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. Which of the following is also called Public Law 95-109?
Liability
Fair Debt Collection Practice Act
Resources
Controlling accounts payable

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
HCPCS
$280.
HCPCS Level II codes

3. The person to whom the check is written is the _______________.
Age analysis.
Fair Debt Collection Practices Act
Payee
Office supplies.

4. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
6 months
Traveler's
Truth in Lending Act

5. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Punitive damages
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
True

6. 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.
Payee
HCPCS Level II codes
( )
Third-party

7. In order to be considered negotiable - a check must be signed by the _______________.
Payer
If the diagnosis makes you ask 'How did that happen?'
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth

8. An employer identification number is required by law from every employer for federal tax accounting purposes
6 months
Controlling accounts payable
Fair Debt Collection Practice Act
True

9. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Up to $500 -000 - or 1% of the practice's net worth
Voucher
6 months
60

10. An employer identification number is required by law from every employer for federal tax accounting purposes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
True
Liability
Disclosure

11. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
False
V01-V83
Liability

12. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
$280.
( )

13. Most practices try to reduce expenses by...
Based on the patient's reported income from the previous month.
If the diagnosis makes you ask 'How did that happen?'
Controlling accounts payable
False

14. 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.
Disclosure
Petty cash
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.

15. An act of deception used to take advantage of another person or entity is called...
Controlling accounts payable
Copayment
Fraud.
Capitated rate

16. 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

17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Traveler's
Office supplies.
Form W-4.
Disclosure

18. 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

19. Eligibility for Medicaid is...

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

20. The _______________ coding system has two levels and is used for coding services for Medicare patients
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS
Truth in Lending Act
Includes

21. 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
460-519
Copayment
Statement of income and expense
Referrals

22. National codes issued by CMS that cover many supplies and durable medical equipment are...
Resources
HCPCS Level II codes
True
Third-party

23. A small fee that is collected at the time of service is called a(n) _______________.
Includes
Voucher
60
Copayment

24. The _______________ coding system has two levels and is used for coding services for Medicare patients
60
HCPCS
Truth in Lending Act
Age analysis.

25. A small fee that is collected at the time of service is called a(n) _______________.
If the diagnosis makes you ask 'How did that happen?'
Office supplies.
Copayment
Up to $500 -000 - or 1% of the practice's net worth

26. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

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

27. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Voucher
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Based on the patient's reported income from the previous month.

28. The payment system used by Medicare is based on...
$280.
Controlling accounts payable
Resources
Fraud.

29. A health-care provider who practices under false qualifications/credentials is guilty of...
Includes
Form W-4.
Statement of income and expense
Fraud.

30. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Pre-certification.
Includes
Voucher

31. In order to be considered negotiable - a check must be signed by the _______________.
Statement of income and expense
False
Payer
60

32. The person to whom the check is written is the _______________.
Office supplies.
Copayment
Payee
Based on the patient's reported income from the previous month.

33. 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.
Ask the physician to select a more specific code
Liability
False
Age analysis

34. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Disclosure
60
Fair Debt Collection Practice Act
Age analysis

35. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Ask the physician to select a more specific code
$280.
Payer

36. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Referrals
Check your explanation of benefits form
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Voucher

37. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Damages
True
6 months

38. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Petty cash
[ ]
Third-party
Open-book

39. An act of deception used to take advantage of another person or entity is called...
Fraud.
( )
Open-book
Age analysis

40. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
460-519
True
Inaccurate and/or incorrect billing
Traveler's

41. The ______________ is paid to the provider even if the patient receives no care
Payee
Pre-certification.
False
Capitated rate

42. The most common disbursement is for...
Up to $500 -000 - or 1% of the practice's net worth
Age analysis.
Office supplies.
Payer

43. Which of the following should be a factor when selecting an outside collection agency?
Age analysis.
Traveler's
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.

44. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Copayment
[ ]
Ask the physician to select a more specific code

45. 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
Damages
Open-book
Referrals
Based on the patient's reported income from the previous month.

46. The _______________-_______________ _______________ is the health plan that pays for medical services
Statement of income and expense
Third party payer
Truth in Lending Act
Voucher

47. The most common disbursement is for...
False
Office supplies.
False
Payee

48. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
[ ]
If the diagnosis makes you ask 'How did that happen?'

49. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
Ask the physician to select a more specific code
True

50. 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
Controlling accounts payable
Fraud.
Fraud.
60