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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. An act of deception used to take advantage of another person or entity is called...
False
Open-book
( )
Fraud.
2. 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.
Inaccurate and/or incorrect billing
False
Pre-certification.
The code may not be used as the first code
3. The payment system used by Medicare is based on...
Third-party
( )
Resources
Office supplies.
4. 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
[ ]
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
60
5. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Form W-4.
False
Truth in Lending Act
6. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Damages
False
Includes
CPC
7. The Relative Value Unit System was created to...
False
Fair Debt Collection Practices Act
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
8. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
False
[ ]
Third party payer
9. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
True
V01-V83
CPC
Includes
10. 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
Ask the physician to select a more specific code
Resources
460-519
11. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
[ ]
12. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Copayment
Voucher
Based on the patient's reported income from the previous month.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
13. 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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14. The ______________ is paid to the provider even if the patient receives no care
Ask the physician to select a more specific code
Capitated rate
Payer
Truth in Lending Act
15. Money paid as compensation as result of a lawsuit is called _______________.
Punitive damages
Includes
Damages
6 months
16. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
V01-V83
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS Level II codes
17. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
False
Fraud.
True
18. 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
Includes
HCPCS
19. Most practices try to reduce expenses by...
Payee
Truth in Lending Act
Open-book
Controlling accounts payable
20. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Copayment
$280.
Voucher
Fair Debt Collection Practice Act
21. 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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22. The number of dependents an employee is claiming is found on the
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Form W-4.
6 months
HCPCS Level II codes
23. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Form W-4.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
24. The most common disbursement is for...
Office supplies.
Fair Debt Collection Practice Act
False
Based on the patient's reported income from the previous month.
25. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Fair Debt Collection Practice Act
True
Referrals
26. An employer identification number is required by law from every employer for federal tax accounting purposes
Truth in Lending Act
Includes
Traveler's
True
27. 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.
Fraud.
HCPCS Level II codes
60
Petty cash
28. The payment system used by Medicare is based on...
Liability
CPC
Fraud.
Resources
29. 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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183
30. 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?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis
V01-V83
Capitated rate
31. Which of the following should be a factor when selecting an outside collection agency?
$280.
( )
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.
32. Most practices try to reduce expenses by...
Third party payer
Controlling accounts payable
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
33. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
True
Statement of income and expense
Ask the physician to select a more specific code
Disclosure
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
Third party payer
Referrals
Payee
Inaccurate and/or incorrect billing
35. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
[ ]
Damages
Copayment
36. An easy way to remember when an E code is required is...
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37. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
( )
Fraud.
( )
38. A health-care provider who practices under false qualifications/credentials is guilty of...
Third party payer
Fraud.
Includes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
39. 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
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Truth in Lending Act
40. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Punitive damages
Payer
True
Disclosure
41. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
[ ]
42. In order to be considered negotiable - a check must be signed by the _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
True
Age analysis.
Payer
43. 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
Open-book
44. 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
Resources
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
45. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Fraud.
Fraud.
Check your explanation of benefits form
Includes
46. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
HCPCS
460-519
( )
47. 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?
V01-V83
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Third party payer
Office supplies.
48. 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...
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
49. The _______________-_______________ _______________ is the health plan that pays for medical services
Payee
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third party payer
50. 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.
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Third-party
Pre-certification.
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