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) _______________.
60
Copayment
460-519
Payer

2. 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.
Ask the physician to select a more specific code
Inaccurate and/or incorrect billing
Third-party
Payer

3. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
Age analysis
True
$280.

4. The person to whom the check is written is the _______________.
The code may not be used as the first code
CPC
6 months
Payee

5. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Open-book
HCPCS Level II codes
460-519
True

6. An act of deception used to take advantage of another person or entity is called...
Punitive damages
Controlling accounts payable
Fraud.
Inaccurate and/or incorrect billing

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?
Age analysis.
V01-V83
Traveler's
Pre-certification.

8. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Punitive damages
True
Voucher
460-519

9. The person to whom the check is written is the _______________.
Payee
Office supplies.
Statement of income and expense
Age analysis

10. An employer identification number is required by law from every employer for federal tax accounting purposes
False
True
Resources
Includes

11. 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.
Third-party
6 months
Referrals
True

12. The most common disbursement is for...
Controlling accounts payable
Office supplies.
60
CPC

13. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
460-519
Fraud.
V01-V83

14. Prison sentences are possible consequences of...
( )
Payer
Check your explanation of benefits form
Inaccurate and/or incorrect billing

15. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
If the diagnosis makes you ask 'How did that happen?'
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

16. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Truth in Lending Act
False
Payer

17. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
6 months
Truth in Lending Act
( )
Punitive damages

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

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19. 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?
Age analysis.
Statement of income and expense
V01-V83
False

20. 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
Liability
Third party payer
60
Referrals

21. Prison sentences are possible consequences of...
60
6 months
Inaccurate and/or incorrect billing
( )

22. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act
True

23. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Liability

24. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Open-book
Liability
Referrals
Fraud.

25. The most common disbursement is for...
Inaccurate and/or incorrect billing
True
Office supplies.
6 months

26. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
6 months
False
( )

27. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Up to $500 -000 - or 1% of the practice's net worth
60
Statement of income and expense

28. Money paid as compensation as result of a lawsuit is called _______________.
Traveler's
Fraud.
False
Damages

29. An act of deception used to take advantage of another person or entity is called...
460-519
Fair Debt Collection Practice Act
Fraud.
True

30. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Inaccurate and/or incorrect billing
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practice Act

31. 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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32. 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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33. Eligibility for Medicaid is...

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34. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Damages
Petty cash
Based on the patient's reported income from the previous month.

35. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
False
Voucher
Fair Debt Collection Practices Act

36. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Payee
True
Copayment
False

37. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Ask the physician to select a more specific code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519

38. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis
Voucher
Age analysis.
False

39. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Includes
Capitated rate
HCPCS

40. 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
CPC
Third-party
460-519
Referrals

41. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Truth in Lending Act
Disclosure
Voucher
Traveler's

42. Which of the following should be a factor when selecting an outside collection agency?
60
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
Age analysis

43. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Age analysis
HCPCS
Office supplies.

44. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
6 months
False
Payee
Up to $500 -000 - or 1% of the practice's net worth

45. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
6 months
The code may not be used as the first code
Up to $500 -000 - or 1% of the practice's net worth

46. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Controlling accounts payable
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Third party payer

47. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Copayment
Up to $500 -000 - or 1% of the practice's net worth
Capitated rate

48. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
True
Ask the physician to select a more specific code
Inaccurate and/or incorrect billing
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

49. Money paid for intentionally breaking the law is called _______________ _______________.
The code may not be used as the first code
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Punitive damages

50. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Age analysis.
Up to $500 -000 - or 1% of the practice's net worth