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
Controlling accounts payable
False
60
Office supplies.

2. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Payee
( )
Disclosure

3. 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
Disclosure
False
False

4. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Form W-4.
Payer
False
460-519

5. 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?

6. Which of the following should be a factor when selecting an outside collection agency?
Payer
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher

7. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fraud.
Fraud.
Form W-4.
Disclosure

8. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Age analysis
Voucher
Third party payer
Copayment

9. 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.
Fraud.
Based on the patient's reported income from the previous month.
Third-party
True

10. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
V01-V83
Check your explanation of benefits form
Inaccurate and/or incorrect billing
False

11. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Payer
60
Statement of income and expense
Traveler's

12. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
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
Fraud.

13. The _______________ coding system has two levels and is used for coding services for Medicare patients
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
Check your explanation of benefits form

14. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Disclosure
Check your explanation of benefits form
Payee

15. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Fraud.
Voucher
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

16. In order to be considered negotiable - a check must be signed by the _______________.
Payee
Payer
CPC
Open-book

17. An act of deception used to take advantage of another person or entity is called...
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
False
Truth in Lending Act

18. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Pre-certification.
[ ]
Third-party
Truth in Lending Act

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

20. Money paid as compensation as result of a lawsuit is called _______________.
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
The code may not be used as the first code
Damages

21. The ______________ is paid to the provider even if the patient receives no care
Form W-4.
Capitated rate
6 months
Check your explanation of benefits form

22. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Disclosure
The code may not be used as the first code
Age analysis
V01-V83

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

24. The number of dependents an employee is claiming is found on the
Pre-certification.
Fraud.
Controlling accounts payable
Form W-4.

25. The process of classifying and reviewing past-due accounts from the first date of billing is...
If the diagnosis makes you ask 'How did that happen?'
Age analysis.
( )
Liability

26. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
False
Voucher
False

27. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fair Debt Collection Practice Act
False
Fraud.
CPC

28. The most common disbursement is for...
Fair Debt Collection Practice Act
Office supplies.
Form W-4.
460-519

29. Money paid as compensation as result of a lawsuit is called _______________.
( )
Copayment
Damages
Ask the physician to select a more specific code

30. Eligibility for Medicaid is...

31. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
Truth in Lending Act
[ ]

32. 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.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash
Age analysis.
Check your explanation of benefits form

33. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
False
Age analysis
Third-party

34. Money paid for intentionally breaking the law is called _______________ _______________.
Payer
Inaccurate and/or incorrect billing
Punitive damages
CPC

35. 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
False
Petty cash
Controlling accounts payable
Open-book

36. 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?

37. A small fee that is collected at the time of service is called a(n) _______________.
[ ]
60
Referrals
Copayment

38. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Fraud.
Liability
CPC
True

39. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
[ ]
Fair Debt Collection Practice Act
CPC

40. 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.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS
False
Petty cash

41. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Truth in Lending Act
Capitated rate
The code may not be used as the first code

42. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Third-party
Third party payer
False

43. The payment system used by Medicare is based on...
False
Voucher
Resources
$280.

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

45. The person to whom the check is written is the _______________.
60
Third party payer
Petty cash
Payee

46. Most practices try to reduce expenses by...
Up to $500 -000 - or 1% of the practice's net worth
False
Controlling accounts payable
Resources

47. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
True
Fraud.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

48. Eligibility for Medicaid is...

49. The most common disbursement is for...
Fair Debt Collection Practices Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Controlling accounts payable
Office supplies.

50. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
6 months
The code may not be used as the first code
Referrals