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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. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Liability
$280.
Third-party
Payee
2. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Up to $500 -000 - or 1% of the practice's net worth
Liability
If the diagnosis makes you ask 'How did that happen?'
3. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Capitated rate
[ ]
True
4. 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.
True
False
Fair Debt Collection Practices Act
Third-party
5. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
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6. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Includes
True
Check your explanation of benefits form
Traveler's
7. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
V01-V83
Copayment
Fair Debt Collection Practices Act
False
8. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Age analysis.
Truth in Lending Act
Liability
Fair Debt Collection Practice Act
9. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Inaccurate and/or incorrect billing
Liability
[ ]
HCPCS
10. In order to be considered negotiable - a check must be signed by the _______________.
Capitated rate
Payer
Office supplies.
Form W-4.
11. 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...
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Ask the physician to select a more specific code
The code may not be used as the first code
12. The process of classifying and reviewing past-due accounts from the first date of billing is...
$280.
Age analysis.
HCPCS
True
13. 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
Payer
Referrals
Damages
Pre-certification.
14. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Voucher
Resources
Voucher
15. 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
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.
16. Money paid for intentionally breaking the law is called _______________ _______________.
Liability
Punitive damages
False
Pre-certification.
17. Eligibility for Medicaid is...
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18. An easy way to remember when an E code is required is...
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19. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
$280.
( )
Ask the physician to select a more specific code
Fair Debt Collection Practices Act
20. 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...
$280.
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
21. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
True
Includes
Third party payer
22. Which of the following should be a factor when selecting an outside collection agency?
Resources
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Capitated rate
Payee
23. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Fair Debt Collection Practices Act
V01-V83
Office supplies.
24. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes
Disclosure
False
25. 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.
If the diagnosis makes you ask 'How did that happen?'
[ ]
Petty cash
Includes
26. An act of deception used to take advantage of another person or entity is called...
Statement of income and expense
6 months
Fair Debt Collection Practice Act
Fraud.
27. 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
Includes
Pre-certification.
False
28. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Payer
60
Check your explanation of benefits form
29. Most practices try to reduce expenses by...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Inaccurate and/or incorrect billing
Controlling accounts payable
Form W-4.
30. The Relative Value Unit System was created to...
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Truth in Lending Act
31. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Punitive damages
[ ]
False
Traveler's
32. 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
Referrals
True
False
33. The payment system used by Medicare is based on...
Form W-4.
Liability
Resources
460-519
34. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Truth in Lending Act
If the diagnosis makes you ask 'How did that happen?'
Age analysis
35. Money paid for intentionally breaking the law is called _______________ _______________.
Fair Debt Collection Practices Act
Fair Debt Collection Practices Act
Copayment
Punitive damages
36. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Fair Debt Collection Practice Act
Fair Debt Collection Practices Act
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
37. The number of dependents an employee is claiming is found on the
460-519
Form W-4.
Disclosure
6 months
38. 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.
True
60
39. 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
Pre-certification.
Open-book
$280.
Damages
40. In order to be considered negotiable - a check must be signed by the _______________.
HCPCS
60
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer
41. 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.
Petty cash
Inaccurate and/or incorrect billing
Check your explanation of benefits form
Open-book
42. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Statement of income and expense
False
Resources
43. The determination of the amount of money paid by a third-party payer for a procedure is...
Third-party
Pre-certification.
Voucher
Fraud.
44. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
6 months
Damages
Open-book
45. 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
Office supplies.
False
460-519
46. An act of deception used to take advantage of another person or entity is called...
Controlling accounts payable
Fraud.
HCPCS Level II codes
True
47. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Traveler's
6 months
HCPCS
Fraud.
48. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Inaccurate and/or incorrect billing
False
Third-party
49. Which of the following is also called Public Law 95-109?
V01-V83
60
Open-book
Fair Debt Collection Practice Act
50. National codes issued by CMS that cover many supplies and durable medical equipment are...
$280.
If the diagnosis makes you ask 'How did that happen?'
HCPCS Level II codes
6 months