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. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
( )
CPC
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

2. The Relative Value Unit System was created to...
Voucher
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
CPC

3. An act of deception used to take advantage of another person or entity is called...
Payee
Form W-4.
Fraud.
Open-book

4. 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
Copayment
Fraud.
Payer

5. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
False
Payee
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

6. The determination of the amount of money paid by a third-party payer for a procedure is...
Includes
Pre-certification.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

7. National codes issued by CMS that cover many supplies and durable medical equipment are...
Office supplies.
60
HCPCS Level II codes
6 months

8. Which of the following is also called Public Law 95-109?
False
Fair Debt Collection Practice Act
60
Office supplies.

9. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
The code may not be used as the first code
Traveler's

10. Eligibility for Medicaid is...

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

11. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
( )
Includes
Punitive damages
Payer

12. 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
Referrals
Fraud.
True
Based on the patient's reported income from the previous month.

13. 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
Check your explanation of benefits form
6 months
HCPCS Level II codes

14. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
60
Up to $500 -000 - or 1% of the practice's net worth
The code may not be used as the first code
Voucher

15. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
False
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
The code may not be used as the first code

16. Money paid as compensation as result of a lawsuit is called _______________.
Referrals
Damages
HCPCS Level II codes
Form W-4.

17. The process of classifying and reviewing past-due accounts from the first date of billing is...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Age analysis.

18. Which of the following should be a factor when selecting an outside collection agency?
V01-V83
True
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Up to $500 -000 - or 1% of the practice's net worth

19. 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
Includes
If the diagnosis makes you ask 'How did that happen?'
Voucher
Open-book

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

21. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
HCPCS
( )
CPC
Includes

22. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
460-519
V01-V83
CPC
False

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.
HCPCS Level II codes
Petty cash
Controlling accounts payable
460-519

24. Money paid for intentionally breaking the law is called _______________ _______________.
Payer
False
( )
Punitive damages

25. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
True
Traveler's
True
Disclosure

26. 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...
Statement of income and expense
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Ask the physician to select a more specific code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

27. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Controlling accounts payable
Open-book
( )

28. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
6 months
$280.
The code may not be used as the first code
False

29. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
The code may not be used as the first code
460-519
Damages
Based on the patient's reported income from the previous month.

30. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Damages
Statement of income and expense
Inaccurate and/or incorrect billing
Includes

31. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Third party payer
False
CPC

32. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Up to $500 -000 - or 1% of the practice's net worth
$280.

33. The person to whom the check is written is the _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
6 months
Fair Debt Collection Practices Act
Payee

34. The most common disbursement is for...
Based on the patient's reported income from the previous month.
Punitive damages
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

35. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
Disclosure
Capitated rate

36. An employer identification number is required by law from every employer for federal tax accounting purposes
False
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Form W-4.

37. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Petty cash
Punitive damages
HCPCS Level II codes

38. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Truth in Lending Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Includes
Age analysis

39. In order to be considered negotiable - a check must be signed by the _______________.
Form W-4.
Age analysis.
Traveler's
Payer

40. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Voucher
False
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

41. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
Payer

42. The payment system used by Medicare is based on...
Resources
True
HCPCS Level II codes
Age analysis.

43. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
False
Fair Debt Collection Practices Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Pre-certification.

44. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Ask the physician to select a more specific code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
6 months

45. 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
Copayment
False
Up to $500 -000 - or 1% of the practice's net worth
Referrals

46. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Age analysis.
Ask the physician to select a more specific code
Includes

47. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
If the diagnosis makes you ask 'How did that happen?'
Referrals
Traveler's
Ask the physician to select a more specific code

48. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
460-519
Voucher
( )

49. Which of the following is also called Public Law 95-109?
CPC
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practice Act

50. According to the Equal Credit Opportunity Act - how much will a practice have to pay if a credit applicant joins and wins a class action lawsuit against the practice?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183