Test your basic knowledge |

Medical Coding And Billing Clinical

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. 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
Inaccurate and/or incorrect billing
Check your explanation of benefits form
60
HCPCS Level II codes

2. The payment system used by Medicare is based on...
Payee
Age analysis
V01-V83
Resources

3. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Payer
False
60

4. The Relative Value Unit System was created to...
Fair Debt Collection Practices Act
$280.
Third-party
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

5. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
6 months
Open-book
460-519
Truth in Lending Act

6. The most common disbursement is for...
Capitated rate
Includes
Damages
Office supplies.

7. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
The code may not be used as the first code
Fraud.
Inaccurate and/or incorrect billing
Disclosure

8. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Payer
The code may not be used as the first code
[ ]
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

9. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

10. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Referrals
HCPCS
CPC

11. In order to be considered negotiable - a check must be signed by the _______________.
Referrals
Payer
Age analysis
False

12. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash
Disclosure
Payee

13. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Damages

14. The _______________-_______________ _______________ is the health plan that pays for medical services
V01-V83
Damages
Damages
Third party payer

15. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Includes
False
If the diagnosis makes you ask 'How did that happen?'
Pre-certification.

16. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
HCPCS
Capitated rate
60

17. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Punitive damages
Inaccurate and/or incorrect billing
( )
[ ]

18. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Based on the patient's reported income from the previous month.
Controlling accounts payable
True

19. 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
The code may not be used as the first code
Resources
CPC
60

20. An easy way to remember when an E code is required is...

21. The person to whom the check is written is the _______________.
Copayment
Controlling accounts payable
Payee
V01-V83

22. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Based on the patient's reported income from the previous month.
HCPCS
False
Statement of income and expense

23. The payment system used by Medicare is based on...
Office supplies.
Resources
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

24. An act of deception used to take advantage of another person or entity is called...
Fraud.
Voucher
Liability
Age analysis

25. The process of classifying and reviewing past-due accounts from the first date of billing is...
Fair Debt Collection Practices Act
Age analysis.
Statement of income and expense
Resources

26. 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
False
HCPCS
Includes

27. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS
Check your explanation of benefits form
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

28. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Traveler's
Truth in Lending Act
Resources
60

29. In order to be considered negotiable - a check must be signed by the _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Punitive damages
Payer
True

30. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Traveler's
Third-party
( )
Ask the physician to select a more specific code

31. 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.
Fair Debt Collection Practices Act
Liability
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

32. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Third-party
Capitated rate
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

33. The process of classifying and reviewing past-due accounts from the first date of billing is...
Traveler's
Open-book
60
Age analysis.

34. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Office supplies.
False
460-519
Petty cash

35. 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?
Ask the physician to select a more specific code
V01-V83
False
HCPCS Level II codes

36. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Form W-4.
Referrals
V01-V83

37. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Fair Debt Collection Practices Act
Payer
Referrals

38. The Relative Value Unit System was created to...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

39. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Office supplies.
False
Age analysis

40. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
False
460-519
Fair Debt Collection Practices Act

41. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Payee
Open-book
Damages
CPC

42. 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
Up to $500 -000 - or 1% of the practice's net worth

43. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
6 months
Age analysis
Statement of income and expense
The code may not be used as the first code

44. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Age analysis
False
Check your explanation of benefits form
Fair Debt Collection Practices Act

45. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Traveler's
Office supplies.
$280.
Includes

46. 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?

47. The ICD-9-CM convention code first underlying disease means...
Capitated rate
False
The code may not be used as the first code
CPC

48. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
False
( )
6 months
[ ]

49. The most common disbursement is for...
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
The code may not be used as the first code

50. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
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