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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. 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
Check your explanation of benefits form
HCPCS
Statement of income and expense
Open-book
2. 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.
Statement of income and expense
True
$280.
False
3. Some insurers will not pay a claim unless it is filed within ________ of the date of service
V01-V83
Punitive damages
6 months
HCPCS
4. Prison sentences are possible consequences of...
460-519
Inaccurate and/or incorrect billing
The code may not be used as the first code
Liability
5. The Relative Value Unit System was created to...
Disclosure
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
[ ]
6. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Third-party
Fair Debt Collection Practices Act
[ ]
Petty cash
7. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payee
True
8. In order to be considered negotiable - a check must be signed by the _______________.
Payer
( )
Ask the physician to select a more specific code
Fraud.
9. 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
Statement of income and expense
$280.
Pre-certification.
10. 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.
[ ]
Traveler's
Fair Debt Collection Practice Act
Third-party
11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
Disclosure
True
Payer
12. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Truth in Lending Act
Check your explanation of benefits form
False
Liability
13. The determination of the amount of money paid by a third-party payer for a procedure is...
Payer
Fraud.
Pre-certification.
Payee
14. 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.
Payer
$280.
False
Third-party
15. The person to whom the check is written is the _______________.
Office supplies.
Payee
Includes
Capitated rate
16. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
V01-V83
$280.
Voucher
Traveler's
17. Which of the following should be a factor when selecting an outside collection agency?
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
Damages
If the diagnosis makes you ask 'How did that happen?'
18. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Age analysis.
Office supplies.
Capitated rate
19. The process of classifying and reviewing past-due accounts from the first date of billing is...
Based on the patient's reported income from the previous month.
Form W-4.
Age analysis.
Includes
20. 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...
( )
Voucher
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
21. The determination of the amount of money paid by a third-party payer for a procedure is...
Office supplies.
Pre-certification.
True
Damages
22. An employer identification number is required by law from every employer for federal tax accounting purposes
HCPCS
Includes
True
$280.
23. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act
False
Age analysis.
24. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Traveler's
Third-party
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
25. 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.
Truth in Lending Act
Disclosure
$280.
Petty cash
26. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
Liability
Truth in Lending Act
27. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Fraud.
Disclosure
( )
28. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
6 months
Third party payer
29. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
False
Age analysis
Age analysis.
30. An act of deception used to take advantage of another person or entity is called...
Fraud.
Check your explanation of benefits form
Punitive damages
Third-party
31. Most practices try to reduce expenses by...
Truth in Lending Act
Liability
Fraud.
Controlling accounts payable
32. The process of classifying and reviewing past-due accounts from the first date of billing is...
( )
HCPCS
Based on the patient's reported income from the previous month.
Age analysis.
33. 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.
True
Traveler's
Capitated rate
Petty cash
34. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
CPC
Payee
Controlling accounts payable
35. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Up to $500 -000 - or 1% of the practice's net worth
CPC
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
36. Which of the following should be a factor when selecting an outside collection agency?
HCPCS
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Ask the physician to select a more specific code
37. National codes issued by CMS that cover many supplies and durable medical equipment are...
Traveler's
60
Fair Debt Collection Practice Act
HCPCS Level II codes
38. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
[ ]
CPC
If the diagnosis makes you ask 'How did that happen?'
39. Prison sentences are possible consequences of...
Based on the patient's reported income from the previous month.
Inaccurate and/or incorrect billing
Includes
Capitated rate
40. 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
Third party payer
Punitive damages
Age analysis
60
41. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
HCPCS Level II codes
Liability
460-519
Referrals
42. 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
Fair Debt Collection Practices Act
Referrals
6 months
Petty cash
43. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Payee
Check your explanation of benefits form
Copayment
[ ]
44. The ICD-9-CM convention code first underlying disease means...
Office supplies.
The code may not be used as the first code
CPC
HCPCS
45. A small fee that is collected at the time of service is called a(n) _______________.
Up to $500 -000 - or 1% of the practice's net worth
Payee
Copayment
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
46. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Payer
HCPCS Level II codes
False
47. A small fee that is collected at the time of service is called a(n) _______________.
Includes
Fraud.
Truth in Lending Act
Copayment
48. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
60
The code may not be used as the first code
Fraud.
Ask the physician to select a more specific code
49. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Open-book
Check your explanation of benefits form
6 months
Fraud.
50. Eligibility for Medicaid is...