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