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Medical Coding And Billing Clinical

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. 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.
False
Based on the patient's reported income from the previous month.

2. Prison sentences are possible consequences of...
Based on the patient's reported income from the previous month.
Referrals
Third party payer
Inaccurate and/or incorrect billing

3. The most common disbursement is for...
Office supplies.
Capitated rate
True
Copayment

4. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
V01-V83
Payee
Ask the physician to select a more specific code
CPC

5. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Truth in Lending Act
Office supplies.
The code may not be used as the first code

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?
Office supplies.
Form W-4.
Fair Debt Collection Practice Act
V01-V83

7. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Pre-certification.
Fraud.
Voucher

8. Eligibility for Medicaid is...

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9. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Capitated rate
HCPCS
Statement of income and expense

10. A small fee that is collected at the time of service is called a(n) _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Copayment
$280.
Damages

11. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Age analysis
Payee
False

12. The _______________ coding system has two levels and is used for coding services for Medicare patients
Controlling accounts payable
Check your explanation of benefits form
HCPCS
Pre-certification.

13. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
True
[ ]
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Truth in Lending Act

14. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Office supplies.
False
The code may not be used as the first code
Truth in Lending Act

15. 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
Resources
HCPCS
Office supplies.

16. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Fair Debt Collection Practices Act
Age analysis
Voucher
Traveler's

17. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Punitive damages
False
Petty cash
Capitated rate

18. The payment system used by Medicare is based on...
Petty cash
Resources
Check your explanation of benefits form
Referrals

19. 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
Resources
Referrals
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Capitated rate

20. 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.
HCPCS
Petty cash
True
Fraud.

21. The most common disbursement is for...
False
Office supplies.
460-519
Statement of income and expense

22. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
False
6 months
Third party payer
Age analysis

23. Money paid for intentionally breaking the law is called _______________ _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS Level II codes
Punitive damages
False

24. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Ask the physician to select a more specific code
HCPCS Level II codes
$280.
[ ]

25. Most practices try to reduce expenses by...
Controlling accounts payable
Liability
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

26. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
[ ]
$280.
HCPCS Level II codes

27. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
( )
True
Third party payer

28. Money paid as compensation as result of a lawsuit is called _______________.
CPC
Controlling accounts payable
Damages
Fraud.

29. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Based on the patient's reported income from the previous month.
CPC
HCPCS Level II codes
6 months

30. 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?
Form W-4.
Age analysis
V01-V83
6 months

31. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
6 months
Statement of income and expense
Open-book
Check your explanation of benefits form

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

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33. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Up to $500 -000 - or 1% of the practice's net worth
Includes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Open-book

34. The ______________ is paid to the provider even if the patient receives no care
False
Capitated rate
Ask the physician to select a more specific code
6 months

35. The Relative Value Unit System was created to...
The code may not be used as the first code
Voucher
Punitive damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

36. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Third party payer
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

37. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
V01-V83
Referrals
Fair Debt Collection Practices Act

38. The determination of the amount of money paid by a third-party payer for a procedure is...
Open-book
Controlling accounts payable
Pre-certification.
Check your explanation of benefits form

39. The person to whom the check is written is the _______________.
Fraud.
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payee

40. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Damages
Check your explanation of benefits form
Liability
Voucher

41. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Controlling accounts payable
Fraud.
Fair Debt Collection Practices Act

42. 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.
Payer
Petty cash
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act

43. 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.
Copayment
$280.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False

44. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
6 months
HCPCS
True
HCPCS Level II codes

45. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
HCPCS
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes
Damages

46. 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
Controlling accounts payable
Open-book
Fraud.

47. Eligibility for Medicaid is...

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48. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Open-book
Punitive damages
Voucher

49. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Open-book
$280.
Statement of income and expense
Inaccurate and/or incorrect billing

50. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Third party payer
6 months
The code may not be used as the first code
False

Can you answer 50 questions in 15 minutes?

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Medical Coding And Billing Clinical

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