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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...
Fair Debt Collection Practices Act
Controlling accounts payable
If the diagnosis makes you ask 'How did that happen?'
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
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. 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
Office supplies.
4. 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.
Form W-4.
460-519
Third-party
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
5. An employer identification number is required by law from every employer for federal tax accounting purposes
Punitive damages
True
Truth in Lending Act
Payee
6. The number of dependents an employee is claiming is found on the
460-519
Statement of income and expense
[ ]
Form W-4.
7. The most common disbursement is for...
HCPCS
Office supplies.
$280.
Copayment
8. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Fair Debt Collection Practices Act
[ ]
9. 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
Fraud.
Copayment
Referrals
Includes
10. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Age analysis.
CPC
Damages
11. 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
6 months
60
( )
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
12. Which of the following should be a factor when selecting an outside collection agency?
Up to $500 -000 - or 1% of the practice's net worth
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Damages
Form W-4.
13. 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
Inaccurate and/or incorrect billing
Open-book
If the diagnosis makes you ask 'How did that happen?'
14. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Fair Debt Collection Practices Act
False
60
Damages
15. 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...
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
16. An act of deception used to take advantage of another person or entity is called...
Payee
Fair Debt Collection Practice Act
Check your explanation of benefits form
Fraud.
17. A health-care provider who practices under false qualifications/credentials is guilty of...
True
Liability
The code may not be used as the first code
Fraud.
18. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
HCPCS
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
The code may not be used as the first code
( )
19. Money paid as compensation as result of a lawsuit is called _______________.
Petty cash
The code may not be used as the first code
Damages
Based on the patient's reported income from the previous month.
20. In order to be considered negotiable - a check must be signed by the _______________.
False
Payer
Statement of income and expense
Petty cash
21. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Ask the physician to select a more specific code
6 months
HCPCS
Fair Debt Collection Practices Act
22. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Payee
Includes
Third party payer
6 months
23. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Inaccurate and/or incorrect billing
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
24. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Pre-certification.
Referrals
Punitive damages
25. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
False
Age analysis
HCPCS
CPC
26. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Damages
CPC
6 months
27. The ICD-9-CM convention code first underlying disease means...
Check your explanation of benefits form
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
The code may not be used as the first code
28. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
6 months
Form W-4.
Check your explanation of benefits form
Fair Debt Collection Practice Act
29. 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
Traveler's
V01-V83
Ask the physician to select a more specific code
30. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Includes
6 months
False
31. Most practices try to reduce expenses by...
[ ]
Includes
Controlling accounts payable
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
32. Prison sentences are possible consequences of...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Inaccurate and/or incorrect billing
If the diagnosis makes you ask 'How did that happen?'
Damages
33. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Includes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
$280.
True
34. National codes issued by CMS that cover many supplies and durable medical equipment are...
True
V01-V83
( )
HCPCS Level II codes
35. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Pre-certification.
Petty cash
Fraud.
36. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Up to $500 -000 - or 1% of the practice's net worth
Payer
Office supplies.
37. Which of the following is also called Public Law 95-109?
True
Liability
Liability
Fair Debt Collection Practice Act
38. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Open-book
Liability
Fair Debt Collection Practice Act
CPC
39. 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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40. The determination of the amount of money paid by a third-party payer for a procedure is...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
( )
Pre-certification.
Liability
41. 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...
Based on the patient's reported income from the previous month.
Pre-certification.
Payee
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
42. The _______________ coding system has two levels and is used for coding services for Medicare patients
True
Copayment
False
HCPCS
43. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Punitive damages
Based on the patient's reported income from the previous month.
Referrals
44. An easy way to remember when an E code is required is...
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45. The process of classifying and reviewing past-due accounts from the first date of billing is...
Disclosure
Statement of income and expense
Damages
Age analysis.
46. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Third-party
Liability
True
47. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
HCPCS Level II codes
Check your explanation of benefits form
True
Form W-4.
48. The most common disbursement is for...
60
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form
Office supplies.
49. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Payee
Truth in Lending Act
460-519
Capitated rate
50. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Ask the physician to select a more specific code
6 months
False
Payer
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