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. The Relative Value Unit System was created to...
The code may not be used as the first code
Disclosure
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.

2. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.
True
Liability

3. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Payer
True
Referrals
False

4. The person to whom the check is written is the _______________.
Payee
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability

5. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Fraud.
Office supplies.
V01-V83

6. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Copayment
Form W-4.
Referrals
Includes

7. 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
Voucher
Payee
The code may not be used as the first code
60

8. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
6 months
True
460-519
Truth in Lending Act

9. Eligibility for Medicaid is...

10. 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.
Resources
Damages
Open-book
False

11. The payment system used by Medicare is based on...
Disclosure
Resources
HCPCS Level II codes
Liability

12. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Open-book
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable
False

13. 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
60
Up to $500 -000 - or 1% of the practice's net worth
True

14. The Relative Value Unit System was created to...
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
Check your explanation of benefits form

15. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Fraud.
$280.
460-519
Third-party

16. Prison sentences are possible consequences of...
Based on the patient's reported income from the previous month.
Office supplies.
Includes
Inaccurate and/or incorrect billing

17. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Liability
Office supplies.
Age analysis
V01-V83

18. Which of the following should be a factor when selecting an outside collection agency?
Open-book
Pre-certification.
Third-party
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

19. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Open-book
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practices Act

20. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Age analysis.
6 months
Referrals

21. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Third party payer
Controlling accounts payable
Fair Debt Collection Practice Act

22. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Form W-4.
CPC
Includes
True

23. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
HCPCS
Check your explanation of benefits form
Petty cash
Open-book

24. The _______________-_______________ _______________ is the health plan that pays for medical services
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third party payer
Fraud.
Age analysis

25. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
60
Office supplies.
Capitated rate

26. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
CPC
False
V01-V83

27. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Payee
Liability
HCPCS Level II codes
True

28. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Based on the patient's reported income from the previous month.
Fair Debt Collection Practices Act
Liability

29. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis
$280.
Disclosure
Third-party

30. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
[ ]

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

32. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
False
Punitive damages
Check your explanation of benefits form

33. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Voucher
Fraud.
True
[ ]

34. 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.
Punitive damages
Fair Debt Collection Practices Act
Damages
Petty cash

35. 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?
$280.
If the diagnosis makes you ask 'How did that happen?'
V01-V83
Age analysis.

36. Eligibility for Medicaid is...

37. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Petty cash
Controlling accounts payable
Check your explanation of benefits form

38. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
$280.
Pre-certification.
Truth in Lending Act
Disclosure

39. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
V01-V83
460-519
Voucher

40. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
CPC
Office supplies.
CPC
Check your explanation of benefits form

41. An act of deception used to take advantage of another person or entity is called...
Fraud.
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?'
Includes

42. An employer identification number is required by law from every employer for federal tax accounting purposes
False
False
True
$280.

43. A small fee that is collected at the time of service is called a(n) _______________.
True
Fair Debt Collection Practice Act
Copayment
Payee

44. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Age analysis
Based on the patient's reported income from the previous month.
True
Includes

45. The most common disbursement is for...
Check your explanation of benefits form
Fraud.
Office supplies.
Damages

46. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Capitated rate
Payee
HCPCS
Ask the physician to select a more specific code

47. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Age analysis
Payee
If the diagnosis makes you ask 'How did that happen?'

48. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Third party payer
Form W-4.
( )
Third-party

49. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Age analysis.
Disclosure
Based on the patient's reported income from the previous month.
Fraud.

50. The payment system used by Medicare is based on...
Capitated rate
Damages
Resources
True