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. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Voucher
Inaccurate and/or incorrect billing
CPC
Voucher

2. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Controlling accounts payable
$280.
Fair Debt Collection Practice Act
( )

3. Eligibility for Medicaid is...

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

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5. The ICD-9-CM convention code first underlying disease means...
Check your explanation of benefits form
6 months
The code may not be used as the first code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

6. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
False
False
Fraud.

7. The most common disbursement is for...
Liability
Office supplies.
False
Controlling accounts payable

8. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Form W-4.
CPC
( )
Fair Debt Collection Practices Act

9. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Disclosure
False
Ask the physician to select a more specific code
Liability

10. Money paid for intentionally breaking the law is called _______________ _______________.
Damages
Copayment
Resources
Punitive damages

11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
If the diagnosis makes you ask 'How did that happen?'
HCPCS
Voucher
Disclosure

12. The Relative Value Unit System was created to...
Pre-certification.
False
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

13. Which of the following is also called Public Law 95-109?
460-519
Third party payer
Age analysis
Fair Debt Collection Practice Act

14. 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...
Pre-certification.
Includes
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.

15. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Referrals
Third party payer
Includes
[ ]

16. The ______________ is paid to the provider even if the patient receives no care
Punitive damages
True
Capitated rate
460-519

17. 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...
60
Damages
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

18. An act of deception used to take advantage of another person or entity is called...
Fraud.
False
Office supplies.
Punitive damages

19. The process of classifying and reviewing past-due accounts from the first date of billing is...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure
Statement of income and expense
Age analysis.

20. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Petty cash
Damages

21. 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?
V01-V83
Age analysis
6 months
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

22. The number of dependents an employee is claiming is found on the
Office supplies.
Form W-4.
Age analysis
Statement of income and expense

23. The payment system used by Medicare is based on...
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
Payee

24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Copayment
V01-V83
$280.

25. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Fair Debt Collection Practice Act
Voucher
Damages

26. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher
Referrals
True

27. An act of deception used to take advantage of another person or entity is called...
Office supplies.
Statement of income and expense
Third-party
Fraud.

28. The most common disbursement is for...
True
Office supplies.
False
Disclosure

29. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Resources
( )
Damages

30. 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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31. 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.
Statement of income and expense
Pre-certification.
Form W-4.
False

32. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Disclosure
Voucher
Inaccurate and/or incorrect billing

33. 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
[ ]
Check your explanation of benefits form
Fraud.

34. Most practices try to reduce expenses by...
Capitated rate
Controlling accounts payable
460-519
HCPCS Level II codes

35. National codes issued by CMS that cover many supplies and durable medical equipment are...
Third party payer
Fair Debt Collection Practice Act
HCPCS Level II codes
False

36. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Copayment
False
6 months
( )

37. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Truth in Lending Act
Statement of income and expense
False
Copayment

38. 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.
Third party payer
Petty cash
Fair Debt Collection Practices Act
Check your explanation of benefits form

39. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Third-party
Statement of income and expense
True
Office supplies.

40. 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
Ask the physician to select a more specific code
Referrals
Fair Debt Collection Practices Act
Open-book

41. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
[ ]
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Includes
Check your explanation of benefits form

42. The _______________ coding system has two levels and is used for coding services for Medicare patients
Form W-4.
Payer
Fair Debt Collection Practice Act
HCPCS

43. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Fraud.
V01-V83
Punitive damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

44. An employer identification number is required by law from every employer for federal tax accounting purposes
Includes
True
Age analysis.
HCPCS

45. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
If the diagnosis makes you ask 'How did that happen?'
Third party payer
Ask the physician to select a more specific code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

46. 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
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False

47. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Payee
Fair Debt Collection Practices Act
False
Statement of income and expense

48. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Third party payer
Voucher
Fraud.
6 months

49. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis

50. 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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