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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. 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






2. The _______________-_______________ _______________ is the health plan that pays for medical services






3. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement






4. Which of the following prohibits harassment and false statements when attempting to collect from a patient?






5. In order to be considered negotiable - a check must be signed by the _______________.






6. 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.






7. 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...






8. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.






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






10. Which of the following prohibits harassment and false statements when attempting to collect from a patient?






11. 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.






12. The process of classifying and reviewing past-due accounts from the first date of billing is...






13. The ______________ is paid to the provider even if the patient receives no care






14. National codes issued by CMS that cover many supplies and durable medical equipment are...






15. Money paid for intentionally breaking the law is called _______________ _______________.






16. Which of the following should be a factor when selecting an outside collection agency?






17. 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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18. Most practices try to reduce expenses by...






19. The payment system used by Medicare is based on...






20. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement






21. An employer identification number is required by law from every employer for federal tax accounting purposes






22. Money paid for intentionally breaking the law is called _______________ _______________.






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






24. The Relative Value Unit System was created to...






25. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






26. In order to be considered negotiable - a check must be signed by the _______________.






27. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?






28. Prison sentences are possible consequences of...






29. Some insurers will not pay a claim unless it is filed within ________ of the date of service






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






31. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?






32. A small fee that is collected at the time of service is called a(n) _______________.






33. The most common disbursement is for...






34. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.






35. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so






36. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.






37. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.






38. The most common disbursement is for...






39. 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






40. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached






41. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?






42. 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?






43. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?






44. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...






45. The _______________ coding system has two levels and is used for coding services for Medicare patients






46. Money paid as compensation as result of a lawsuit is called _______________.






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

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48. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?






49. The determination of the amount of money paid by a third-party payer for a procedure is...






50. 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.






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