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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. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.






2. In order to be considered negotiable - a check must be signed by the _______________.






3. 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






4. The payment system used by Medicare is based on...






5. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






6. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






7. 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.






8. Which of the following should be a factor when selecting an outside collection agency?






9. The process of classifying and reviewing past-due accounts from the first date of billing is...






10. Most practices try to reduce expenses by...






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

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12. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...






13. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?






14. The ICD-9-CM convention code first underlying disease means...






15. 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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16. Some insurers will not pay a claim unless it is filed within ________ of the date of service






17. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?






18. An act of deception used to take advantage of another person or entity is called...






19. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so






20. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes






21. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?






22. The determination of the amount of money paid by a third-party payer for a procedure is...






23. A health-care provider who practices under false qualifications/credentials is guilty of...






24. 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






25. The determination of the amount of money paid by a third-party payer for a procedure is...






26. Which of the following is also called Public Law 95-109?






27. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






28. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?






29. The most common disbursement is for...






30. The number of dependents an employee is claiming is found on the






31. An employer identification number is required by law from every employer for federal tax accounting purposes






32. An act of deception used to take advantage of another person or entity is called...






33. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?






34. 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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35. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.






36. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.






37. The number of dependents an employee is claiming is found on the






38. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






39. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...






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.






41. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement






42. 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.






43. Money paid as compensation as result of a lawsuit is called _______________.






44. 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.






45. 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






46. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?






47. Which of the following is also called Public Law 95-109?






48. A small fee that is collected at the time of service is called a(n) _______________.






49. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?






50. Which of the following should be a factor when selecting an outside collection agency?






Can you answer 50 questions in 15 minutes?



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