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. The Relative Value Unit System was created to...
Traveler's
Form W-4.
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


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


3. The determination of the amount of money paid by a third-party payer for a procedure is...
Third-party
Pre-certification.
Copayment
Capitated rate


4. 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.
6 months
Includes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party


5. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Age analysis.
Copayment
CPC


6. 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
Ask the physician to select a more specific code
460-519
Open-book


7. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
False
Third party payer
HCPCS Level II codes


8. Most practices try to reduce expenses by...
460-519
True
Controlling accounts payable
Form W-4.


9. 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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10. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Statement of income and expense
( )
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


11. Which of the following should be a factor when selecting an outside collection agency?
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
Open-book
6 months


12. 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
60
Fair Debt Collection Practice Act


13. The most common disbursement is for...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payer
Check your explanation of benefits form
Office supplies.


14. Eligibility for Medicaid is...

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15. An easy way to remember when an E code is required is...

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16. Prison sentences are possible consequences of...
Traveler's
CPC
Inaccurate and/or incorrect billing
Damages


17. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
True
Based on the patient's reported income from the previous month.
False


18. 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.
Resources
True
False
Payer


19. The most common disbursement is for...
If the diagnosis makes you ask 'How did that happen?'
Inaccurate and/or incorrect billing
False
Office supplies.


20. A small fee that is collected at the time of service is called a(n) _______________.
Resources
Copayment
False
Age analysis


21. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Inaccurate and/or incorrect billing
False
Age analysis


22. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Copayment
V01-V83
False
Voucher


23. An easy way to remember when an E code is required is...

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24. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
[ ]
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate


25. 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.
Third-party
Age analysis.
HCPCS Level II codes
If the diagnosis makes you ask 'How did that happen?'


26. Prison sentences are possible consequences of...
Fair Debt Collection Practices Act
$280.
Inaccurate and/or incorrect billing
False


27. 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.
Includes
Petty cash
HCPCS
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.


28. Money paid for intentionally breaking the law is called _______________ _______________.
Up to $500 -000 - or 1% of the practice's net worth
CPC
Punitive damages
False


29. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Based on the patient's reported income from the previous month.
False
Pre-certification.
Includes


30. In order to be considered negotiable - a check must be signed by the _______________.
Based on the patient's reported income from the previous month.
Payer
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act


31. An employer identification number is required by law from every employer for federal tax accounting purposes
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
True
Age analysis


32. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Check your explanation of benefits form
V01-V83
Fair Debt Collection Practice Act


33. Which of the following is also called Public Law 95-109?
Based on the patient's reported income from the previous month.
Fair Debt Collection Practice Act
False
[ ]


34. The number of dependents an employee is claiming is found on the
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
If the diagnosis makes you ask 'How did that happen?'
Petty cash
Form W-4.


35. 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?
False
Copayment
True
V01-V83


36. 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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37. The person to whom the check is written is the _______________.
HCPCS
Payee
Third-party
Payer


38. The ______________ is paid to the provider even if the patient receives no care
[ ]
False
Liability
Capitated rate


39. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Liability
6 months
True
( )


40. The number of dependents an employee is claiming is found on the
Voucher
Form W-4.
Fraud.
Disclosure


41. 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
Third party payer
Open-book
Fraud.
( )


42. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Disclosure
HCPCS Level II codes
[ ]
False


43. Some insurers will not pay a claim unless it is filed within ________ of the date of service
True
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
6 months


44. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Includes
Up to $500 -000 - or 1% of the practice's net worth
Voucher
Check your explanation of benefits form


45. 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
Up to $500 -000 - or 1% of the practice's net worth
$280.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


46. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Age analysis.
Statement of income and expense
False
If the diagnosis makes you ask 'How did that happen?'


47. 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.
$280.
Petty cash
False
HCPCS


48. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Check your explanation of benefits form
Referrals
Open-book


49. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Petty cash
60
Check your explanation of benefits form
Fraud.


50. Money paid as compensation as result of a lawsuit is called _______________.
Copayment
Includes
Third party payer
Damages