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


2. Most practices try to reduce expenses by...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS Level II codes
Controlling accounts payable
( )


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

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4. 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.
False
Copayment
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


5. 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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6. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Referrals
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Capitated rate
60


7. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Office supplies.
True
If the diagnosis makes you ask 'How did that happen?'
Form W-4.


8. The process of classifying and reviewing past-due accounts from the first date of billing is...
Includes
Age analysis.
Controlling accounts payable
Open-book


9. Eligibility for Medicaid is...

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10. 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
False
Open-book
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Referrals


11. Prison sentences are possible consequences of...
Traveler's
Fair Debt Collection Practices Act
Capitated rate
Inaccurate and/or incorrect billing


12. The payment system used by Medicare is based on...
HCPCS
Based on the patient's reported income from the previous month.
Resources
Third-party


13. The most common disbursement is for...
Liability
Office supplies.
Third-party
Age analysis


14. Most practices try to reduce expenses by...
False
Controlling accounts payable
6 months
Payee


15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Resources
Traveler's
[ ]


16. Money paid as compensation as result of a lawsuit is called _______________.
Check your explanation of benefits form
Damages
If the diagnosis makes you ask 'How did that happen?'
False


17. The number of dependents an employee is claiming is found on the
Disclosure
HCPCS
6 months
Form W-4.


18. An act of deception used to take advantage of another person or entity is called...
Fraud.
Payer
Payee
( )


19. The determination of the amount of money paid by a third-party payer for a procedure is...
Based on the patient's reported income from the previous month.
Check your explanation of benefits form
Payer
Pre-certification.


20. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Punitive damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Statement of income and expense


21. A small fee that is collected at the time of service is called a(n) _______________.
6 months
Disclosure
Office supplies.
Copayment


22. An act of deception used to take advantage of another person or entity is called...
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
$280.
Liability


23. The person to whom the check is written is the _______________.
Payee
False
Fair Debt Collection Practices Act
Controlling accounts payable


24. An employer identification number is required by law from every employer for federal tax accounting purposes
Damages
Payer
True
Fair Debt Collection Practice Act


25. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
HCPCS Level II codes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Liability
Truth in Lending Act


26. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payer
Punitive damages
Includes
Liability


27. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
Truth in Lending Act
False


28. The _______________ coding system has two levels and is used for coding services for Medicare patients
Voucher
Referrals
HCPCS
Fair Debt Collection Practices Act


29. The process of classifying and reviewing past-due accounts from the first date of billing is...
Based on the patient's reported income from the previous month.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
If the diagnosis makes you ask 'How did that happen?'
Age analysis.


30. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
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
Truth in Lending Act


31. 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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32. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
460-519
Check your explanation of benefits form
Ask the physician to select a more specific code
Fraud.


33. Eligibility for Medicaid is...

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34. National codes issued by CMS that cover many supplies and durable medical equipment are...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Based on the patient's reported income from the previous month.
HCPCS Level II codes
Based on the patient's reported income from the previous month.


35. An employer identification number is required by law from every employer for federal tax accounting purposes
60
True
[ ]
( )


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
Damages
60
Payer
Voucher


37. The ______________ is paid to the provider even if the patient receives no care
Inaccurate and/or incorrect billing
Capitated rate
False
Pre-certification.


38. 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.
$280.
Truth in Lending Act
Truth in Lending Act


39. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
True
Fair Debt Collection Practice Act
Pre-certification.


40. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Petty cash
$280.
False
( )


41. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Damages
460-519
( )
Office supplies.


42. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Based on the patient's reported income from the previous month.
60
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


43. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Copayment
Includes


44. 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?
6 months
Includes
V01-V83
Capitated rate


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.
Petty cash
Fair Debt Collection Practices Act
Disclosure
Age analysis.


46. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Traveler's
Check your explanation of benefits form
Ask the physician to select a more specific code


47. 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?
Based on the patient's reported income from the previous month.
Payer
V01-V83
460-519


48. 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
Fair Debt Collection Practice Act
Fair Debt Collection Practice Act


49. The ICD-9-CM convention code first underlying disease means...
Based on the patient's reported income from the previous month.
The code may not be used as the first code
Fraud.
Check your explanation of benefits form


50. The person to whom the check is written is the _______________.
False
Petty cash
Payee
Age analysis