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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. Most practices try to reduce expenses by...
Includes
6 months
V01-V83
Controlling accounts payable
2. The person to whom the check is written is the _______________.
True
HCPCS
Payee
Fair Debt Collection Practices Act
3. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
$280.
Voucher
HCPCS Level II codes
4. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Check your explanation of benefits form
Copayment
Damages
5. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Payer
Ask the physician to select a more specific code
Statement of income and expense
Fraud.
6. The most common disbursement is for...
Third party payer
Up to $500 -000 - or 1% of the practice's net worth
Open-book
Office supplies.
7. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
Statement of income and expense
CPC
Inaccurate and/or incorrect billing
8. In order to be considered negotiable - a check must be signed by the _______________.
$280.
True
Payer
Pre-certification.
9. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
False
Capitated rate
Resources
Fair Debt Collection Practices Act
10. The ICD-9-CM convention code first underlying disease means...
False
The code may not be used as the first code
60
Fraud.
11. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
HCPCS
Open-book
Ask the physician to select a more specific code
$280.
12. 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.
Controlling accounts payable
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Form W-4.
13. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
Fraud.
False
Resources
14. An easy way to remember when an E code is required is...
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15. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Fraud.
True
HCPCS
16. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Pre-certification.
Fair Debt Collection Practices Act
$280.
17. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third party payer
Statement of income and expense
18. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Third-party
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
HCPCS Level II codes
Fraud.
19. Money paid as compensation as result of a lawsuit is called _______________.
Punitive damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Resources
Damages
20. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fair Debt Collection Practice Act
HCPCS Level II codes
( )
Check your explanation of benefits form
21. National codes issued by CMS that cover many supplies and durable medical equipment are...
False
HCPCS Level II codes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act
22. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Check your explanation of benefits form
Voucher
True
Liability
23. Money paid for intentionally breaking the law is called _______________ _______________.
CPC
Punitive damages
Inaccurate and/or incorrect billing
False
24. The person to whom the check is written is the _______________.
Open-book
Payee
Fraud.
Traveler's
25. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Check your explanation of benefits form
Open-book
( )
Includes
26. The _______________ coding system has two levels and is used for coding services for Medicare patients
Open-book
HCPCS
Form W-4.
The code may not be used as the first code
27. The number of dependents an employee is claiming is found on the
False
Form W-4.
Third-party
If the diagnosis makes you ask 'How did that happen?'
28. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
Fraud.
29. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
False
Payee
CPC
30. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
HCPCS Level II codes
Age analysis.
Up to $500 -000 - or 1% of the practice's net worth
[ ]
31. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True
Liability
460-519
32. The payment system used by Medicare is based on...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Resources
Form W-4.
The code may not be used as the first code
33. The ICD-9-CM convention code first underlying disease means...
Age analysis.
The code may not be used as the first code
Controlling accounts payable
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
34. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
( )
Controlling accounts payable
Statement of income and expense
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?
Includes
[ ]
Check your explanation of benefits form
V01-V83
36. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Age analysis.
Capitated rate
Payer
37. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Fair Debt Collection Practices Act
[ ]
Age analysis
Check your explanation of benefits form
38. 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
Age analysis
False
False
39. 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
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
40. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Traveler's
V01-V83
Up to $500 -000 - or 1% of the practice's net worth
41. Money paid as compensation as result of a lawsuit is called _______________.
True
( )
Pre-certification.
Damages
42. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
CPC
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.
43. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Payer
Fraud.
True
False
44. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable
6 months
Third party payer
45. The _______________-_______________ _______________ is the health plan that pays for medical services
V01-V83
Open-book
Copayment
Third party payer
46. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Referrals
V01-V83
The code may not be used as the first code
47. 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
Third party payer
Statement of income and expense
Check your explanation of benefits form
48. Eligibility for Medicaid is...
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49. Which of the following should be a factor when selecting an outside collection agency?
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Pre-certification.
If the diagnosis makes you ask 'How did that happen?'
50. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Referrals
Ask the physician to select a more specific code
Third-party
Resources