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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. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
If the diagnosis makes you ask 'How did that happen?'
60
Liability
False
2. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Third party payer
Liability
Payer
3. 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...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Office supplies.
Includes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
4. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
60
( )
False
Pre-certification.
5. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Capitated rate
The code may not be used as the first code
460-519
Voucher
6. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Damages
Inaccurate and/or incorrect billing
Voucher
7. An employer identification number is required by law from every employer for federal tax accounting purposes
HCPCS Level II codes
True
Age analysis.
V01-V83
8. Money paid as compensation as result of a lawsuit is called _______________.
Fair Debt Collection Practice Act
Damages
Referrals
Payee
9. 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
True
False
460-519
10. The ______________ is paid to the provider even if the patient receives no care
Controlling accounts payable
True
Capitated rate
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
11. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Liability
Resources
Voucher
Age analysis.
12. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Damages
Fraud.
$280.
13. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fair Debt Collection Practices Act
Based on the patient's reported income from the previous month.
Third party payer
Check your explanation of benefits form
14. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
True
CPC
Fraud.
( )
15. 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.
False
Fraud.
Third-party
Punitive damages
16. 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.
60
Inaccurate and/or incorrect billing
Petty cash
Liability
17. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Payee
[ ]
Form W-4.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
18. 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?
HCPCS
HCPCS Level II codes
V01-V83
Inaccurate and/or incorrect billing
19. 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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20. Money paid for intentionally breaking the law is called _______________ _______________.
Third-party
Inaccurate and/or incorrect billing
Punitive damages
Fraud.
21. 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
Copayment
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
22. The number of dependents an employee is claiming is found on the
Check your explanation of benefits form
Form W-4.
60
Open-book
23. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
Controlling accounts payable
$280.
CPC
24. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Third party payer
V01-V83
Traveler's
Ask the physician to select a more specific code
25. 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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26. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
V01-V83
Age analysis
Voucher
Referrals
27. The most common disbursement is for...
Third party payer
Office supplies.
False
True
28. 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.
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
Fraud.
False
29. An easy way to remember when an E code is required is...
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30. The payment system used by Medicare is based on...
Damages
True
Resources
Payee
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
Traveler's
False
Based on the patient's reported income from the previous month.
32. 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.
Fraud.
False
Includes
Copayment
33. Which of the following is also called Public Law 95-109?
460-519
Fair Debt Collection Practice Act
Disclosure
If the diagnosis makes you ask 'How did that happen?'
34. 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?
Inaccurate and/or incorrect billing
Truth in Lending Act
Form W-4.
V01-V83
35. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
HCPCS Level II codes
Pre-certification.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
36. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
Voucher
$280.
( )
37. An employer identification number is required by law from every employer for federal tax accounting purposes
[ ]
Petty cash
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True
38. An act of deception used to take advantage of another person or entity is called...
Liability
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Fraud.
39. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Statement of income and expense
Referrals
False
40. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fraud.
Third-party
False
Punitive damages
41. Eligibility for Medicaid is...
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42. The payment system used by Medicare is based on...
460-519
Resources
Fraud.
60
43. A small fee that is collected at the time of service is called a(n) _______________.
Check your explanation of benefits form
Copayment
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practice Act
44. Eligibility for Medicaid is...
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45. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
HCPCS
Punitive damages
Third party payer
46. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
47. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Age analysis
Fair Debt Collection Practice Act
Petty cash
48. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Form W-4.
CPC
False
6 months
49. 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
Referrals
Fair Debt Collection Practices Act
True
HCPCS Level II codes
50. Money paid for intentionally breaking the law is called _______________ _______________.
60
Third-party
Punitive damages
Truth in Lending Act