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Test your basic knowledge |
Medical Coding And Billing Clinical
Start Test
Study First
Subject
:
medical-transcription
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. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Age analysis.
True
Capitated rate
$280.
2. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Inaccurate and/or incorrect billing
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis
3. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
V01-V83
Office supplies.
4. 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.
Pre-certification.
Check your explanation of benefits form
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
5. The person to whom the check is written is the _______________.
Based on the patient's reported income from the previous month.
Payee
Liability
HCPCS
6. Which of the following should be a factor when selecting an outside collection agency?
Punitive damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Includes
Age analysis
7. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis.
CPC
8. A health-care provider who practices under false qualifications/credentials is guilty of...
Open-book
Fraud.
$280.
Statement of income and expense
9. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher
Ask the physician to select a more specific code
V01-V83
10. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Petty cash
The code may not be used as the first code
11. Money paid for intentionally breaking the law is called _______________ _______________.
HCPCS Level II codes
Inaccurate and/or incorrect billing
Punitive damages
False
12. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
HCPCS
HCPCS Level II codes
Fraud.
13. In order to be considered negotiable - a check must be signed by the _______________.
Includes
Payer
V01-V83
Resources
14. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Capitated rate
Fraud.
Capitated rate
15. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Check your explanation of benefits form
False
$280.
Third party payer
16. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Includes
Liability
Resources
6 months
17. National codes issued by CMS that cover many supplies and durable medical equipment are...
False
Damages
HCPCS Level II codes
Voucher
18. Money paid as compensation as result of a lawsuit is called _______________.
HCPCS Level II codes
Damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
19. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Check your explanation of benefits form
Voucher
Capitated rate
Includes
20. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Statement of income and expense
Voucher
Punitive damages
Third-party
21. Prison sentences are possible consequences of...
True
Copayment
Form W-4.
Inaccurate and/or incorrect billing
22. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
False
60
Statement of income and expense
If the diagnosis makes you ask 'How did that happen?'
23. An employer identification number is required by law from every employer for federal tax accounting purposes
False
6 months
Up to $500 -000 - or 1% of the practice's net worth
True
24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Referrals
Includes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
25. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
60
Truth in Lending Act
Damages
[ ]
26. 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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27. An act of deception used to take advantage of another person or entity is called...
HCPCS
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
28. The number of dependents an employee is claiming is found on the
Inaccurate and/or incorrect billing
Damages
Capitated rate
Form W-4.
29. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Voucher
False
Payer
Petty cash
30. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
60
31. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Based on the patient's reported income from the previous month.
$280.
Includes
Check your explanation of benefits form
32. Money paid as compensation as result of a lawsuit is called _______________.
Disclosure
Statement of income and expense
Based on the patient's reported income from the previous month.
Damages
33. Eligibility for Medicaid is...
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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
Up to $500 -000 - or 1% of the practice's net worth
Referrals
False
6 months
35. The most common disbursement is for...
Fair Debt Collection Practice Act
Office supplies.
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
36. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Office supplies.
Liability
460-519
True
37. Which of the following should be a factor when selecting an outside collection agency?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Copayment
( )
38. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Pre-certification.
HCPCS
Fair Debt Collection Practice Act
39. The determination of the amount of money paid by a third-party payer for a procedure is...
60
Petty cash
Pre-certification.
Ask the physician to select a more specific code
40. 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
Age analysis
60
HCPCS Level II codes
41. 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.
Liability
( )
Third-party
True
42. The ______________ is paid to the provider even if the patient receives no care
Statement of income and expense
[ ]
Capitated rate
Controlling accounts payable
43. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
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
44. The Relative Value Unit System was created to...
Punitive damages
460-519
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
If the diagnosis makes you ask 'How did that happen?'
45. The most common disbursement is for...
Voucher
Damages
Office supplies.
Controlling accounts payable
46. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Payer
False
Fraud.
47. An easy way to remember when an E code is required is...
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48. The _______________ coding system has two levels and is used for coding services for Medicare patients
Disclosure
Check your explanation of benefits form
Pre-certification.
HCPCS
49. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Controlling accounts payable
Based on the patient's reported income from the previous month.
CPC
Inaccurate and/or incorrect billing
50. The process of classifying and reviewing past-due accounts from the first date of billing is...
Form W-4.
False
60
Age analysis.
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