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 mandated for hourly employees by the Fair Labor Standards Act?
True
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practices Act
Ask the physician to select a more specific code

2. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
60
( )
Pre-certification.
Check your explanation of benefits form

3. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
HCPCS Level II codes
True
False
Resources

4. The process of classifying and reviewing past-due accounts from the first date of billing is...
The code may not be used as the first code
Disclosure
460-519
Age analysis.

5. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Based on the patient's reported income from the previous month.
Open-book
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure

6. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Inaccurate and/or incorrect billing
Age analysis.
Check your explanation of benefits form

7. Which of the following should be a factor when selecting an outside collection agency?
False
Capitated rate
HCPCS
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

8. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Check your explanation of benefits form
Based on the patient's reported income from the previous month.
Open-book

9. Prison sentences are possible consequences of...
False
Inaccurate and/or incorrect billing
Resources
HCPCS

10. Money paid as compensation as result of a lawsuit is called _______________.
Punitive damages
Petty cash
Damages
Truth in Lending Act

11. The number of dependents an employee is claiming is found on the
Open-book
Form W-4.
Third party payer
Third party payer

12. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
6 months
Inaccurate and/or incorrect billing
Voucher
460-519

13. Prison sentences are possible consequences of...
Petty cash
Copayment
Punitive damages
Inaccurate and/or incorrect billing

14. In order to be considered negotiable - a check must be signed by the _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Payer
Fair Debt Collection Practice Act

15. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Based on the patient's reported income from the previous month.
[ ]
Form W-4.
Traveler's

16. A health-care provider who practices under false qualifications/credentials is guilty of...
V01-V83
Fraud.
Inaccurate and/or incorrect billing
Age analysis.

17. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Controlling accounts payable
Check your explanation of benefits form
Third-party

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?

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19. 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
Statement of income and expense
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher

20. Which of the following is also called Public Law 95-109?
Inaccurate and/or incorrect billing
Disclosure
False
Fair Debt Collection Practice Act

21. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Damages
Ask the physician to select a more specific code
Statement of income and expense
Resources

22. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
False
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate

23. 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
Truth in Lending Act
Based on the patient's reported income from the previous month.
Voucher

24. 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
$280.
Capitated rate
V01-V83

25. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form
CPC
Includes

26. 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.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Pre-certification.
Up to $500 -000 - or 1% of the practice's net worth
Third-party

27. Eligibility for Medicaid is...

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28. The most common disbursement is for...
Form W-4.
Office supplies.
Truth in Lending Act
Inaccurate and/or incorrect billing

29. The ICD-9-CM convention code first underlying disease means...
Age analysis.
The code may not be used as the first code
Fair Debt Collection Practice Act
Fraud.

30. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Pre-certification.
460-519
If the diagnosis makes you ask 'How did that happen?'

31. Which of the following should be a factor when selecting an outside collection agency?
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.
460-519

32. An act of deception used to take advantage of another person or entity is called...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee
Fraud.
Form W-4.

33. An easy way to remember when an E code is required is...

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34. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
460-519
Voucher
False
V01-V83

35. 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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36. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Resources
Check your explanation of benefits form
$280.
Fair Debt Collection Practices Act

37. 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.
Petty cash
Third-party
False
460-519

38. The determination of the amount of money paid by a third-party payer for a procedure is...
Referrals
Pre-certification.
Third party payer
True

39. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practice Act

40. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Copayment
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

41. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Form W-4.
Third party payer
Voucher
$280.

42. 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...
Inaccurate and/or incorrect billing
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability
Office supplies.

43. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Office supplies.
Up to $500 -000 - or 1% of the practice's net worth
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS

44. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Up to $500 -000 - or 1% of the practice's net worth
6 months

45. Money paid as compensation as result of a lawsuit is called _______________.
Damages
60
Petty cash
Check your explanation of benefits form

46. The ______________ is paid to the provider even if the patient receives no care
Fair Debt Collection Practice Act
Capitated rate
Includes
True

47. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Capitated rate

48. The ICD-9-CM convention code first underlying disease means...
Office supplies.
Resources
The code may not be used as the first code
True

49. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
If the diagnosis makes you ask 'How did that happen?'
Voucher
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Damages

50. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Ask the physician to select a more specific code
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources