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. Money paid for intentionally breaking the law is called _______________ _______________.
Third party payer
Punitive damages
HCPCS Level II codes
Pre-certification.

2. 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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3. National codes issued by CMS that cover many supplies and durable medical equipment are...
Open-book
Age analysis
$280.
HCPCS Level II codes

4. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Copayment
CPC
Third party payer
False

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

6. An act of deception used to take advantage of another person or entity is called...
Fraud.
Controlling accounts payable
True
False

7. 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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8. The number of dependents an employee is claiming is found on the
Fraud.
Form W-4.
60
Traveler's

9. Prison sentences are possible consequences of...
V01-V83
Check your explanation of benefits form
Pre-certification.
Inaccurate and/or incorrect billing

10. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Based on the patient's reported income from the previous month.
HCPCS
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability

11. A health-care provider who practices under false qualifications/credentials is guilty of...
Inaccurate and/or incorrect billing
Damages
Disclosure
Fraud.

12. 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
Third party payer
Punitive damages
Based on the patient's reported income from the previous month.

13. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
Disclosure
Controlling accounts payable
Age analysis.

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

15. Which of the following is also called Public Law 95-109?
Controlling accounts payable
Pre-certification.
Fair Debt Collection Practice Act
Disclosure

16. 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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17. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Liability
False
True
Check your explanation of benefits form

18. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
6 months
Truth in Lending Act

19. 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
The code may not be used as the first code
Open-book
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

20. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Office supplies.

21. The _______________-_______________ _______________ is the health plan that pays for medical services
Form W-4.
True
Resources
Third party payer

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

23. Eligibility for Medicaid is...

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24. The payment system used by Medicare is based on...
False
Age analysis
Payer
Resources

25. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Ask the physician to select a more specific code
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act

26. Money paid as compensation as result of a lawsuit is called _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Damages
Third-party
Ask the physician to select a more specific code

27. 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.
460-519
Copayment
Punitive damages
Third-party

28. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Fair Debt Collection Practice Act
( )
[ ]
Form W-4.

29. The ICD-9-CM convention code first underlying disease means...
Voucher
Third party payer
The code may not be used as the first code
Truth in Lending Act

30. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
$280.
Punitive damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

31. A small fee that is collected at the time of service is called a(n) _______________.
Check your explanation of benefits form
False
Copayment
Includes

32. Most practices try to reduce expenses by...
Fair Debt Collection Practices Act
Controlling accounts payable
HCPCS
Pre-certification.

33. An employer identification number is required by law from every employer for federal tax accounting purposes
True
[ ]
False
Age analysis.

34. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Fraud.
Damages
Includes

35. 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
Open-book
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act

36. The most common disbursement is for...
Age analysis
Truth in Lending Act
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

37. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
False
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

38. 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
Copayment
Office supplies.
V01-V83

39. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fraud.
Voucher
Liability
Capitated rate

40. 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
The code may not be used as the first code
Fraud.
HCPCS Level II codes

41. The Relative Value Unit System was created to...
If the diagnosis makes you ask 'How did that happen?'
Third party payer
If the diagnosis makes you ask 'How did that happen?'
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

42. The Relative Value Unit System was created to...
Up to $500 -000 - or 1% of the practice's net worth
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

43. In order to be considered negotiable - a check must be signed by the _______________.
6 months
HCPCS
Payer
( )

44. The payment system used by Medicare is based on...
Resources
Damages
True
Fair Debt Collection Practices Act

45. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
6 months
Includes
Payer

46. Which of the following is also called Public Law 95-109?
True
Pre-certification.
Fair Debt Collection Practice Act
Punitive damages

47. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Fraud.
Inaccurate and/or incorrect billing
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

48. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Damages
Payer

49. The person to whom the check is written is the _______________.
Traveler's
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee
Disclosure

50. 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
60
False
Third-party
Form W-4.