ICD-9-CM convention code first underlying disease means...
6 months
Disclosure
The code may not be used as the first code
Form W-4.

36. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Fraud.
HCPCS
Truth in Lending Act
Age analysis

37. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Open-book
Fraud.
Form W-4.

38. An employer identification number is required by law from every employer for federal tax accounting purposes
Resources
Pre-certification.
Petty cash
True

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

40. 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.
True
Ask the physician to select a more specific code
Third-party
Traveler's

41. The number of dependents an employee is claiming is found on the
If the diagnosis makes you ask 'How did that happen?'
[ ]
Liability
Form W-4.

42. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Age analysis.
Voucher
6 months

43. The payment system used by Medicare is based on...
If the diagnosis makes you ask 'How did that happen?'
Resources
False
Fair Debt Collection Practice Act

44. The ______________ is paid to the provider even if the patient receives no care
Pre-certification.
Fraud.
Capitated rate
Office supplies.

45. In order to be considered negotiable - a check must be signed by the _______________.
( )
Payer
Open-book
6 months

46. 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...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]

47. Which of the following is also called Public Law 95-109?
[ ]
Office supplies.
Controlling accounts payable
Fair Debt Collection Practice Act

48. Most practices try to reduce expenses by...
HCPCS
Controlling accounts payable
Petty cash
False

49. 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
False
Open-book

50. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False