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Test your basic knowledge |
Medical Coding And Billing Clinical
Start Test
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 law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
If the diagnosis makes you ask 'How did that happen?'
Third-party
False
The code may not be used as the first code
2. The payment system used by Medicare is based on...
CPC
$280.
Fair Debt Collection Practice Act
Resources
3. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Payee
Check your explanation of benefits form
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
4. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Damages
$280.
( )
Copayment
5. 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
The code may not be used as the first code
Form W-4.
[ ]
6. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Traveler's
False
False
Disclosure
7. Money paid as compensation as result of a lawsuit is called _______________.
Resources
Referrals
Fraud.
Damages
8. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Pre-certification.
Punitive damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
9. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Pre-certification.
Fair Debt Collection Practices Act
The code may not be used as the first code
Copayment
10. The payment system used by Medicare is based on...
Includes
Resources
Fair Debt Collection Practice Act
[ ]
11. 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?
V01-V83
Fair Debt Collection Practice Act
Age analysis
Copayment
12. 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
Fraud.
False
V01-V83
13. 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.
Fraud.
Open-book
Petty cash
Payer
14. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Liability
Truth in Lending Act
Damages
15. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
Ask the physician to select a more specific code
Fair Debt Collection Practices Act
16. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Payee
HCPCS
[ ]
17. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Form W-4.
460-519
Referrals
18. 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
60
Controlling accounts payable
Traveler's
Age analysis.
19. The person to whom the check is written is the _______________.
Damages
Payee
Check your explanation of benefits form
6 months
20. The ______________ is paid to the provider even if the patient receives no care
Fraud.
Statement of income and expense
Capitated rate
Fraud.
21. In order to be considered negotiable - a check must be signed by the _______________.
Up to $500 -000 - or 1% of the practice's net worth
Resources
Payer
If the diagnosis makes you ask 'How did that happen?'
22. In order to be considered negotiable - a check must be signed by the _______________.
Payer
Controlling accounts payable
Office supplies.
Fair Debt Collection Practice Act
23. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
CPC
( )
Age analysis
Fair Debt Collection Practices Act
24. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
60
Fraud.
Third party payer
( )
25. Most practices try to reduce expenses by...
Statement of income and expense
60
False
Controlling accounts payable
26. The most common disbursement is for...
Office supplies.
Pre-certification.
Traveler's
Disclosure
27. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Age analysis.
False
Referrals
Disclosure
28. An easy way to remember when an E code is required is...
29. The _______________ coding system has two levels and is used for coding services for Medicare patients
Payer
Ask the physician to select a more specific code
Ask the physician to select a more specific code
HCPCS
30. Money paid for intentionally breaking the law is called _______________ _______________.
Voucher
Office supplies.
Punitive damages
False
31. 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.
Up to $500 -000 - or 1% of the practice's net worth
V01-V83
Third-party
Fair Debt Collection Practice Act
32. An employer identification number is required by law from every employer for federal tax accounting purposes
Up to $500 -000 - or 1% of the practice's net worth
Voucher
True
False
33. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Liability
Voucher
Payer
Age analysis.
34. 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...
True
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
Third-party
35. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
True
Punitive damages
Fair Debt Collection Practice Act
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
HCPCS
Disclosure
Referrals
Fraud.
37. 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...
Controlling accounts payable
Disclosure
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
38. The Relative Value Unit System was created to...
HCPCS Level II codes
Fair Debt Collection Practice Act
Payee
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
39. The most common disbursement is for...
Voucher
$280.
V01-V83
Office supplies.
40. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
HCPCS Level II codes
Fair Debt Collection Practice Act
Resources
Includes
41. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
42. 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.
Resources
Open-book
Petty cash
Open-book
43. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Referrals
Fair Debt Collection Practices Act
$280.
44. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Check your explanation of benefits form
Third party payer
If the diagnosis makes you ask 'How did that happen?'
45. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
The code may not be used as the first code
Ask the physician to select a more specific code
Age analysis
46. A small fee that is collected at the time of service is called a(n) _______________.
Third party payer
Copayment
6 months
460-519
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.
Fraud.
HCPCS Level II codes
False
Age analysis
48. The _______________-_______________ _______________ is the health plan that pays for medical services
Includes
Third party payer
Controlling accounts payable
( )
49. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Statement of income and expense
460-519
Form W-4.
Includes
50. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Based on the patient's reported income from the previous month.
Ask the physician to select a more specific code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Up to $500 -000 - or 1% of the practice's net worth