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. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability
CPC
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

2. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
Open-book
The code may not be used as the first code
Age analysis.

3. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Statement of income and expense
Ask the physician to select a more specific code
Form W-4.
Based on the patient's reported income from the previous month.

4. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Fraud.
$280.
Check your explanation of benefits form
Traveler's

5. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Copayment
Disclosure
HCPCS Level II codes
Fraud.

6. 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.
False
True
Copayment
Petty cash

7. The ICD-9-CM convention code first underlying disease means...
Liability
Petty cash
Ask the physician to select a more specific code
The code may not be used as the first code

8. 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
CPC
Check your explanation of benefits form

9. The process of classifying and reviewing past-due accounts from the first date of billing is...
Statement of income and expense
Punitive damages
Age analysis.
Traveler's

10. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
False
False
Truth in Lending Act

11. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Referrals
Liability
Fraud.
Ask the physician to select a more specific code

12. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Voucher
Petty cash
Truth in Lending Act

13. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
False
[ ]
Open-book
HCPCS Level II codes

14. 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.
Fraud.
False
Third-party
Fair Debt Collection Practice Act

15. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
6 months
Traveler's
460-519
$280.

16. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Ask the physician to select a more specific code
Fair Debt Collection Practices Act
Inaccurate and/or incorrect billing
Controlling accounts payable

17. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
60
Fraud.
False
True

18. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
The code may not be used as the first code
False
( )
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

19. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS
Fair Debt Collection Practices Act

20. 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
HCPCS
If the diagnosis makes you ask 'How did that happen?'
Liability

21. 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
Payer
60
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

22. Which of the following should be a factor when selecting an outside collection agency?
Damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.

23. Which of the following should be a factor when selecting an outside collection agency?
Office supplies.
Open-book
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

24. 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.
460-519
Age analysis
Based on the patient's reported income from the previous month.
False

25. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Liability
Fraud.
Fraud.

26. 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.
Disclosure
True
Third-party
If the diagnosis makes you ask 'How did that happen?'

27. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Liability
Capitated rate
6 months
False

28. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
( )
Resources
Liability

29. The ICD-9-CM convention code first underlying disease means...
Resources
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payee
The code may not be used as the first code

30. 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?

31. In order to be considered negotiable - a check must be signed by the _______________.
Traveler's
Payer
Third-party
Includes

32. 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
Open-book
60
Controlling accounts payable
60

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

34. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Fraud.
Truth in Lending Act
( )
Fraud.

35. Money paid as compensation as result of a lawsuit is called _______________.
False
Damages
Age analysis
Statement of income and expense

36. The number of dependents an employee is claiming is found on the
False
Inaccurate and/or incorrect billing
Form W-4.
Based on the patient's reported income from the previous month.

37. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
Based on the patient's reported income from the previous month.
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

38. The person to whom the check is written is the _______________.
Third-party
True
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

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

40. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes
6 months

41. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Open-book
The code may not be used as the first code
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

42. Most practices try to reduce expenses by...
Statement of income and expense
$280.
Controlling accounts payable
Punitive damages

43. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Open-book
Damages

44. 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...
False
True
V01-V83
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

45. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
False
False
The code may not be used as the first code
Age analysis

46. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Office supplies.
Voucher
HCPCS Level II codes

47. Which of the following is also called Public Law 95-109?
True
Third-party
Fair Debt Collection Practice Act
Check your explanation of benefits form

48. The determination of the amount of money paid by a third-party payer for a procedure is...
True
Pre-certification.
Damages
Includes

49. An act of deception used to take advantage of another person or entity is called...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
Fair Debt Collection Practice Act
HCPCS Level II codes

50. A small fee that is collected at the time of service is called a(n) _______________.
HCPCS
Controlling accounts payable
Fraud.
Copayment