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






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...






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






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.






5. The person to whom the check is written is the _______________.






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






7. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






8. A health-care provider who practices under false qualifications/credentials is guilty of...






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






10. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?






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






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






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






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






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






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






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






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






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






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






21. Prison sentences are possible consequences of...






22. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?






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






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






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






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...






28. The number of dependents an employee is claiming is found on the






29. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes






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






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






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






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






35. The most common disbursement is for...






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






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






38. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






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






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






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.






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






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






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






45. The most common disbursement is for...






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






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






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






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







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