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 benefit period for Medicare begins the day a patient goes into the hospital and ends when that patient has not been hospitalized for ____ days
Resources
60
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

2. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Includes
Fair Debt Collection Practices Act
Controlling accounts payable
460-519

3. 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.
V01-V83
Petty cash
Age analysis.
True

4. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Fair Debt Collection Practices Act
Damages
True

5. The number of dependents an employee is claiming is found on the
Inaccurate and/or incorrect billing
Form W-4.
Fair Debt Collection Practice Act
Includes

6. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Petty cash
Age analysis
Fair Debt Collection Practices Act

7. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Office supplies.
Damages
False
HCPCS Level II codes

8. The _______________ coding system has two levels and is used for coding services for Medicare patients
Liability
6 months
HCPCS
False

9. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
True
Damages
Third-party

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...
Age analysis
Office supplies.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False

11. A health-care provider who practices under false qualifications/credentials is guilty of...
Petty cash
Capitated rate
Fraud.
Form W-4.

12. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Office supplies.
Third-party
If the diagnosis makes you ask 'How did that happen?'
Ask the physician to select a more specific code

13. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Referrals
6 months
Ask the physician to select a more specific code
Based on the patient's reported income from the previous month.

14. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Punitive damages
Fraud.
Liability
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

15. A small fee that is collected at the time of service is called a(n) _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Damages
Copayment
Ask the physician to select a more specific code

16. 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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17. Money paid for intentionally breaking the law is called _______________ _______________.
Age analysis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Check your explanation of benefits form
Punitive damages

18. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
If the diagnosis makes you ask 'How did that happen?'
Fair Debt Collection Practices Act
Check your explanation of benefits form
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

19. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Check your explanation of benefits form
False
True

20. The most common disbursement is for...
Fair Debt Collection Practices Act
False
Third-party
Office supplies.

21. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Third party payer
False
CPC
False

22. The payment system used by Medicare is based on...
Resources
Check your explanation of benefits form
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Based on the patient's reported income from the previous month.

23. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Payer
Fraud.
CPC

24. Eligibility for Medicaid is...

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25. The Relative Value Unit System was created to...
True
CPC
Up to $500 -000 - or 1% of the practice's net worth
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

26. An act of deception used to take advantage of another person or entity is called...
Fraud.
Controlling accounts payable
Payer
Damages

27. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
V01-V83
Age analysis.
Punitive damages

28. Prison sentences are possible consequences of...
False
Inaccurate and/or incorrect billing
False
True

29. 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.
Punitive damages
Third-party
Capitated rate
HCPCS Level II codes

30. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Includes
Check your explanation of benefits form
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Form W-4.

31. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
460-519

32. Which of the following should be a factor when selecting an outside collection agency?
Fraud.
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payee

33. 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.
Payer
Petty cash
Punitive damages
Fair Debt Collection Practice Act

34. The number of dependents an employee is claiming is found on the
Form W-4.
[ ]
HCPCS
False

35. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Traveler's
Voucher
True
Check your explanation of benefits form

36. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Pre-certification.
If the diagnosis makes you ask 'How did that happen?'
Third party payer
460-519

37. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Fair Debt Collection Practice Act
Truth in Lending Act
CPC
Resources

38. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Voucher
Punitive damages
Statement of income and expense
False

39. The payment system used by Medicare is based on...
Resources
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash
[ ]

40. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Truth in Lending Act
Statement of income and expense
Truth in Lending Act

41. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
The code may not be used as the first code
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes

42. The determination of the amount of money paid by a third-party payer for a procedure is...
Based on the patient's reported income from the previous month.
Pre-certification.
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

43. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Age analysis.
CPC
Office supplies.

44. Which of the following should be a factor when selecting an outside collection agency?
The code may not be used as the first code
Form W-4.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False

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
Fair Debt Collection Practice Act
Referrals
True
Age analysis

46. Which of the following is also called Public Law 95-109?
False
False
Controlling accounts payable
Fair Debt Collection Practice Act

47. The determination of the amount of money paid by a third-party payer for a procedure is...
Statement of income and expense
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
Pre-certification.

48. The process of classifying and reviewing past-due accounts from the first date of billing is...
False
Open-book
Disclosure
Age analysis.

49. In order to be considered negotiable - a check must be signed by the _______________.
Controlling accounts payable
False
Payer
HCPCS

50. National codes issued by CMS that cover many supplies and durable medical equipment are...
V01-V83
Statement of income and expense
HCPCS Level II codes
Fraud.