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. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Voucher
False
False
Check your explanation of benefits form

2. 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
Referrals
6 months
Office supplies.
Ask the physician to select a more specific code

3. 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?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

4. The process of classifying and reviewing past-due accounts from the first date of billing is...
Referrals
Truth in Lending Act
Age analysis.
[ ]

5. A health-care provider who practices under false qualifications/credentials is guilty of...
Statement of income and expense
Fraud.
Voucher
Third party payer

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

7. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
HCPCS
460-519
Statement of income and expense
Fair Debt Collection Practices Act

8. The Relative Value Unit System was created to...
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Includes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

9. 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...
Form W-4.
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payer

10. A small fee that is collected at the time of service is called a(n) _______________.
Inaccurate and/or incorrect billing
Statement of income and expense
Fair Debt Collection Practice Act
Copayment

11. The person to whom the check is written is the _______________.
Truth in Lending Act
False
Payee
If the diagnosis makes you ask 'How did that happen?'

12. The ______________ is paid to the provider even if the patient receives no care
Check your explanation of benefits form
Up to $500 -000 - or 1% of the practice's net worth
Age analysis.
Capitated rate

13. The payment system used by Medicare is based on...
Payee
CPC
( )
Resources

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

15. The most common disbursement is for...
Office supplies.
Capitated rate
The code may not be used as the first code
Form W-4.

16. 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
Referrals
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages

17. The determination of the amount of money paid by a third-party payer for a procedure is...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Pre-certification.
Payee
Liability

18. An act of deception used to take advantage of another person or entity is called...
6 months
Copayment
Fraud.
Office supplies.

19. Money paid for intentionally breaking the law is called _______________ _______________.
Liability
Punitive damages
Open-book
Up to $500 -000 - or 1% of the practice's net worth

20. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
$280.
Voucher
Referrals
CPC

21. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
HCPCS
Age analysis
Liability
Petty cash

22. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Fraud.
Form W-4.
False
Based on the patient's reported income from the previous month.

23. 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
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Capitated rate
Includes
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes

25. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Third party payer
Fair Debt Collection Practices Act
HCPCS Level II codes
Statement of income and expense

26. The _______________-_______________ _______________ is the health plan that pays for medical services
Fair Debt Collection Practices Act
Third party payer
Open-book
Check your explanation of benefits form

27. The most common disbursement is for...
Capitated rate
Office supplies.
Resources
If the diagnosis makes you ask 'How did that happen?'

28. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
V01-V83
60
Disclosure
60

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?
Age analysis
Punitive damages
False
V01-V83

30. Eligibility for Medicaid is...

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

31. 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
If the diagnosis makes you ask 'How did that happen?'
Open-book
HCPCS Level II codes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

32. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
False
False
Includes

33. Some insurers will not pay a claim unless it is filed within ________ of the date of service
The code may not be used as the first code
Fair Debt Collection Practice Act
6 months
Fraud.

34. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
True
Referrals
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

35. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
Controlling accounts payable
Age analysis
Fair Debt Collection Practice Act

36. The ______________ is paid to the provider even if the patient receives no care
Voucher
Capitated rate
Damages
Open-book

37. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
CPC
Based on the patient's reported income from the previous month.
6 months

38. 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?
False
Age analysis.
Copayment
V01-V83

39. Most practices try to reduce expenses by...
Form W-4.
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable
Ask the physician to select a more specific code

40. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Form W-4.
Check your explanation of benefits form
Inaccurate and/or incorrect billing

41. 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
Voucher
Third-party
Ask the physician to select a more specific code
Open-book

42. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Traveler's
Statement of income and expense
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

43. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Up to $500 -000 - or 1% of the practice's net worth
60
True
Check your explanation of benefits form

44. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS Level II codes
False
Ask the physician to select a more specific code

45. 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.
Voucher
Punitive damages
60
False

46. An employer identification number is required by law from every employer for federal tax accounting purposes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Up to $500 -000 - or 1% of the practice's net worth
True
Traveler's

47. Prison sentences are possible consequences of...
Check your explanation of benefits form
6 months
Damages
Inaccurate and/or incorrect billing

48. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Inaccurate and/or incorrect billing
Inaccurate and/or incorrect billing
CPC
460-519

49. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
60

50. 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...
Fraud.
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate

Can you answer 50 questions in 15 minutes?

Major Subjects
Tests & Exams AP CLEP DSST GRE SAT GMAT	Certifications CISSP go to https://www.isc2.org/ PMP ITIL RHCE MCTS More...	IT Skills Android Programming Data Modeling Objective C Programming Basic Python Programming Adobe Illustrator More...	Business Skills Advertising Techniques Business Accounting Basics Business Strategy Human Resource Management Marketing Basics More...
Soft Skills Body Language People Skills Public Speaking Persuasion Job Hunting And Resumes More...	Vocabulary GRE Vocab SAT Vocab TOEFL Essential Vocab Basic English Words For All Global Words You Should Know Business English More...	Languages AP German Vocab AP Latin Vocab SAT Subject Test: French Italian Survival Norwegian Survival More...	Engineering Audio Engineering Computer Science Engineering Aerospace Engineering Chemical Engineering Structural Engineering More...
Health Sciences Basic Nursing Skills Health Science Language Fundamentals Veterinary Technology Medical Language Cardiology Clinical Surgery More...	English Grammar Fundamentals Literary And Rhetorical Vocab Elements Of Style Vocab Introduction To English Major Complete Advanced Sentences Literature Homonyms More...	Math Algebra Formulas Basic Arithmetic: Measurements Metric Conversions Geometric Properties Important Math Facts Number Sense Vocab Business Math More...	Other Major Subjects Science Economics History Law Performing-arts Cooking Logic & Reasoning Trivia

Test your basic knowledge |

Medical Coding And Billing Clinical

Can you answer 50 questions in 15 minutes?

Let me suggest you:

Browse all subjects

Browse all tests

Most popular tests

Major Subjects

Tests & Exams

Certifications

IT Skills

Business Skills

Soft Skills

Vocabulary

Languages

Engineering

Health Sciences

English

Math

Other Major Subjects

Browse all subjects

Browse all tests

Most popular tests