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