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. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
If the diagnosis makes you ask 'How did that happen?'
460-519
Third party payer
If the diagnosis makes you ask 'How did that happen?'

2. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
CPC
Damages
460-519
False

3. 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?
Third-party
V01-V83
HCPCS
Punitive damages

4. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Ask the physician to select a more specific code
Statement of income and expense
Resources
Up to $500 -000 - or 1% of the practice's net worth

5. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS

6. The process of classifying and reviewing past-due accounts from the first date of billing is...
False
Age analysis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Voucher

7. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
HCPCS Level II codes
( )
Based on the patient's reported income from the previous month.
Fraud.

8. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Disclosure
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

9. The _______________ coding system has two levels and is used for coding services for Medicare patients
6 months
True
60
HCPCS

10. A small fee that is collected at the time of service is called a(n) _______________.
Payer
Fair Debt Collection Practice Act
Third-party
Copayment

11. Money paid as compensation as result of a lawsuit is called _______________.
Disclosure
Third party payer
Damages
Office supplies.

12. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Traveler's
Check your explanation of benefits form

13. The payment system used by Medicare is based on...
Open-book
Resources
False
False

14. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Copayment
Liability
Fair Debt Collection Practices Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

15. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
( )
False
HCPCS

16. Most practices try to reduce expenses by...
Punitive damages
60
Controlling accounts payable
( )

17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis
Disclosure
If the diagnosis makes you ask 'How did that happen?'

18. 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.
[ ]
Petty cash
Liability
False

19. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Age analysis.
Disclosure
False
460-519

20. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fraud.
Controlling accounts payable
Liability
460-519

21. 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
Copayment
V01-V83
60
Office supplies.

22. The ______________ is paid to the provider even if the patient receives no care
Form W-4.
Capitated rate
False
Damages

23. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
HCPCS
V01-V83
Includes
Fraud.

24. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Payee
Traveler's
( )
Check your explanation of benefits form

25. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Controlling accounts payable
Liability
Office supplies.
Copayment

26. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
( )
Statement of income and expense
Fraud.
False

27. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Office supplies.
Voucher
CPC
Traveler's

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

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29. An act of deception used to take advantage of another person or entity is called...
Controlling accounts payable
Fraud.
Inaccurate and/or incorrect billing
Petty cash

30. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
( )
Payee
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

31. A health-care provider who practices under false qualifications/credentials is guilty of...
Office supplies.
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable

32. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Inaccurate and/or incorrect billing
Pre-certification.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

33. A small fee that is collected at the time of service is called a(n) _______________.
Petty cash
Copayment
The code may not be used as the first code
False

34. 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
Up to $500 -000 - or 1% of the practice's net worth
Copayment
( )

35. The _______________-_______________ _______________ is the health plan that pays for medical services
Check your explanation of benefits form
Petty cash
Third party payer
HCPCS

36. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Fair Debt Collection Practices Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Ask the physician to select a more specific code
60

37. An employer identification number is required by law from every employer for federal tax accounting purposes
Traveler's
True
Truth in Lending Act
Copayment

38. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Payee
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

39. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Petty cash
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS
Ask the physician to select a more specific code

40. The ICD-9-CM convention code first underlying disease means...
Payer
6 months
Payee
The code may not be used as the first code

41. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Office supplies.
Fair Debt Collection Practices Act
True

42. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
False
True
Third-party

43. A health-care provider who practices under false qualifications/credentials is guilty of...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book
Form W-4.
Fraud.

44. Money paid for intentionally breaking the law is called _______________ _______________.
Payer
HCPCS
Punitive damages
Up to $500 -000 - or 1% of the practice's net worth

45. The ICD-9-CM convention code first underlying disease means...
False
The code may not be used as the first code
Office supplies.
CPC

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

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47. The person to whom the check is written is the _______________.
Voucher
Payee
Fair Debt Collection Practice Act
Damages

48. An employer identification number is required by law from every employer for federal tax accounting purposes
460-519
True
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.
True
Controlling accounts payable
If the diagnosis makes you ask 'How did that happen?'
Third-party

50. 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
V01-V83
Referrals
Petty cash
Ask the physician to select a more specific code