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