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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. The ICD-9-CM convention code first underlying disease means...
Payer
Payer
Truth in Lending Act
The code may not be used as the first code
2. The process of classifying and reviewing past-due accounts from the first date of billing is...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Age analysis.
460-519
Truth in Lending Act
3. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Age analysis
Fraud.
Capitated rate
Fair Debt Collection Practices Act
4. The Relative Value Unit System was created to...
V01-V83
Liability
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
[ ]
5. The ______________ is paid to the provider even if the patient receives no care
( )
Damages
Capitated rate
V01-V83
6. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher
Traveler's
False
7. 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
Disclosure
Includes
True
8. 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
Capitated rate
Referrals
Fair Debt Collection Practice Act
9. In order to be considered negotiable - a check must be signed by the _______________.
HCPCS Level II codes
Petty cash
Check your explanation of benefits form
Payer
10. An easy way to remember when an E code is required is...
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11. 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
Traveler's
Liability
Fraud.
12. Prison sentences are possible consequences of...
Petty cash
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Inaccurate and/or incorrect billing
13. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
True
Age analysis
Copayment
60
14. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
Controlling accounts payable
Pre-certification.
Copayment
15. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Fair Debt Collection Practices Act
Based on the patient's reported income from the previous month.
False
Copayment
16. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Truth in Lending Act
HCPCS
Fair Debt Collection Practices Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
17. The number of dependents an employee is claiming is found on the
Up to $500 -000 - or 1% of the practice's net worth
Form W-4.
False
False
18. 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
Copayment
Fraud.
Ask the physician to select a more specific code
19. Which of the following should be a factor when selecting an outside collection agency?
Up to $500 -000 - or 1% of the practice's net worth
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Pre-certification.
20. A health-care provider who practices under false qualifications/credentials is guilty of...
Controlling accounts payable
Damages
Fraud.
Open-book
21. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
[ ]
Punitive damages
Truth in Lending Act
False
22. The most common disbursement is for...
Truth in Lending Act
Office supplies.
False
If the diagnosis makes you ask 'How did that happen?'
23. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Traveler's
Age analysis
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
24. An act of deception used to take advantage of another person or entity is called...
Third-party
True
Fraud.
Disclosure
25. Which of the following should be a factor when selecting an outside collection agency?
Damages
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 payer
26. Money paid as compensation as result of a lawsuit is called _______________.
Petty cash
True
6 months
Damages
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
Liability
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book
True
28. Most practices try to reduce expenses by...
Traveler's
Petty cash
Copayment
Controlling accounts payable
29. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
30. 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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31. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
Check your explanation of benefits form
32. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Traveler's
True
Petty cash
$280.
33. 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
Traveler's
Voucher
Liability
34. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Payee
Payer
Based on the patient's reported income from the previous month.
35. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
HCPCS
Third-party
The code may not be used as the first code
36. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Third party payer
Capitated rate
True
False
37. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Inaccurate and/or incorrect billing
[ ]
Copayment
6 months
38. Most practices try to reduce expenses by...
Check your explanation of benefits form
Controlling accounts payable
Includes
Referrals
39. 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
Open-book
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
40. The most common disbursement is for...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Office supplies.
Based on the patient's reported income from the previous month.
True
41. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Age analysis
Disclosure
Traveler's
Check your explanation of benefits form
42. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Truth in Lending Act
Form W-4.
Third-party
6 months
43. 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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44. Eligibility for Medicaid is...
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45. A small fee that is collected at the time of service is called a(n) _______________.
Includes
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
[ ]
46. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
False
47. National codes issued by CMS that cover many supplies and durable medical equipment are...
Age analysis.
HCPCS Level II codes
Controlling accounts payable
Age analysis.
48. The _______________-_______________ _______________ is the health plan that pays for medical services
( )
Third party payer
6 months
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
49. The _______________ coding system has two levels and is used for coding services for Medicare patients
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
HCPCS
Open-book
50. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
Disclosure