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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 ______________ is paid to the provider even if the patient receives no care
Resources
Referrals
Fraud.
Capitated rate
2. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
If the diagnosis makes you ask 'How did that happen?'
Form W-4.
Office supplies.
3. An employer identification number is required by law from every employer for federal tax accounting purposes
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
True
Damages
4. 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
Copayment
Referrals
CPC
False
5. A health-care provider who practices under false qualifications/credentials is guilty of...
Statement of income and expense
HCPCS Level II codes
Fraud.
Disclosure
6. 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
Up to $500 -000 - or 1% of the practice's net worth
60
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
7. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer
Includes
Capitated rate
8. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Form W-4.
Based on the patient's reported income from the previous month.
Check your explanation of benefits form
9. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Statement of income and expense
False
Age analysis.
10. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
The code may not be used as the first code
Age analysis
Traveler's
HCPCS Level II codes
11. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
True
Ask the physician to select a more specific code
False
Pre-certification.
12. 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
Fair Debt Collection Practice Act
Third party payer
Payer
13. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Payer
Payee
Liability
14. Money paid for intentionally breaking the law is called _______________ _______________.
460-519
Petty cash
Statement of income and expense
Punitive damages
15. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
[ ]
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Capitated rate
16. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Copayment
Includes
If the diagnosis makes you ask 'How did that happen?'
17. 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.
Pre-certification.
False
Petty cash
Capitated rate
18. A small fee that is collected at the time of service is called a(n) _______________.
Ask the physician to select a more specific code
Office supplies.
6 months
Copayment
19. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Fair Debt Collection Practice Act
Punitive damages
Statement of income and expense
20. 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.
Check your explanation of benefits form
Voucher
False
21. Money paid as compensation as result of a lawsuit is called _______________.
True
V01-V83
Damages
Age analysis.
22. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
( )
[ ]
Liability
Inaccurate and/or incorrect billing
23. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
CPC
24. 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?
Third-party
V01-V83
The code may not be used as the first code
60
25. The payment system used by Medicare is based on...
Resources
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act
Age analysis
26. The person to whom the check is written is the _______________.
False
Payee
HCPCS
Fair Debt Collection Practices Act
27. 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
Open-book
Fair Debt Collection Practice Act
Petty cash
Ask the physician to select a more specific code
28. Money paid as compensation as result of a lawsuit is called _______________.
Copayment
Damages
Form W-4.
Truth in Lending Act
29. The payment system used by Medicare is based on...
V01-V83
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Resources
Third-party
30. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
460-519
False
Referrals
31. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
Statement of income and expense
Third-party
Capitated rate
32. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Office supplies.
False
60
6 months
33. Prison sentences are possible consequences of...
Open-book
Inaccurate and/or incorrect billing
Referrals
$280.
34. Which of the following should be a factor when selecting an outside collection agency?
Fair Debt Collection Practice Act
Inaccurate and/or incorrect billing
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
35. The person to whom the check is written is the _______________.
60
Payee
Copayment
Third party payer
36. 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.
Office supplies.
False
Based on the patient's reported income from the previous month.
Age analysis
37. A small fee that is collected at the time of service is called a(n) _______________.
60
Punitive damages
Fraud.
Copayment
38. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Punitive damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
39. 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.
60
Open-book
Third-party
Punitive damages
40. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment
Referrals
41. Most practices try to reduce expenses by...
CPC
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Controlling accounts payable
Third-party
42. Prison sentences are possible consequences of...
CPC
Inaccurate and/or incorrect billing
Copayment
Pre-certification.
43. Most practices try to reduce expenses by...
Controlling accounts payable
False
True
Traveler's
44. The ICD-9-CM convention code first underlying disease means...
$280.
The code may not be used as the first code
Fair Debt Collection Practice Act
Truth in Lending Act
45. Money paid for intentionally breaking the law is called _______________ _______________.
Third-party
Statement of income and expense
$280.
Punitive damages
46. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Includes
CPC
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
47. 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.
Petty cash
CPC
Copayment
Resources
48. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Controlling accounts payable
( )
Resources
Capitated rate
49. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
Liability
V01-V83
50. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
( )
Statement of income and expense
[ ]
Damages