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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. 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
Payee
If the diagnosis makes you ask 'How did that happen?'
Referrals
2. 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...
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Office supplies.
3. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
CPC
[ ]
Office supplies.
4. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Form W-4.
Includes
60
Open-book
5. 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
$280.
True
Open-book
Traveler's
6. The most common disbursement is for...
Office supplies.
Pre-certification.
Payer
Fair Debt Collection Practices Act
7. Money paid as compensation as result of a lawsuit is called _______________.
Check your explanation of benefits form
( )
HCPCS
Damages
8. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Based on the patient's reported income from the previous month.
Traveler's
False
9. The most common disbursement is for...
Truth in Lending Act
Includes
Office supplies.
False
10. A small fee that is collected at the time of service is called a(n) _______________.
Statement of income and expense
Copayment
Ask the physician to select a more specific code
6 months
11. The number of dependents an employee is claiming is found on the
V01-V83
True
Form W-4.
Age analysis
12. Eligibility for Medicaid is...
13. The person to whom the check is written is the _______________.
If the diagnosis makes you ask 'How did that happen?'
Payee
Open-book
Inaccurate and/or incorrect billing
14. 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.
Check your explanation of benefits form
[ ]
Third-party
Punitive damages
15. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
460-519
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act
Controlling accounts payable
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.
False
Fraud.
Ask the physician to select a more specific code
Capitated rate
17. Money paid as compensation as result of a lawsuit is called _______________.
Petty cash
Fraud.
Third-party
Damages
18. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Age analysis.
False
Truth in Lending Act
19. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
HCPCS
If the diagnosis makes you ask 'How did that happen?'
Form W-4.
20. 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
Based on the patient's reported income from the previous month.
True
( )
21. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
False
Check your explanation of benefits form
True
CPC
22. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Third-party
Form W-4.
False
Damages
23. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Disclosure
( )
Traveler's
Payee
24. In order to be considered negotiable - a check must be signed by the _______________.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer
Liability
Fraud.
25. Most practices try to reduce expenses by...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Controlling accounts payable
Referrals
60
26. An easy way to remember when an E code is required is...
27. National codes issued by CMS that cover many supplies and durable medical equipment are...
Payee
Payer
Check your explanation of benefits form
HCPCS Level II codes
28. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Form W-4.
$280.
Damages
60
29. Most practices try to reduce expenses by...
Statement of income and expense
( )
Controlling accounts payable
60
30. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
( )
Petty cash
False
31. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
Includes
Liability
32. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
60
Fair Debt Collection Practice Act
$280.
33. Money paid for intentionally breaking the law is called _______________ _______________.
Office supplies.
Punitive damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Age analysis.
34. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Liability
False
If the diagnosis makes you ask 'How did that happen?'
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?
36. An employer identification number is required by law from every employer for federal tax accounting purposes
Based on the patient's reported income from the previous month.
Petty cash
True
Resources
37. Prison sentences are possible consequences of...
Age analysis.
Check your explanation of benefits form
Inaccurate and/or incorrect billing
Controlling accounts payable
38. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Check your explanation of benefits form
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act
Voucher
39. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Fair Debt Collection Practice Act
Age analysis
Third-party
HCPCS
40. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Copayment
Fair Debt Collection Practice Act
Statement of income and expense
41. The determination of the amount of money paid by a third-party payer for a procedure is...
The code may not be used as the first code
Third party payer
Payee
Pre-certification.
42. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Voucher
Fraud.
HCPCS
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
43. A small fee that is collected at the time of service is called a(n) _______________.
Fair Debt Collection Practices Act
Copayment
Age analysis
Up to $500 -000 - or 1% of the practice's net worth
44. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Ask the physician to select a more specific code
$280.
Check your explanation of benefits form
Form W-4.
45. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
46. 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.
Pre-certification.
Petty cash
Fraud.
Based on the patient's reported income from the previous month.
47. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Ask the physician to select a more specific code
Statement of income and expense
V01-V83
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
False
CPC
Fraud.
49. A health-care provider who practices under false qualifications/credentials is guilty of...
False
CPC
Fraud.
True
50. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Third-party
Voucher
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