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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. Most practices try to reduce expenses by...
Controlling accounts payable
HCPCS Level II codes
Includes
Disclosure
2. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
[ ]
CPC
Referrals
The code may not be used as the first code
3. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
If the diagnosis makes you ask 'How did that happen?'
CPC
Up to $500 -000 - or 1% of the practice's net worth
4. 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
Age analysis
Up to $500 -000 - or 1% of the practice's net worth
Petty cash
5. 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.
Pre-certification.
[ ]
HCPCS Level II codes
Third-party
6. 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?
7. The number of dependents an employee is claiming is found on the
Voucher
Form W-4.
Open-book
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
8. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
The code may not be used as the first code
Capitated rate
Disclosure
Fair Debt Collection Practice Act
9. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
Third-party
Truth in Lending Act
10. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Copayment
Damages
$280.
11. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Voucher
Includes
$280.
6 months
12. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
V01-V83
460-519
Pre-certification.
13. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Copayment
Punitive damages
True
Statement of income and expense
14. The ______________ is paid to the provider even if the patient receives no care
Includes
Capitated rate
Damages
Voucher
15. A small fee that is collected at the time of service is called a(n) _______________.
Open-book
Referrals
Copayment
False
16. 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
False
Inaccurate and/or incorrect billing
Fraud.
60
17. 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
Copayment
Inaccurate and/or incorrect billing
[ ]
18. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
The code may not be used as the first code
CPC
Liability
19. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee
20. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Punitive damages
HCPCS Level II codes
Fair Debt Collection Practices Act
21. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Third-party
[ ]
Resources
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
22. Which of the following is also called Public Law 95-109?
6 months
Form W-4.
True
Fair Debt Collection Practice Act
23. The payment system used by Medicare is based on...
Resources
Based on the patient's reported income from the previous month.
Office supplies.
Petty cash
24. 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.
Petty cash
Fair Debt Collection Practice Act
False
Liability
25. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Form W-4.
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
26. Money paid for intentionally breaking the law is called _______________ _______________.
Payer
Pre-certification.
Punitive damages
Fair Debt Collection Practice Act
27. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
Form W-4.
Inaccurate and/or incorrect billing
HCPCS
28. 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
False
Referrals
Traveler's
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
29. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Third-party
False
True
Based on the patient's reported income from the previous month.
30. 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...
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Damages
HCPCS
31. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Resources
Statement of income and expense
Capitated rate
32. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
33. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Based on the patient's reported income from the previous month.
Truth in Lending Act
False
Damages
34. Prison sentences are possible consequences of...
Damages
Punitive damages
Inaccurate and/or incorrect billing
Payee
35. An act of deception used to take advantage of another person or entity is called...
Third-party
Fraud.
Age analysis
False
36. Eligibility for Medicaid is...
37. An act of deception used to take advantage of another person or entity is called...
( )
Fraud.
False
Check your explanation of benefits form
38. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
If the diagnosis makes you ask 'How did that happen?'
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
Check your explanation of benefits form
39. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Copayment
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
6 months
Fraud.
40. 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?
Traveler's
Referrals
V01-V83
$280.
41. The Relative Value Unit System was created to...
Fair Debt Collection Practices Act
Fraud.
HCPCS Level II codes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
42. The most common disbursement is for...
Copayment
Office supplies.
460-519
HCPCS Level II codes
43. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
Capitated rate
44. 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
Inaccurate and/or incorrect billing
Traveler's
60
Liability
45. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Damages
Traveler's
False
( )
46. 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
$280.
Inaccurate and/or incorrect billing
True
47. In order to be considered negotiable - a check must be signed by the _______________.
Fraud.
Statement of income and expense
Payer
60
48. The process of classifying and reviewing past-due accounts from the first date of billing is...
Third-party
Age analysis.
False
False
49. Which of the following is also called Public Law 95-109?
Traveler's
Open-book
Fair Debt Collection Practice Act
HCPCS Level II codes
50. Money paid as compensation as result of a lawsuit is called _______________.
HCPCS
Copayment
Liability
Damages