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