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. 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. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Petty cash
Traveler's
Payee

3. 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.
Inaccurate and/or incorrect billing
6 months
Form W-4.
Petty cash

4. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Check your explanation of benefits form
Punitive damages
6 months
True

5. 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.
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practices Act
Petty cash
Referrals

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

7. 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.
Traveler's
False
Payee
Pre-certification.

8. Money paid as compensation as result of a lawsuit is called _______________.
Fraud.
Damages
Ask the physician to select a more specific code
Inaccurate and/or incorrect billing

9. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Third party payer
Voucher
Fraud.
HCPCS Level II codes

10. Eligibility for Medicaid is...

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11. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
If the diagnosis makes you ask 'How did that happen?'
Petty cash
Fair Debt Collection Practices Act
Statement of income and expense

12. A small fee that is collected at the time of service is called a(n) _______________.
Disclosure
Third-party
Check your explanation of benefits form
Copayment

13. An act of deception used to take advantage of another person or entity is called...
[ ]
Referrals
Check your explanation of benefits form
Fraud.

14. The number of dependents an employee is claiming is found on the
Form W-4.
Controlling accounts payable
Controlling accounts payable
Up to $500 -000 - or 1% of the practice's net worth

15. In order to be considered negotiable - a check must be signed by the _______________.
Payer
V01-V83
Damages
Liability

16. The most common disbursement is for...
Age analysis
Age analysis.
Inaccurate and/or incorrect billing
Office supplies.

17. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payer
Fraud.
False
Liability

18. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Traveler's
False
Statement of income and expense

19. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
Resources
Fraud.
Open-book

20. The most common disbursement is for...
Truth in Lending Act
Traveler's
False
Office supplies.

21. Which of the following is also called Public Law 95-109?
Open-book
Form W-4.
Fair Debt Collection Practice Act
6 months

22. The _______________-_______________ _______________ is the health plan that pays for medical services
Punitive damages
Age analysis.
Copayment
Third party payer

23. 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?
Inaccurate and/or incorrect billing
Payer
V01-V83
Check your explanation of benefits form

24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
True
False
Payer
Includes

25. 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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26. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Referrals
Includes
If the diagnosis makes you ask 'How did that happen?'

27. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Open-book
CPC
[ ]
Liability

28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519
Payer

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
Form W-4.
Disclosure
60

30. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
[ ]
Voucher
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

31. National codes issued by CMS that cover many supplies and durable medical equipment are...
6 months
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS Level II codes

32. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
$280.
[ ]
6 months
False

33. 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
Inaccurate and/or incorrect billing
Referrals
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

34. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
HCPCS Level II codes
Liability
Ask the physician to select a more specific code
Payer

35. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Payee
Fair Debt Collection Practice Act
Form W-4.

36. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Office supplies.
Check your explanation of benefits form
Controlling accounts payable
False

37. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Statement of income and expense
( )
False
Based on the patient's reported income from the previous month.

38. 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...
HCPCS
Capitated rate
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

39. The person to whom the check is written is the _______________.
Payee
Inaccurate and/or incorrect billing
V01-V83
Age analysis

40. The payment system used by Medicare is based on...
Controlling accounts payable
Up to $500 -000 - or 1% of the practice's net worth
The code may not be used as the first code
Resources

41. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Punitive damages
True
[ ]
Ask the physician to select a more specific code

42. Most practices try to reduce expenses by...
HCPCS Level II codes
Controlling accounts payable
$280.
Third-party

43. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
V01-V83
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
( )

44. Eligibility for Medicaid is...

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45. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Truth in Lending Act
V01-V83
Statement of income and expense

46. 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.
6 months
HCPCS Level II codes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

47. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Inaccurate and/or incorrect billing
Liability
CPC
$280.

48. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Statement of income and expense
Form W-4.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
$280.

49. Money paid for intentionally breaking the law is called _______________ _______________.
Voucher
Punitive damages
Fair Debt Collection Practices Act
Payer

50. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Fair Debt Collection Practices Act
False
( )
Based on the patient's reported income from the previous month.