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.
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
CPC
If the diagnosis makes you ask 'How did that happen?'

2. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Statement of income and expense
6 months
Open-book
Based on the patient's reported income from the previous month.

3. The person to whom the check is written is the _______________.
Resources
Ask the physician to select a more specific code
Payee
Traveler's

4. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
If the diagnosis makes you ask 'How did that happen?'
Form W-4.
Disclosure
CPC

5. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Statement of income and expense
Punitive damages
Check your explanation of benefits form
Liability

6. 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
Petty cash
Fraud.
Check your explanation of benefits form

7. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Ask the physician to select a more specific code
False
HCPCS
460-519

8. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Form W-4.
Pre-certification.
Truth in Lending Act

9. Most practices try to reduce expenses by...
Open-book
Controlling accounts payable
HCPCS Level II codes
Form W-4.

10. 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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11. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
False
( )
HCPCS Level II codes
True

12. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
False
Fair Debt Collection Practice Act
The code may not be used as the first code
Voucher

13. Which of the following should be a factor when selecting an outside collection agency?
Truth in Lending Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third party payer
Inaccurate and/or incorrect billing

14. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
60
Statement of income and expense
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

15. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Statement of income and expense
$280.
Check your explanation of benefits form

16. The ______________ is paid to the provider even if the patient receives no care
Controlling accounts payable
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability

17. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Fair Debt Collection Practices Act
Liability
Based on the patient's reported income from the previous month.
Ask the physician to select a more specific code

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

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19. 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.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
Controlling accounts payable
Petty cash

20. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Open-book
Age analysis
460-519
Controlling accounts payable

21. 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.
60
Petty cash
Check your explanation of benefits form
Form W-4.

22. A health-care provider who practices under false qualifications/credentials is guilty of...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Statement of income and expense
( )
Fraud.

23. 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
Copayment
Check your explanation of benefits form
Controlling accounts payable

24. The number of dependents an employee is claiming is found on the
Resources
Based on the patient's reported income from the previous month.
The code may not be used as the first code
Form W-4.

25. Money paid as compensation as result of a lawsuit is called _______________.
Based on the patient's reported income from the previous month.
True
Damages
Petty cash

26. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
[ ]
False
HCPCS
Voucher

27. Prison sentences are possible consequences of...
[ ]
Office supplies.
Inaccurate and/or incorrect billing
False

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

29. An employer identification number is required by law from every employer for federal tax accounting purposes
Age analysis.
True
60
HCPCS Level II codes

30. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Liability
Resources
( )

31. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form
Ask the physician to select a more specific code
False

32. The ICD-9-CM convention code first underlying disease means...
Statement of income and expense
Liability
The code may not be used as the first code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

33. The process of classifying and reviewing past-due accounts from the first date of billing is...
Form W-4.
Age analysis.
$280.
Age analysis

34. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
True
Liability
False
True

35. The person to whom the check is written is the _______________.
( )
Third-party
Voucher
Payee

36. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Open-book
Third party payer
Ask the physician to select a more specific code

37. 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
Payer
Includes
Open-book

38. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
True
Fair Debt Collection Practices Act
Copayment
CPC

39. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis.
Pre-certification.
$280.
Resources

40. 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
[ ]
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

41. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
False
60
Fraud.

42. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
False
Age analysis
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

43. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Controlling accounts payable

44. The ______________ is paid to the provider even if the patient receives no care
False
Capitated rate
Form W-4.
460-519

45. Eligibility for Medicaid is...

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46. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Payee
If the diagnosis makes you ask 'How did that happen?'
Voucher
Capitated rate

47. Which of the following is also called Public Law 95-109?
Damages
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practice Act
The code may not be used as the first code

48. In order to be considered negotiable - a check must be signed by the _______________.
Liability
Capitated rate
Payer
Punitive damages

49. he ICD code for a home visit for evaluation and management of an established patient is found in which of the following series of codes?
HCPCS Level II codes
Up to $500 -000 - or 1% of the practice's net worth
V01-V83
$280.

50. 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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