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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. Prison sentences are possible consequences of...
CPC
HCPCS Level II codes
Traveler's
Inaccurate and/or incorrect billing
2. 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?
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
Office supplies.
Open-book
Petty cash
4. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Includes
Age analysis
False
Truth in Lending Act
5. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
V01-V83
True
[ ]
6. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
7. Money paid as compensation as result of a lawsuit is called _______________.
False
6 months
Damages
False
8. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Age analysis.
False
Fraud.
Statement of income and expense
9. Which of the following should be a factor when selecting an outside collection agency?
Third party payer
False
Age analysis
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
10. The most common disbursement is for...
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Ask the physician to select a more specific code
60
11. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Voucher
Form W-4.
True
Disclosure
12. 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...
Traveler's
$280.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure
13. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Truth in Lending Act
Resources
14. 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
Damages
[ ]
Fraud.
60
15. In order to be considered negotiable - a check must be signed by the _______________.
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
$280.
Payer
16. 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.
Referrals
False
HCPCS Level II codes
Includes
17. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Age analysis
[ ]
CPC
True
18. The _______________-_______________ _______________ is the health plan that pays for medical services
Age analysis
Referrals
Includes
Third party payer
19. The person to whom the check is written is the _______________.
Petty cash
False
The code may not be used as the first code
Payee
20. 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?
21. 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
False
Payee
22. Money paid for intentionally breaking the law is called _______________ _______________.
Traveler's
Office supplies.
Payee
Punitive damages
23. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Voucher
Capitated rate
Fraud.
24. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
25. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Fraud.
V01-V83
Petty cash
False
26. The Relative Value Unit System was created to...
Capitated rate
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
[ ]
Fraud.
27. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Open-book
Voucher
Capitated rate
28. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
( )
Up to $500 -000 - or 1% of the practice's net worth
460-519
Fair Debt Collection Practice Act
29. The determination of the amount of money paid by a third-party payer for a procedure is...
Ask the physician to select a more specific code
Punitive damages
Pre-certification.
Third party payer
30. The ICD-9-CM convention code first underlying disease means...
HCPCS
The code may not be used as the first code
Controlling accounts payable
460-519
31. 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
Up to $500 -000 - or 1% of the practice's net worth
Check your explanation of benefits form
Liability
32. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
The code may not be used as the first code
Includes
Third-party
Truth in Lending Act
33. A small fee that is collected at the time of service is called a(n) _______________.
Referrals
Copayment
Check your explanation of benefits form
( )
34. 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
Office supplies.
Truth in Lending Act
Referrals
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
35. 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
Includes
True
True
36. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Liability
Fraud.
37. National codes issued by CMS that cover many supplies and durable medical equipment are...
Fair Debt Collection Practices Act
Statement of income and expense
Disclosure
HCPCS Level II codes
38. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
6 months
Up to $500 -000 - or 1% of the practice's net worth
6 months
39. 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.
Age analysis.
Up to $500 -000 - or 1% of the practice's net worth
False
HCPCS
40. 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
Age analysis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
60
Form W-4.
41. Money paid as compensation as result of a lawsuit is called _______________.
Third-party
Resources
False
Damages
42. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
False
Based on the patient's reported income from the previous month.
Age analysis.
43. Which of the following should be a factor when selecting an outside collection agency?
HCPCS Level II codes
Third party payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
44. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
The code may not be used as the first code
Based on the patient's reported income from the previous month.
Copayment
45. 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
False
Liability
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
46. In order to be considered negotiable - a check must be signed by the _______________.
Fair Debt Collection Practices Act
Controlling accounts payable
CPC
Payer
47. Eligibility for Medicaid is...
48. The ______________ is paid to the provider even if the patient receives no care
V01-V83
Includes
Capitated rate
Disclosure
49. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Third-party
$280.
Fraud.
50. An act of deception used to take advantage of another person or entity is called...
Fraud.
False
( )
Age analysis.