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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. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Pre-certification.
True
( )
If the diagnosis makes you ask 'How did that happen?'
2. Which of the following should be a factor when selecting an outside collection agency?
Open-book
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Based on the patient's reported income from the previous month.
Truth in Lending Act
3. National codes issued by CMS that cover many supplies and durable medical equipment are...
Payee
HCPCS Level II codes
Controlling accounts payable
Age analysis
4. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
460-519
Truth in Lending Act
Statement of income and expense
5. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Punitive damages
Truth in Lending Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
6. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Fair Debt Collection Practices Act
Liability
Based on the patient's reported income from the previous month.
7. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Traveler's
Fair Debt Collection Practices Act
Fraud.
60
8. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
HCPCS
Age analysis.
460-519
HCPCS Level II codes
9. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Office supplies.
Includes
Payer
CPC
10. 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
Inaccurate and/or incorrect billing
60
11. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Third-party
Office supplies.
Inaccurate and/or incorrect billing
12. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Office supplies.
13. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Damages
Age analysis
Damages
HCPCS Level II codes
14. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
HCPCS
False
60
True
15. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Statement of income and expense
False
Liability
[ ]
16. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Third party payer
Third party payer
Resources
17. The payment system used by Medicare is based on...
Resources
Fraud.
Form W-4.
Fair Debt Collection Practice Act
18. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
$280.
HCPCS
Truth in Lending Act
Fraud.
19. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Third-party
Open-book
CPC
20. The person to whom the check is written is the _______________.
Age analysis.
Payee
Age analysis
Punitive damages
21. The most common disbursement is for...
HCPCS
Statement of income and expense
Office supplies.
Form W-4.
22. Most practices try to reduce expenses by...
Fraud.
Open-book
Inaccurate and/or incorrect billing
Controlling accounts payable
23. An act of deception used to take advantage of another person or entity is called...
Capitated rate
Fraud.
Age analysis.
HCPCS Level II codes
24. 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.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
6 months
Petty cash
Capitated rate
25. 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
V01-V83
True
Petty cash
60
26. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Check your explanation of benefits form
$280.
True
6 months
27. Some insurers will not pay a claim unless it is filed within ________ of the date of service
True
6 months
( )
Liability
28. The number of dependents an employee is claiming is found on the
Referrals
Fair Debt Collection Practice Act
CPC
Form W-4.
29. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
Fair Debt Collection Practices Act
Pre-certification.
Third party payer
30. The payment system used by Medicare is based on...
Fraud.
60
Resources
Form W-4.
31. 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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32. 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.
False
Traveler's
Pre-certification.
$280.
33. A health-care provider who practices under false qualifications/credentials is guilty of...
Inaccurate and/or incorrect billing
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'
Fraud.
34. 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?
Form W-4.
Third-party
Fair Debt Collection Practice Act
V01-V83
35. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third-party
Voucher
Includes
Check your explanation of benefits form
36. In order to be considered negotiable - a check must be signed by the _______________.
Voucher
Damages
Payer
CPC
37. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Punitive damages
[ ]
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
38. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Payee
Statement of income and expense
Pre-certification.
Form W-4.
39. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
( )
Age analysis.
Third-party
40. An easy way to remember when an E code is required is...
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41. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
HCPCS Level II codes
Statement of income and expense
Liability
Controlling accounts payable
42. The person to whom the check is written is the _______________.
The code may not be used as the first code
Disclosure
Inaccurate and/or incorrect billing
Payee
43. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
460-519
Inaccurate and/or incorrect billing
Third-party
44. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Pre-certification.
Capitated rate
Fair Debt Collection Practices Act
Open-book
45. Which of the following should be a factor when selecting an outside collection agency?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Open-book
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Controlling accounts payable
46. 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
Truth in Lending Act
False
True
Referrals
47. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Ask the physician to select a more specific code
The code may not be used as the first code
Includes
48. Prison sentences are possible consequences of...
False
Inaccurate and/or incorrect billing
Traveler's
Capitated rate
49. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
Payer
50. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Check your explanation of benefits form
Disclosure
Truth in Lending Act