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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. 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...
Damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
V01-V83
V01-V83
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. The ______________ is paid to the provider even if the patient receives no care
Age analysis.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
6 months
Capitated rate
4. The determination of the amount of money paid by a third-party payer for a procedure is...
Up to $500 -000 - or 1% of the practice's net worth
CPC
Check your explanation of benefits form
Pre-certification.
5. 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
Payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis.
6. 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
[ ]
Disclosure
Punitive damages
7. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Fraud.
Petty cash
Check your explanation of benefits form
8. The _______________ coding system has two levels and is used for coding services for Medicare patients
60
Form W-4.
False
HCPCS
9. 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
Voucher
Open-book
Resources
10. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Up to $500 -000 - or 1% of the practice's net worth
Open-book
Includes
The code may not be used as the first code
11. The _______________-_______________ _______________ is the health plan that pays for medical services
Office supplies.
Controlling accounts payable
Third party payer
Traveler's
12. Money paid as compensation as result of a lawsuit is called _______________.
Damages
The code may not be used as the first code
Age analysis.
Copayment
13. The most common disbursement is for...
Referrals
If the diagnosis makes you ask 'How did that happen?'
Office supplies.
Fair Debt Collection Practices Act
14. 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
Truth in Lending Act
Voucher
V01-V83
15. Eligibility for Medicaid is...
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16. 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...
Inaccurate and/or incorrect billing
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Voucher
Third party payer
17. The number of dependents an employee is claiming is found on the
Form W-4.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
[ ]
Check your explanation of benefits form
18. The payment system used by Medicare is based on...
Truth in Lending Act
Resources
Statement of income and expense
Fraud.
19. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Disclosure
Check your explanation of benefits form
True
Fair Debt Collection Practices Act
20. The number of dependents an employee is claiming is found on the
Petty cash
460-519
Form W-4.
Statement of income and expense
21. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Voucher
HCPCS Level II codes
Based on the patient's reported income from the previous month.
False
22. The ICD-9-CM convention code first underlying disease means...
Fair Debt Collection Practices Act
The code may not be used as the first code
Voucher
Based on the patient's reported income from the previous month.
23. 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
HCPCS
( )
Fair Debt Collection Practices Act
24. An act of deception used to take advantage of another person or entity is called...
If the diagnosis makes you ask 'How did that happen?'
Fraud.
False
Truth in Lending Act
25. 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
Traveler's
Capitated rate
Age analysis.
26. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
The code may not be used as the first code
Truth in Lending Act
Includes
HCPCS Level II codes
27. An employer identification number is required by law from every employer for federal tax accounting purposes
HCPCS Level II codes
Fair Debt Collection Practice Act
Fair Debt Collection Practice Act
True
28. 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
Ask the physician to select a more specific code
CPC
Copayment
29. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Third party payer
460-519
CPC
Voucher
30. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Voucher
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Damages
31. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Includes
Office supplies.
Damages
32. National codes issued by CMS that cover many supplies and durable medical equipment are...
False
HCPCS Level II codes
Copayment
Petty cash
33. Money paid for intentionally breaking the law is called _______________ _______________.
Includes
Based on the patient's reported income from the previous month.
Punitive damages
Capitated rate
34. A health-care provider who practices under false qualifications/credentials is guilty of...
True
Fraud.
Resources
Copayment
35. In order to be considered negotiable - a check must be signed by the _______________.
Includes
Payer
Copayment
Fraud.
36. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer
True
37. An act of deception used to take advantage of another person or entity is called...
False
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
38. A small fee that is collected at the time of service is called a(n) _______________.
Third party payer
If the diagnosis makes you ask 'How did that happen?'
Copayment
Payer
39. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
False
True
Fraud.
Statement of income and expense
40. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Fraud.
HCPCS Level II codes
Liability
Damages
41. 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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42. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
If the diagnosis makes you ask 'How did that happen?'
False
Truth in Lending Act
Age analysis.
43. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
$280.
Age analysis.
The code may not be used as the first code
44. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
False
Capitated rate
Voucher
45. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
False
Includes
Capitated rate
[ ]
46. An easy way to remember when an E code is required is...
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47. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
$280.
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form
Form W-4.
48. 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?
$280.
V01-V83
Controlling accounts payable
Ask the physician to select a more specific code
49. 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.
Liability
Voucher
Petty cash
The code may not be used as the first code
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
Truth in Lending Act
Liability
Resources
60