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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 use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Statement of income and expense
HCPCS
[ ]
Voucher
2. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Resources
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Third-party
Ask the physician to select a more specific code
3. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
460-519
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practices Act
HCPCS
4. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Age analysis
Inaccurate and/or incorrect billing
V01-V83
( )
5. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Controlling accounts payable
Check your explanation of benefits form
True
Up to $500 -000 - or 1% of the practice's net worth
6. 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.
Age analysis.
Petty cash
Fair Debt Collection Practice Act
Includes
7. The payment system used by Medicare is based on...
Resources
Pre-certification.
Payer
Truth in Lending Act
8. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Resources
Capitated rate
Includes
9. An act of deception used to take advantage of another person or entity is called...
Payer
Fraud.
[ ]
6 months
10. The ______________ is paid to the provider even if the patient receives no care
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
Capitated rate
Age analysis.
11. Eligibility for Medicaid is...
12. An easy way to remember when an E code is required is...
13. The person to whom the check is written is the _______________.
Payee
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
Pre-certification.
14. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
HCPCS
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Open-book
HCPCS Level II codes
15. The _______________-_______________ _______________ is the health plan that pays for medical services
If the diagnosis makes you ask 'How did that happen?'
Inaccurate and/or incorrect billing
Pre-certification.
Third party payer
16. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
Up to $500 -000 - or 1% of the practice's net worth
( )
( )
17. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
18. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
False
Statement of income and expense
Third-party
Form W-4.
19. The determination of the amount of money paid by a third-party payer for a procedure is...
Damages
CPC
460-519
Pre-certification.
20. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Includes
Fair Debt Collection Practices Act
Inaccurate and/or incorrect billing
21. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Age analysis
Payee
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
22. National codes issued by CMS that cover many supplies and durable medical equipment are...
CPC
Form W-4.
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
23. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
HCPCS
Age analysis
Payee
False
24. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Includes
Fraud.
Statement of income and expense
Fraud.
25. Prison sentences are possible consequences of...
Ask the physician to select a more specific code
If the diagnosis makes you ask 'How did that happen?'
Inaccurate and/or incorrect billing
( )
26. The ______________ is paid to the provider even if the patient receives no care
( )
Capitated rate
Pre-certification.
If the diagnosis makes you ask 'How did that happen?'
27. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Statement of income and expense
Fair Debt Collection Practices Act
Age analysis
Office supplies.
28. The number of dependents an employee is claiming is found on the
False
Fair Debt Collection Practices Act
Form W-4.
Up to $500 -000 - or 1% of the practice's net worth
29. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Fraud.
Inaccurate and/or incorrect billing
False
30. Money paid for intentionally breaking the law is called _______________ _______________.
False
Includes
Damages
Punitive damages
31. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
HCPCS Level II codes
Resources
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
32. 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.
Disclosure
Fraud.
Based on the patient's reported income from the previous month.
False
33. Prison sentences are possible consequences of...
True
Traveler's
Inaccurate and/or incorrect billing
Fraud.
34. In order to be considered negotiable - a check must be signed by the _______________.
Traveler's
Petty cash
Payer
Copayment
35. A small fee that is collected at the time of service is called a(n) _______________.
Age analysis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
36. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Statement of income and expense
Disclosure
Form W-4.
[ ]
37. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Check your explanation of benefits form
False
460-519
38. The ICD-9-CM convention code first underlying disease means...
Fraud.
The code may not be used as the first code
False
Third-party
39. 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
Third party payer
CPC
Referrals
Truth in Lending Act
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
60
Based on the patient's reported income from the previous month.
Disclosure
False
41. The _______________-_______________ _______________ is the health plan that pays for medical services
Fraud.
Third party payer
Age analysis.
Office supplies.
42. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Third party payer
Fair Debt Collection Practice Act
Traveler's
False
43. 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
60
Fraud.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practice Act
44. Money paid as compensation as result of a lawsuit is called _______________.
Capitated rate
Damages
HCPCS Level II codes
Fraud.
45. The _______________ coding system has two levels and is used for coding services for Medicare patients
Controlling accounts payable
Up to $500 -000 - or 1% of the practice's net worth
HCPCS
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
46. The number of dependents an employee is claiming is found on the
Truth in Lending Act
Referrals
60
Form W-4.
47. The payment system used by Medicare is based on...
Resources
False
True
Fraud.
48. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
True
HCPCS Level II codes
[ ]
Voucher
49. 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
Third party payer
Truth in Lending Act
Copayment
50. 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
Open-book
$280.
Resources