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