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. National codes issued by CMS that cover many supplies and durable medical equipment are...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Controlling accounts payable
HCPCS Level II codes
Check your explanation of benefits form

2. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
The code may not be used as the first code
True
Voucher
Payer

3. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
False
Payee
Fraud.

4. 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.
Age analysis
Third-party
Referrals
Payer

5. In order to be considered negotiable - a check must be signed by the _______________.
True
Petty cash
Payer
Inaccurate and/or incorrect billing

6. The determination of the amount of money paid by a third-party payer for a procedure is...
False
Pre-certification.
Fraud.
True

7. 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
[ ]
Pre-certification.
Age analysis
Open-book

8. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?

9. Prison sentences are possible consequences of...
Includes
Age analysis.
Inaccurate and/or incorrect billing
The code may not be used as the first code

10. 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?
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
V01-V83
Inaccurate and/or incorrect billing

11. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Open-book
Statement of income and expense
Pre-certification.
60

12. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Pre-certification.
460-519
Disclosure
Payee

13. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
False
Ask the physician to select a more specific code
True

14. 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
( )
60
Liability
$280.

15. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Disclosure
Payee
Fraud.

16. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third-party
Form W-4.
Includes

17. Money paid as compensation as result of a lawsuit is called _______________.
True
False
Damages
Office supplies.

18. The _______________-_______________ _______________ is the health plan that pays for medical services
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third party payer
Payer
Liability

19. Money paid for intentionally breaking the law is called _______________ _______________.
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages

20. 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?

21. 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
HCPCS
Form W-4.
Liability

22. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Form W-4.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
[ ]

23. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
HCPCS

24. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
( )
Fraud.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

25. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer
Third party payer
Voucher

26. Which of the following is also called Public Law 95-109?
60
Damages
Traveler's
Fair Debt Collection Practice Act

27. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Fraud.
( )
The code may not be used as the first code
Truth in Lending Act

28. 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
Referrals
Payer
Capitated rate

29. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
True
Resources
$280.

30. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Office supplies.
Pre-certification.
460-519
Inaccurate and/or incorrect billing

31. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Statement of income and expense
Resources
The code may not be used as the first code
460-519

32. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Third party payer
Check your explanation of benefits form
Statement of income and expense
Payer

33. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC

34. Most practices try to reduce expenses by...
The code may not be used as the first code
False
Controlling accounts payable
Fair Debt Collection Practice Act

35. The process of classifying and reviewing past-due accounts from the first date of billing is...
Ask the physician to select a more specific code
Age analysis.
Copayment
Punitive damages

36. Eligibility for Medicaid is...

37. 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...
Resources
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practice Act
Payee

38. 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
CPC
Capitated rate
Check your explanation of benefits form
Referrals

39. The _______________ coding system has two levels and is used for coding services for Medicare patients
Fraud.
HCPCS
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
6 months

40. 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
Ask the physician to select a more specific code
True
Traveler's

41. 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
Open-book
Fraud.
60
Damages

42. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Based on the patient's reported income from the previous month.
Fair Debt Collection Practice Act
Payer

43. The most common disbursement is for...
Fraud.
Payee
Fair Debt Collection Practice Act
Office supplies.

44. The _______________-_______________ _______________ is the health plan that pays for medical services
Age analysis
Age analysis.
Third party payer
Petty cash

45. 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...
Payer
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability

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

47. 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?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
V01-V83

48. 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?

49. The number of dependents an employee is claiming is found on the
Petty cash
Truth in Lending Act
6 months
Form W-4.

50. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Up to $500 -000 - or 1% of the practice's net worth
False
Fair Debt Collection Practices Act
Pre-certification.