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. 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

2. The most common disbursement is for...
If the diagnosis makes you ask 'How did that happen?'
Office supplies.
False
Fraud.

3. In order to be considered negotiable - a check must be signed by the _______________.
Truth in Lending Act
Age analysis.
Payer
V01-V83

4. Which of the following should be a factor when selecting an outside collection agency?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Form W-4.

5. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fraud.
Truth in Lending Act
HCPCS
True

6. 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
Copayment
Voucher
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Open-book

7. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Payer
Fraud.
( )
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

8. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Third party payer
Age analysis.
Liability

9. 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
Voucher
V01-V83
Truth in Lending Act

10. The process of classifying and reviewing past-due accounts from the first date of billing is...
Fraud.
Voucher
Age analysis.
Third-party

11. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
False
HCPCS
Fair Debt Collection Practices Act
Age analysis.

12. Prison sentences are possible consequences of...
Check your explanation of benefits form
Disclosure
Copayment
Inaccurate and/or incorrect billing

13. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
60
$280.
Fair Debt Collection Practices Act

14. A health-care provider who practices under false qualifications/credentials is guilty of...
HCPCS
Inaccurate and/or incorrect billing
Fraud.
False

15. The payment system used by Medicare is based on...
Based on the patient's reported income from the previous month.
Resources
Inaccurate and/or incorrect billing
460-519

16. 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
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
False

17. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
( )
Ask the physician to select a more specific code
6 months
If the diagnosis makes you ask 'How did that happen?'

18. The ______________ is paid to the provider even if the patient receives no care
Fraud.
Truth in Lending Act
Capitated rate
Inaccurate and/or incorrect billing

19. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Traveler's
6 months
Pre-certification.
Ask the physician to select a more specific code

20. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
V01-V83
( )
Check your explanation of benefits form
Truth in Lending Act

21. National codes issued by CMS that cover many supplies and durable medical equipment are...
Check your explanation of benefits form
Controlling accounts payable
Inaccurate and/or incorrect billing
HCPCS Level II codes

22. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Includes
Controlling accounts payable
Fraud.

23. Most practices try to reduce expenses by...
Based on the patient's reported income from the previous month.
Fraud.
Controlling accounts payable
Punitive damages

24. 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
Copayment
HCPCS
False

25. 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

26. Most practices try to reduce expenses by...
$280.
Controlling accounts payable
460-519
Pre-certification.

27. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
HCPCS Level II codes
Form W-4.
False
Truth in Lending Act

28. 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.
The code may not be used as the first code
Controlling accounts payable
Fraud.
Petty cash

29. Money paid for intentionally breaking the law is called _______________ _______________.
Check your explanation of benefits form
Petty cash
If the diagnosis makes you ask 'How did that happen?'
Punitive damages

30. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Copayment
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.
460-519

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
6 months
Referrals
Copayment

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.
Third party payer
Truth in Lending Act
Liability
Petty cash

33. 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
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.

34. 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
Referrals
False
False

35. 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

36. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Fraud.
60
[ ]

37. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Disclosure

38. The most common disbursement is for...
Office supplies.
False
60
Age analysis.

39. An employer identification number is required by law from every employer for federal tax accounting purposes
Fraud.
Copayment
True
HCPCS

40. The person to whom the check is written is the _______________.
Payee
Copayment
Based on the patient's reported income from the previous month.
Truth in Lending Act

41. Eligibility for Medicaid is...

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

42. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Form W-4.
( )
Age analysis.

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

44. The determination of the amount of money paid by a third-party payer for a procedure is...
Third-party
Pre-certification.
Truth in Lending Act
$280.

45. The person to whom the check is written is the _______________.
Referrals
Punitive damages
Payee
Resources

46. An act of deception used to take advantage of another person or entity is called...
Age analysis
Fraud.
60
True

47. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Damages
Check your explanation of benefits form
Traveler's

48. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Liability
Based on the patient's reported income from the previous month.
Statement of income and expense

49. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Copayment
$280.
Capitated rate

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
Voucher
Capitated rate
Resources
60