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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. An act of deception used to take advantage of another person or entity is called...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payee
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
2. The _______________-_______________ _______________ is the health plan that pays for medical services
False
Third party payer
Disclosure
Age analysis.
3. An act of deception used to take advantage of another person or entity is called...
Fair Debt Collection Practices Act
Petty cash
Fraud.
Inaccurate and/or incorrect billing
4. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Controlling accounts payable
False
$280.
Fraud.
5. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Voucher
6. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Truth in Lending Act
Age analysis
Includes
False
7. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
False
HCPCS
Fraud.
Age analysis
8. 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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9. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Referrals
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
10. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Copayment
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Punitive damages
11. The determination of the amount of money paid by a third-party payer for a procedure is...
[ ]
Third-party
Pre-certification.
Voucher
12. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Petty cash
Up to $500 -000 - or 1% of the practice's net worth
Pre-certification.
13. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Office supplies.
The code may not be used as the first code
Inaccurate and/or incorrect billing
Ask the physician to select a more specific code
14. 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.
If the diagnosis makes you ask 'How did that happen?'
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Inaccurate and/or incorrect billing
False
15. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Age analysis
Voucher
Third-party
False
16. The ______________ is paid to the provider even if the patient receives no care
Up to $500 -000 - or 1% of the practice's net worth
Capitated rate
Referrals
[ ]
17. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
$280.
Ask the physician to select a more specific code
False
18. The most common disbursement is for...
460-519
Office supplies.
Based on the patient's reported income from the previous month.
Includes
19. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Check your explanation of benefits form
Referrals
Fraud.
20. 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.
Payer
Statement of income and expense
Third-party
False
21. Which of the following is also called Public Law 95-109?
Disclosure
Age analysis.
Ask the physician to select a more specific code
Fair Debt Collection Practice Act
22. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
CPC
Open-book
60
23. 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.
Check your explanation of benefits form
Form W-4.
Capitated rate
Petty cash
24. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
False
Up to $500 -000 - or 1% of the practice's net worth
Payee
25. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
False
Punitive damages
Ask the physician to select a more specific code
Open-book
26. The ICD-9-CM convention code first underlying disease means...
HCPCS Level II codes
Age analysis
If the diagnosis makes you ask 'How did that happen?'
The code may not be used as the first code
27. 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.
Check your explanation of benefits form
Fraud.
False
Fraud.
28. The number of dependents an employee is claiming is found on the
Pre-certification.
Form W-4.
The code may not be used as the first code
Open-book
29. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
If the diagnosis makes you ask 'How did that happen?'
Voucher
True
True
30. In order to be considered negotiable - a check must be signed by the _______________.
Third-party
Punitive damages
Includes
Payer
31. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Traveler's
Fair Debt Collection Practice Act
True
32. 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...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
Controlling accounts payable
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
33. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Payer
Copayment
Fraud.
True
34. An easy way to remember when an E code is required is...
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35. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Statement of income and expense
460-519
Punitive damages
Payer
36. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Damages
Disclosure
False
False
37. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Third party payer
( )
Pre-certification.
6 months
38. Prison sentences are possible consequences of...
Up to $500 -000 - or 1% of the practice's net worth
$280.
Punitive damages
Inaccurate and/or incorrect billing
39. An employer identification number is required by law from every employer for federal tax accounting purposes
Check your explanation of benefits form
True
Up to $500 -000 - or 1% of the practice's net worth
Referrals
40. The person to whom the check is written is the _______________.
Payee
V01-V83
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
41. The _______________ coding system has two levels and is used for coding services for Medicare patients
60
Petty cash
Up to $500 -000 - or 1% of the practice's net worth
HCPCS
42. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Fraud.
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
43. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
460-519
Pre-certification.
Up to $500 -000 - or 1% of the practice's net worth
44. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
V01-V83
Form W-4.
Damages
45. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practices Act
$280.
46. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Office supplies.
False
CPC
Up to $500 -000 - or 1% of the practice's net worth
47. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
Resources
The code may not be used as the first code
48. In order to be considered negotiable - a check must be signed by the _______________.
Resources
Third party payer
Payer
Controlling accounts payable
49. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Form W-4.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
If the diagnosis makes you ask 'How did that happen?'
50. 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
Punitive damages
Fraud.