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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. Which of the following should be a factor when selecting an outside collection agency?
Voucher
Truth in Lending Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
2. 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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3. 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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4. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure
Office supplies.
5. The person to whom the check is written is the _______________.
Third party payer
The code may not be used as the first code
Payee
Third-party
6. Some insurers will not pay a claim unless it is filed within ________ of the date of service
CPC
6 months
HCPCS
False
7. The number of dependents an employee is claiming is found on the
$280.
HCPCS
Resources
Form W-4.
8. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
( )
60
Referrals
9. A health-care provider who practices under false qualifications/credentials is guilty of...
Resources
Fraud.
Truth in Lending Act
Payer
10. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
60
Third-party
Based on the patient's reported income from the previous month.
[ ]
11. The most common disbursement is for...
Ask the physician to select a more specific code
[ ]
Office supplies.
Fraud.
12. Money paid as compensation as result of a lawsuit is called _______________.
True
460-519
Fair Debt Collection Practice Act
Damages
13. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Resources
HCPCS Level II codes
Statement of income and expense
14. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
True
The code may not be used as the first code
CPC
Office supplies.
15. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Payee
Fraud.
Office supplies.
16. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Third party payer
Controlling accounts payable
Up to $500 -000 - or 1% of the practice's net worth
17. The person to whom the check is written is the _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act
Payee
Disclosure
18. The ICD-9-CM convention code first underlying disease means...
Statement of income and expense
The code may not be used as the first code
Traveler's
Controlling accounts payable
19. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
[ ]
Based on the patient's reported income from the previous month.
True
20. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Liability
Capitated rate
$280.
21. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Controlling accounts payable
Ask the physician to select a more specific code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
22. 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
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Includes
23. 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
Third party payer
True
Referrals
Open-book
24. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
$280.
Check your explanation of benefits form
Disclosure
V01-V83
25. The _______________ coding system has two levels and is used for coding services for Medicare patients
Form W-4.
HCPCS
Based on the patient's reported income from the previous month.
Petty cash
26. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Punitive damages
Fair Debt Collection Practices Act
False
27. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Payee
Voucher
Liability
Liability
28. The ICD-9-CM convention code first underlying disease means...
Disclosure
60
Includes
The code may not be used as the first code
29. Which of the following is also called Public Law 95-109?
$280.
Statement of income and expense
Fair Debt Collection Practice Act
False
30. The number of dependents an employee is claiming is found on the
Fraud.
Form W-4.
Liability
Check your explanation of benefits form
31. 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
Disclosure
False
Age analysis.
60
32. 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
Fair Debt Collection Practices Act
( )
60
6 months
33. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practices Act
Includes
34. The ______________ is paid to the provider even if the patient receives no care
Fraud.
Fair Debt Collection Practice Act
Capitated rate
True
35. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Office supplies.
Payer
False
36. The _______________-_______________ _______________ is the health plan that pays for medical services
Third-party
False
Age analysis.
Third party payer
37. An employer identification number is required by law from every employer for federal tax accounting purposes
Includes
Capitated rate
True
Inaccurate and/or incorrect billing
38. A health-care provider who practices under false qualifications/credentials is guilty of...
False
6 months
Disclosure
Fraud.
39. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Age analysis
Damages
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
40. The Relative Value Unit System was created to...
Third party payer
Up to $500 -000 - or 1% of the practice's net worth
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Includes
41. The ______________ is paid to the provider even if the patient receives no care
Inaccurate and/or incorrect billing
CPC
Capitated rate
Fair Debt Collection Practices Act
42. The Relative Value Unit System was created to...
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate
Petty cash
43. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
HCPCS
Truth in Lending Act
Third party payer
Petty cash
44. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Fraud.
460-519
Fair Debt Collection Practice Act
45. The process of classifying and reviewing past-due accounts from the first date of billing is...
Check your explanation of benefits form
Form W-4.
Age analysis.
Capitated rate
46. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Damages
False
Includes
True
47. 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
Third-party
Age analysis.
Open-book
48. Eligibility for Medicaid is...
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49. 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
Open-book
Third party payer
( )
50. 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.
Ask the physician to select a more specific code
Up to $500 -000 - or 1% of the practice's net worth
Third-party
V01-V83