Test your basic knowledge |

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. A health-care provider who practices under false qualifications/credentials is guilty of...
6 months
Age analysis.
The code may not be used as the first code
Fraud.

2. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Ask the physician to select a more specific code
Voucher
CPC
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

3. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fraud.
( )
Fair Debt Collection Practices Act
$280.

4. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
The code may not be used as the first code
CPC
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'

5. An employer identification number is required by law from every employer for federal tax accounting purposes
Liability
Fair Debt Collection Practices Act
Voucher
True

6. Money paid as compensation as result of a lawsuit is called _______________.
Disclosure
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
Damages

7. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Liability
Check your explanation of benefits form
Payer
False

8. The payment system used by Medicare is based on...
Up to $500 -000 - or 1% of the practice's net worth
Petty cash
[ ]
Resources

9. The Relative Value Unit System was created to...
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True

10. 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...
Pre-certification.
Fraud.
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

11. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
460-519
V01-V83
Capitated rate
Includes

12. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payer
Office supplies.
Liability
Check your explanation of benefits form

13. An employer identification number is required by law from every employer for federal tax accounting purposes
Ask the physician to select a more specific code
Third-party
True
HCPCS Level II codes

14. An act of deception used to take advantage of another person or entity is called...
Statement of income and expense
Statement of income and expense
Payee
Fraud.

15. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Age analysis
Includes
460-519

16. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
$280.
Fraud.

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

18. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Ask the physician to select a more specific code
Resources
Age analysis
6 months

19. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Fraud.
CPC
Capitated rate

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

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21. 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.
Third-party
False
Petty cash
Open-book

22. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Disclosure
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

23. The process of classifying and reviewing past-due accounts from the first date of billing is...
Capitated rate
Form W-4.
Age analysis.
Pre-certification.

24. The ICD-9-CM convention code first underlying disease means...
Pre-certification.
HCPCS
The code may not be used as the first code
Third-party

25. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book
60
Check your explanation of benefits form

26. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Age analysis.
Ask the physician to select a more specific code
Controlling accounts payable

27. Prison sentences are possible consequences of...
Resources
Inaccurate and/or incorrect billing
True
Traveler's

28. The ICD-9-CM convention code first underlying disease means...
6 months
The code may not be used as the first code
Voucher
True

29. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Liability
Age analysis
Truth in Lending Act
Disclosure

30. The _______________-_______________ _______________ is the health plan that pays for medical services
HCPCS
Third party payer
Controlling accounts payable
Voucher

31. 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
CPC
Truth in Lending Act
Referrals

32. 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.
Fraud.
Truth in Lending Act
( )
Petty cash

33. The _______________ coding system has two levels and is used for coding services for Medicare patients
Resources
HCPCS
Disclosure
Punitive damages

34. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
$280.
Fair Debt Collection Practices Act
Age analysis.

35. The _______________-_______________ _______________ is the health plan that pays for medical services
( )
Third-party
Third party payer
$280.

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

37. The most common disbursement is for...
Third party payer
Inaccurate and/or incorrect billing
Office supplies.
Third-party

38. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Office supplies.
Check your explanation of benefits form
False

39. The Relative Value Unit System was created to...
Truth in Lending Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payer
Based on the patient's reported income from the previous month.

40. 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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41. 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.
[ ]
False
Copayment
Form W-4.

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

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43. Which of the following should be a factor when selecting an outside collection agency?
Voucher
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
( )

44. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
6 months
[ ]
Inaccurate and/or incorrect billing
Fraud.

45. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
False
Based on the patient's reported income from the previous month.
V01-V83
Check your explanation of benefits form

46. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
V01-V83
[ ]

47. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Copayment
Resources
Controlling accounts payable

48. The number of dependents an employee is claiming is found on the
Resources
[ ]
Truth in Lending Act
Form W-4.

49. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Traveler's
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
( )

50. National codes issued by CMS that cover many supplies and durable medical equipment are...
Check your explanation of benefits form
Disclosure
HCPCS Level II codes
Damages