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. 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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2. 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
6 months
True
Form W-4.


3. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fair Debt Collection Practice Act
False
HCPCS
Age analysis.


4. National codes issued by CMS that cover many supplies and durable medical equipment are...
Fair Debt Collection Practices Act
HCPCS Level II codes
Controlling accounts payable
Office supplies.


5. A small fee that is collected at the time of service is called a(n) _______________.
Capitated rate
Includes
Copayment
Referrals


6. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Third-party
[ ]
Office supplies.
Statement of income and expense


7. Money paid for intentionally breaking the law is called _______________ _______________.
Based on the patient's reported income from the previous month.
6 months
Punitive damages
HCPCS Level II codes


8. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
False
Controlling accounts payable
Pre-certification.


9. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
60
Ask the physician to select a more specific code
CPC
Age analysis.


10. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Liability
Based on the patient's reported income from the previous month.
Punitive damages
( )


11. The _______________-_______________ _______________ is the health plan that pays for medical services
Fraud.
False
[ ]
Third party payer


12. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Open-book
Disclosure
Copayment
CPC


13. An act of deception used to take advantage of another person or entity is called...
Includes
Fraud.
$280.
Petty cash


14. The payment system used by Medicare is based on...
Inaccurate and/or incorrect billing
Resources
Ask the physician to select a more specific code
Fraud.


15. Some insurers will not pay a claim unless it is filed within ________ of the date of service
460-519
Age analysis.
Third party payer
6 months


16. Money paid as compensation as result of a lawsuit is called _______________.
Check your explanation of benefits form
Damages
Referrals
Age analysis


17. 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
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Referrals
Fair Debt Collection Practice Act
False


18. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
CPC
Liability
Third-party


19. 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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20. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Third-party
Controlling accounts payable
Disclosure
6 months


21. The most common disbursement is for...
Includes
Office supplies.
HCPCS
Disclosure


22. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
HCPCS


23. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Third party payer


24. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
The code may not be used as the first code
Voucher
Controlling accounts payable


25. 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?
Controlling accounts payable
False
6 months
V01-V83


26. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Petty cash
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
CPC


27. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
$280.
Fair Debt Collection Practices Act
Payer
[ ]


28. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
HCPCS
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis


29. Money paid as compensation as result of a lawsuit is called _______________.
Office supplies.
60
Damages
Payer


30. 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.
$280.
Open-book


31. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
HCPCS Level II codes
Age analysis.
Punitive damages


32. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Age analysis
60
CPC


33. The number of dependents an employee is claiming is found on the
Damages
Form W-4.
Third party payer
False


34. An employer identification number is required by law from every employer for federal tax accounting purposes
Pre-certification.
True
Payer
False


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

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37. A health-care provider who practices under false qualifications/credentials is guilty of...
Pre-certification.
460-519
Fraud.
Capitated rate


38. Which of the following should be a factor when selecting an outside collection agency?
Damages
Age analysis.
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


39. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Check your explanation of benefits form
Office supplies.
False
True


40. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Office supplies.
False
$280.
Fair Debt Collection Practices Act


41. 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.
Age analysis
The code may not be used as the first code
Age analysis
Petty cash


42. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Resources
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable


43. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
460-519
The code may not be used as the first code


44. 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...
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
True


45. 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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46. 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
Payee
Payee
Disclosure
Open-book


47. 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.
Liability
Capitated rate
False
[ ]


48. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
True
[ ]
Fraud.


49. Eligibility for Medicaid is...

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50. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
$280.
460-519
Open-book
Includes