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. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Voucher
Punitive damages
Liability

2. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Third party payer
Fraud.
Damages
Fair Debt Collection Practices Act

3. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Form W-4.
Includes
HCPCS

4. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Controlling accounts payable
Includes
Inaccurate and/or incorrect billing
60

5. The number of dependents an employee is claiming is found on the
Inaccurate and/or incorrect billing
Based on the patient's reported income from the previous month.
Form W-4.
Disclosure

6. An employer identification number is required by law from every employer for federal tax accounting purposes
[ ]
HCPCS
Fair Debt Collection Practice Act
True

7. 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?
Payer
Third party payer
V01-V83
Petty cash

8. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Statement of income and expense
Third-party
Petty cash
True

9. The determination of the amount of money paid by a third-party payer for a procedure is...
60
Pre-certification.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

10. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Fraud.
Damages
False
Disclosure

11. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
6 months
60
CPC
460-519

12. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Age analysis
Third party payer
Ask the physician to select a more specific code
460-519

13. 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
[ ]
True
HCPCS Level II codes

14. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Referrals
Includes
Liability
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

15. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
60
Fair Debt Collection Practice Act
Resources

16. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Check your explanation of benefits form
Punitive damages
Liability
Age analysis.

17. National codes issued by CMS that cover many supplies and durable medical equipment are...
Fraud.
HCPCS Level II codes
Pre-certification.
If the diagnosis makes you ask 'How did that happen?'

18. 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...
6 months
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate

19. In order to be considered negotiable - a check must be signed by the _______________.
Referrals
Capitated rate
Payer
Age analysis.

20. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Copayment
HCPCS Level II codes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
True

21. The _______________-_______________ _______________ is the health plan that pays for medical services
The code may not be used as the first code
Third party payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Punitive damages

22. 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.
If the diagnosis makes you ask 'How did that happen?'
Third-party
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Controlling accounts payable

23. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Truth in Lending Act
Open-book
False
Age analysis.

24. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

25. An act of deception used to take advantage of another person or entity is called...
Inaccurate and/or incorrect billing
Petty cash
Fraud.
Includes

26. 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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27. The ICD-9-CM convention code first underlying disease means...
Fraud.
Ask the physician to select a more specific code
60
The code may not be used as the first code

28. Most practices try to reduce expenses by...
Controlling accounts payable
Capitated rate
Office supplies.
V01-V83

29. 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
Punitive damages
460-519
HCPCS Level II codes

30. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Liability
Fraud.
Payer

31. 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
CPC
60
Disclosure
Up to $500 -000 - or 1% of the practice's net worth

32. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
False
Voucher
Age analysis.

33. A health-care provider who practices under false qualifications/credentials is guilty of...
Check your explanation of benefits form
False
Voucher
Fraud.

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.
Petty cash
Damages
Fair Debt Collection Practices Act
True

35. Money paid for intentionally breaking the law is called _______________ _______________.
Payee
Payer
Punitive damages
Open-book

36. The person to whom the check is written is the _______________.
HCPCS
Liability
Payee
False

37. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
The code may not be used as the first code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
[ ]
False

38. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Office supplies.
6 months
Payer

39. The ______________ is paid to the provider even if the patient receives no care
The code may not be used as the first code
Disclosure
Capitated rate
Statement of income and expense

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
Copayment
False
V01-V83
60

41. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fraud.
Age analysis
False
Check your explanation of benefits form

42. Money paid as compensation as result of a lawsuit is called _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Damages
Petty cash
Statement of income and expense

43. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Check your explanation of benefits form
Check your explanation of benefits form
Third party payer

44. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Voucher
Third-party

45. 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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46. In order to be considered negotiable - a check must be signed by the _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]
Payer
False

47. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Age analysis.
$280.
460-519
Liability

48. Some insurers will not pay a claim unless it is filed within ________ of the date of service
60
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'
6 months

49. The ICD-9-CM convention code first underlying disease means...
60
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Referrals
The code may not be used as the first code

50. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
V01-V83
Third party payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fair Debt Collection Practices Act