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. 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
Open-book
Voucher
False


2. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Punitive damages
460-519
Office supplies.
HCPCS Level II codes


3. The person to whom the check is written is the _______________.
Liability
Payee
Controlling accounts payable
Age analysis.


4. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Controlling accounts payable
Truth in Lending Act
Referrals
Voucher


5. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Petty cash
V01-V83
False
Payer


6. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Payer
Resources
Fair Debt Collection Practice Act


7. 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
Liability
Inaccurate and/or incorrect billing
Fraud.


8. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Fraud.
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


9. A health-care provider who practices under false qualifications/credentials is guilty of...
Office supplies.
CPC
Fraud.
True


10. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
The code may not be used as the first code
Form W-4.
Petty cash


11. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Office supplies.
If the diagnosis makes you ask 'How did that happen?'
The code may not be used as the first code
Check your explanation of benefits form


12. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Traveler's
Fraud.
HCPCS Level II codes


13. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
True
HCPCS
False
Includes


14. A small fee that is collected at the time of service is called a(n) _______________.
6 months
Copayment
460-519
False


15. The most common disbursement is for...
Office supplies.
6 months
Payer
Third-party


16. The determination of the amount of money paid by a third-party payer for a procedure is...
Age analysis.
Referrals
Pre-certification.
Payee


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.
Petty cash
6 months
Up to $500 -000 - or 1% of the practice's net worth
Fraud.


18. Which of the following should be a factor when selecting an outside collection agency?
Controlling accounts payable
Open-book
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


19. 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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20. 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.
Liability
False
Third-party
HCPCS Level II codes


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

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22. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act
Damages
Controlling accounts payable


23. The ICD-9-CM convention code first underlying disease means...
Capitated rate
( )
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
The code may not be used as the first code


24. A health-care provider who practices under false qualifications/credentials is guilty of...
Open-book
Fraud.
Fair Debt Collection Practices Act
Resources


25. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Includes
CPC
Based on the patient's reported income from the previous month.
Disclosure


26. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
60
Punitive damages
( )
Voucher


27. 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...
Up to $500 -000 - or 1% of the practice's net worth
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Form W-4.
[ ]


28. The person to whom the check is written is the _______________.
HCPCS
Payee
Statement of income and expense
False


29. The payment system used by Medicare is based on...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
Office supplies.
Resources


30. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
$280.
False
Statement of income and expense
Disclosure


31. Eligibility for Medicaid is...

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32. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
The code may not be used as the first code
Form W-4.
Liability
HCPCS


33. An employer identification number is required by law from every employer for federal tax accounting purposes
Pre-certification.
True
If the diagnosis makes you ask 'How did that happen?'
Referrals


34. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Fraud.
Fair Debt Collection Practice Act
[ ]
False


35. 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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36. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Open-book
Includes
Resources


37. The ICD-9-CM convention code first underlying disease means...
Fraud.
Office supplies.
The code may not be used as the first code
Resources


38. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
Office supplies.


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

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40. Eligibility for Medicaid is...

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41. 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
Based on the patient's reported income from the previous month.
False
Referrals
[ ]


42. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Pre-certification.
Open-book
Truth in Lending Act
Punitive damages


43. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Petty cash
True
Voucher
( )


44. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Fraud.
460-519
Statement of income and expense


45. In order to be considered negotiable - a check must be signed by the _______________.
Damages
Payer
Resources
Age analysis.


46. The _______________ coding system has two levels and is used for coding services for Medicare patients
Liability
Up to $500 -000 - or 1% of the practice's net worth
HCPCS
CPC


47. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
Referrals
460-519


48. The number of dependents an employee is claiming is found on the
Age analysis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
Form W-4.


49. 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
Pre-certification.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher


50. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fraud.
False
Form W-4.
Inaccurate and/or incorrect billing