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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. 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
Age analysis.
Copayment
Payee
Referrals
2. An easy way to remember when an E code is required is...
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3. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Fraud.
Payer
False
HCPCS
4. An act of deception used to take advantage of another person or entity is called...
Referrals
Age analysis.
Fraud.
460-519
5. 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
Up to $500 -000 - or 1% of the practice's net worth
Ask the physician to select a more specific code
Based on the patient's reported income from the previous month.
6. Eligibility for Medicaid is...
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7. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate
Age analysis
Punitive damages
8. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Based on the patient's reported income from the previous month.
Traveler's
9. The number of dependents an employee is claiming is found on the
Age analysis
Form W-4.
6 months
False
10. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
CPC
Fraud.
Statement of income and expense
Fraud.
11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Form W-4.
Up to $500 -000 - or 1% of the practice's net worth
False
Disclosure
12. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
$280.
460-519
Resources
( )
13. 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
Copayment
Referrals
Payee
Statement of income and expense
14. The _______________-_______________ _______________ is the health plan that pays for medical services
HCPCS Level II codes
Voucher
Payer
Third party payer
15. 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?
Statement of income and expense
V01-V83
460-519
Includes
16. The number of dependents an employee is claiming is found on the
Form W-4.
Pre-certification.
Third party payer
[ ]
17. A small fee that is collected at the time of service is called a(n) _______________.
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
[ ]
Copayment
18. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis
Age analysis.
Includes
Payee
19. 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
Voucher
60
Open-book
Fair Debt Collection Practices Act
20. A health-care provider who practices under false qualifications/credentials is guilty of...
Traveler's
Includes
Third party payer
Fraud.
21. 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
HCPCS
Third party payer
Copayment
22. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Truth in Lending Act
Ask the physician to select a more specific code
Controlling accounts payable
False
23. The payment system used by Medicare is based on...
[ ]
Age analysis
Resources
Copayment
24. 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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25. The determination of the amount of money paid by a third-party payer for a procedure is...
Age analysis.
Punitive damages
Pre-certification.
Inaccurate and/or incorrect billing
26. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Resources
Third party payer
Ask the physician to select a more specific code
False
27. Which of the following should be a factor when selecting an outside collection agency?
Disclosure
60
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Based on the patient's reported income from the previous month.
28. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Petty cash
Up to $500 -000 - or 1% of the practice's net worth
Pre-certification.
Liability
29. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Includes
V01-V83
Third-party
Voucher
30. Most practices try to reduce expenses by...
Disclosure
Controlling accounts payable
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
31. Which of the following is also called Public Law 95-109?
460-519
Based on the patient's reported income from the previous month.
Fair Debt Collection Practice Act
Damages
32. An employer identification number is required by law from every employer for federal tax accounting purposes
Age analysis
Age analysis.
True
Up to $500 -000 - or 1% of the practice's net worth
33. The Relative Value Unit System was created to...
Damages
False
Punitive damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
34. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Payee
Fraud.
True
False
35. The most common disbursement is for...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
Office supplies.
36. Which of the following should be a factor when selecting an outside collection agency?
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Resources
If the diagnosis makes you ask 'How did that happen?'
37. 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
Form W-4.
Resources
60
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
38. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
False
Capitated rate
Open-book
39. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Inaccurate and/or incorrect billing
40. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Payer
Open-book
Statement of income and expense
Fair Debt Collection Practices Act
41. 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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42. The person to whom the check is written is the _______________.
Fair Debt Collection Practice Act
Fair Debt Collection Practices Act
Payee
CPC
43. The determination of the amount of money paid by a third-party payer for a procedure is...
Fair Debt Collection Practice Act
Controlling accounts payable
The code may not be used as the first code
Pre-certification.
44. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
HCPCS Level II codes
Petty cash
CPC
45. A health-care provider who practices under false qualifications/credentials is guilty of...
( )
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
Third-party
46. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Voucher
False
Statement of income and expense
47. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Check your explanation of benefits form
Referrals
$280.
460-519
48. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
( )
Resources
Fraud.
49. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Pre-certification.
False
$280.
Fair Debt Collection Practices Act
50. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practices Act
Form W-4.