Test your basic knowledge |

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. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
False
True
False

2. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
Disclosure
460-519

3. National codes issued by CMS that cover many supplies and durable medical equipment are...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
The code may not be used as the first code
Traveler's
HCPCS Level II codes

4. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
( )
HCPCS Level II codes

5. An act of deception used to take advantage of another person or entity is called...
Check your explanation of benefits form
Punitive damages
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

6. 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?
True
V01-V83
Age analysis.
True

7. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
$280.
True
CPC
( )

8. 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?
Liability
Fraud.
V01-V83
Pre-certification.

9. The payment system used by Medicare is based on...
Inaccurate and/or incorrect billing
Resources
HCPCS Level II codes
Fair Debt Collection Practice Act

10. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Pre-certification.
False
Fair Debt Collection Practices Act

11. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Based on the patient's reported income from the previous month.
Controlling accounts payable
Ask the physician to select a more specific code

12. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
True
Includes
Ask the physician to select a more specific code
Check your explanation of benefits form

13. 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.
HCPCS Level II codes
Petty cash
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

14. Which of the following should be a factor when selecting an outside collection agency?
Controlling accounts payable
Check your explanation of benefits form
Punitive damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

15. The process of classifying and reviewing past-due accounts from the first date of billing is...
HCPCS
Petty cash
Age analysis
Age analysis.

16. The payment system used by Medicare is based on...
Punitive damages
Resources
Third party payer
Third party payer

17. 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
If the diagnosis makes you ask 'How did that happen?'
Third-party
False
Open-book

18. Eligibility for Medicaid is...

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

19. Prison sentences are possible consequences of...
$280.
Inaccurate and/or incorrect billing
Open-book
Controlling accounts payable

20. The number of dependents an employee is claiming is found on the
( )
Age analysis.
Disclosure
Form W-4.

21. 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
False
Payee
Third party payer

22. National codes issued by CMS that cover many supplies and durable medical equipment are...
Statement of income and expense
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
True

23. Money paid as compensation as result of a lawsuit is called _______________.
Third party payer
Damages
Resources
Resources

24. The Relative Value Unit System was created to...
Fraud.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Liability

25. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Pre-certification.
Fair Debt Collection Practices Act
Damages

26. Which of the following should be a factor when selecting an outside collection agency?
The code may not be used as the first code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fair Debt Collection Practices Act
Referrals

27. The _______________-_______________ _______________ is the health plan that pays for medical services
$280.
Third party payer
Statement of income and expense
Office supplies.

28. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Up to $500 -000 - or 1% of the practice's net worth
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
False

29. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
The code may not be used as the first code
Check your explanation of benefits form
[ ]
Petty cash

30. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Liability
Resources
Truth in Lending Act

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

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
Liability
Referrals
Traveler's
60

33. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
[ ]
Disclosure
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

34. 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
Petty cash
Third party payer
Referrals
Includes

35. Prison sentences are possible consequences of...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Inaccurate and/or incorrect billing
Punitive damages
Fraud.

36. Which of the following is also called Public Law 95-109?
False
Fair Debt Collection Practice Act
Office supplies.
Based on the patient's reported income from the previous month.

37. In order to be considered negotiable - a check must be signed by the _______________.
Liability
True
Open-book
Payer

38. 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.
Truth in Lending Act
Includes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

40. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Fraud.
Fair Debt Collection Practices Act
460-519
Ask the physician to select a more specific code

41. The _______________-_______________ _______________ is the health plan that pays for medical services
Petty cash
Form W-4.
Third party payer
Form W-4.

42. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Damages
Inaccurate and/or incorrect billing
Form W-4.

43. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Statement of income and expense
Fair Debt Collection Practices Act
Check your explanation of benefits form
Fair Debt Collection Practice Act

44. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

45. A small fee that is collected at the time of service is called a(n) _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
Copayment
60

46. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
$280.
Voucher

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
$280.
6 months
If the diagnosis makes you ask 'How did that happen?'
False

48. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
6 months
Damages
Fair Debt Collection Practices Act

49. 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.
Traveler's
Third-party
Disclosure
Payee

50. The determination of the amount of money paid by a third-party payer for a procedure is...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
Pre-certification.
Ask the physician to select a more specific code