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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. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Traveler's
False
Resources
2. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Based on the patient's reported income from the previous month.
Check your explanation of benefits form
Truth in Lending Act
Resources
3. 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
Capitated rate
Open-book
Resources
True
4. 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
60
Check your explanation of benefits form
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Referrals
5. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
HCPCS Level II codes
Voucher
Pre-certification.
Open-book
6. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Form W-4.
60
( )
[ ]
7. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Referrals
Third party payer
Fraud.
8. Money paid for intentionally breaking the law is called _______________ _______________.
Includes
Punitive damages
HCPCS
The code may not be used as the first code
9. The payment system used by Medicare is based on...
6 months
Resources
Fraud.
False
10. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Referrals
Payee
HCPCS
11. 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
[ ]
460-519
Up to $500 -000 - or 1% of the practice's net worth
12. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Age analysis
Resources
Check your explanation of benefits form
13. 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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14. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Pre-certification.
Includes
Capitated rate
15. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
6 months
Payer
Statement of income and expense
Fair Debt Collection Practices Act
16. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
V01-V83
Ask the physician to select a more specific code
Payer
17. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Liability
True
Third party payer
CPC
18. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
True
True
The code may not be used as the first code
Disclosure
19. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
HCPCS Level II codes
Ask the physician to select a more specific code
Age analysis
Controlling accounts payable
20. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Third-party
Copayment
HCPCS
21. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
( )
Office supplies.
Pre-certification.
CPC
22. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fair Debt Collection Practices Act
True
23. The most common disbursement is for...
Includes
Fraud.
Office supplies.
False
24. 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
False
Truth in Lending Act
Truth in Lending Act
25. Which of the following should be a factor when selecting an outside collection agency?
Inaccurate and/or incorrect billing
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.
26. An act of deception used to take advantage of another person or entity is called...
Based on the patient's reported income from the previous month.
Damages
Includes
Fraud.
27. The number of dependents an employee is claiming is found on the
If the diagnosis makes you ask 'How did that happen?'
Fraud.
Age analysis.
Form W-4.
28. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
460-519
Third-party
Payer
29. Prison sentences are possible consequences of...
Capitated rate
Disclosure
Fraud.
Inaccurate and/or incorrect billing
30. Which of the following should be a factor when selecting an outside collection agency?
False
Damages
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
31. An easy way to remember when an E code is required is...
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32. 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
Damages
The code may not be used as the first code
[ ]
33. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment
HCPCS
34. The number of dependents an employee is claiming is found on the
Age analysis.
Disclosure
Form W-4.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
35. Eligibility for Medicaid is...
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36. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Fraud.
60
Based on the patient's reported income from the previous month.
37. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Truth in Lending Act
$280.
Punitive damages
Controlling accounts payable
38. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Third-party
Age analysis.
HCPCS Level II codes
39. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Based on the patient's reported income from the previous month.
Resources
The code may not be used as the first code
40. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
True
[ ]
Age analysis
Voucher
41. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
42. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Punitive damages
Includes
[ ]
( )
43. 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.
Petty cash
False
Third-party
Payee
44. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Age analysis
Truth in Lending Act
Payer
Payer
45. National codes issued by CMS that cover many supplies and durable medical equipment are...
Pre-certification.
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes
Fair Debt Collection Practices Act
46. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Fraud.
Payee
Ask the physician to select a more specific code
( )
47. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Third-party
Pre-certification.
$280.
48. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
$280.
Age analysis
460-519
CPC
49. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
False
Based on the patient's reported income from the previous month.
Check your explanation of benefits form
The code may not be used as the first code
50. The ICD-9-CM convention code first underlying disease means...
True
The code may not be used as the first code
Capitated rate
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
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