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Test your basic knowledge |
Medical Coding And Billing Clinical
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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. The _______________ coding system has two levels and is used for coding services for Medicare patients
Ask the physician to select a more specific code
HCPCS
Fair Debt Collection Practice Act
Payee
2. An easy way to remember when an E code is required is...
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3. Which of the following should be a factor when selecting an outside collection agency?
6 months
Copayment
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
4. 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.
Fraud.
$280.
False
Open-book
5. Most practices try to reduce expenses by...
[ ]
60
Statement of income and expense
Controlling accounts payable
6. Prison sentences are possible consequences of...
Check your explanation of benefits form
$280.
Capitated rate
Inaccurate and/or incorrect billing
7. Eligibility for Medicaid is...
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8. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Capitated rate
$280.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
9. The person to whom the check is written is the _______________.
Open-book
Damages
Capitated rate
Payee
10. Money paid as compensation as result of a lawsuit is called _______________.
460-519
Damages
Based on the patient's reported income from the previous month.
Disclosure
11. 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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12. Most practices try to reduce expenses by...
True
Voucher
Traveler's
Controlling accounts payable
13. The process of classifying and reviewing past-due accounts from the first date of billing is...
Payee
Third-party
Liability
Age analysis.
14. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Pre-certification.
( )
Punitive damages
15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
V01-V83
Copayment
Liability
16. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Check your explanation of benefits form
Payee
Fair Debt Collection Practices Act
17. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Fair Debt Collection Practice Act
Liability
Age analysis.
18. The Relative Value Unit System was created to...
Fraud.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
19. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Payer
HCPCS
Fraud.
20. The person to whom the check is written is the _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
21. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Ask the physician to select a more specific code
22. National codes issued by CMS that cover many supplies and durable medical equipment are...
Disclosure
HCPCS Level II codes
Fraud.
6 months
23. An act of deception used to take advantage of another person or entity is called...
Fraud.
$280.
Voucher
False
24. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Liability
Office supplies.
False
Third-party
25. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Truth in Lending Act
Third party payer
False
Referrals
26. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
460-519
( )
Open-book
Liability
27. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
Form W-4.
Payee
28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third party payer
460-519
Controlling accounts payable
29. 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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30. The most common disbursement is for...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book
Office supplies.
False
31. 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...
Open-book
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Form W-4.
Fair Debt Collection Practices Act
32. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Fraud.
Petty cash
Referrals
33. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Up to $500 -000 - or 1% of the practice's net worth
$280.
True
Fair Debt Collection Practice Act
34. Prison sentences are possible consequences of...
False
Inaccurate and/or incorrect billing
Damages
Petty cash
35. 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.
Up to $500 -000 - or 1% of the practice's net worth
Third-party
36. 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
Ask the physician to select a more specific code
Fair Debt Collection Practice Act
Referrals
False
37. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Third party payer
HCPCS
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519
38. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
CPC
[ ]
True
39. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
$280.
CPC
Liability
40. The determination of the amount of money paid by a third-party payer for a procedure is...
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Pre-certification.
False
41. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Disclosure
$280.
Check your explanation of benefits form
42. 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?
HCPCS Level II codes
6 months
6 months
V01-V83
43. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Punitive damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Damages
Capitated rate
44. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Third-party
460-519
Includes
Traveler's
45. 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.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Pre-certification.
Petty cash
Up to $500 -000 - or 1% of the practice's net worth
46. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Fraud.
Traveler's
Damages
47. The ICD-9-CM convention code first underlying disease means...
False
The code may not be used as the first code
60
6 months
48. The _______________-_______________ _______________ is the health plan that pays for medical services
Traveler's
460-519
Damages
Third party payer
49. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Third-party
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Capitated rate
50. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Statement of income and expense
Fraud.
Form W-4.
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