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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. National codes issued by CMS that cover many supplies and durable medical equipment are...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS
HCPCS Level II codes
Payer
2. The ______________ is paid to the provider even if the patient receives no care
False
Truth in Lending Act
Capitated rate
Referrals
3. 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
Capitated rate
V01-V83
Payee
4. A health-care provider who practices under false qualifications/credentials is guilty of...
HCPCS
Fraud.
( )
If the diagnosis makes you ask 'How did that happen?'
5. Eligibility for Medicaid is...
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6. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Check your explanation of benefits form
CPC
Third-party
False
7. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Third-party
Check your explanation of benefits form
Open-book
8. Some insurers will not pay a claim unless it is filed within ________ of the date of service
V01-V83
6 months
Fraud.
Includes
9. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payer
HCPCS Level II codes
Truth in Lending Act
Liability
10. 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
Controlling accounts payable
Open-book
Capitated rate
460-519
11. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
Check your explanation of benefits form
Includes
12. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Office supplies.
HCPCS
V01-V83
Fair Debt Collection Practices Act
13. Which of the following is also called Public Law 95-109?
Traveler's
Payee
Fair Debt Collection Practice Act
Damages
14. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Voucher
Capitated rate
Fair Debt Collection Practice Act
15. An act of deception used to take advantage of another person or entity is called...
False
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
16. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Statement of income and expense
Capitated rate
Fair Debt Collection Practices Act
Age analysis
17. 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.
CPC
Based on the patient's reported income from the previous month.
Age analysis.
18. A health-care provider who practices under false qualifications/credentials is guilty of...
HCPCS Level II codes
V01-V83
Fraud.
Controlling accounts payable
19. 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.
CPC
Statement of income and expense
False
V01-V83
20. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Payee
V01-V83
Fair Debt Collection Practices Act
21. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Statement of income and expense
Punitive damages
False
Office supplies.
22. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Traveler's
Pre-certification.
Office supplies.
23. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Truth in Lending Act
Open-book
CPC
Age analysis
24. 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.
Fraud.
Third-party
Truth in Lending Act
Voucher
25. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Fraud.
Referrals
Fair Debt Collection Practices Act
Voucher
26. Which of the following should be a factor when selecting an outside collection agency?
False
Resources
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Office supplies.
27. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Voucher
( )
Controlling accounts payable
460-519
28. The process of classifying and reviewing past-due accounts from the first date of billing is...
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis.
Includes
29. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
The code may not be used as the first code
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes
30. The number of dependents an employee is claiming is found on the
Open-book
Fraud.
Disclosure
Form W-4.
31. An easy way to remember when an E code is required is...
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32. 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?
Age analysis
Payer
V01-V83
False
33. An easy way to remember when an E code is required is...
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34. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Traveler's
Capitated rate
35. 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?
The code may not be used as the first code
Includes
Up to $500 -000 - or 1% of the practice's net worth
V01-V83
36. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
If the diagnosis makes you ask 'How did that happen?'
Age analysis
Truth in Lending Act
Form W-4.
37. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
$280.
Liability
True
Payee
38. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes
Liability
Payee
39. 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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40. In order to be considered negotiable - a check must be signed by the _______________.
HCPCS
Referrals
Age analysis.
Payer
41. 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
The code may not be used as the first code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
42. A small fee that is collected at the time of service is called a(n) _______________.
460-519
Fair Debt Collection Practice Act
Copayment
Punitive damages
43. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Age analysis
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True
44. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer
Copayment
460-519
45. Prison sentences are possible consequences of...
460-519
True
If the diagnosis makes you ask 'How did that happen?'
Inaccurate and/or incorrect billing
46. 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
Truth in Lending Act
Payer
47. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Payer
False
Pre-certification.
Third party payer
48. The _______________ coding system has two levels and is used for coding services for Medicare patients
Statement of income and expense
Fair Debt Collection Practice Act
HCPCS
Third-party
49. The Relative Value Unit System was created to...
Age analysis
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
Referrals
50. 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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