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Test your basic knowledge |
Medical Coding And Billing Clinical
Start Test
Study First
Subject
:
medical-transcription
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. In order to be considered negotiable - a check must be signed by the _______________.
HCPCS Level II codes
Payer
( )
True
2. 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.
Voucher
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Ask the physician to select a more specific code
3. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Disclosure
True
True
4. Which of the following is also called Public Law 95-109?
Pre-certification.
Pre-certification.
Fair Debt Collection Practice Act
460-519
5. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
HCPCS Level II codes
Traveler's
460-519
False
6. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Damages
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Petty cash
7. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Check your explanation of benefits form
Fair Debt Collection Practice Act
Copayment
8. Prison sentences are possible consequences of...
Statement of income and expense
Referrals
Inaccurate and/or incorrect billing
False
9. 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
If the diagnosis makes you ask 'How did that happen?'
Punitive damages
Copayment
10. The number of dependents an employee is claiming is found on the
Voucher
Payer
Form W-4.
Age analysis
11. The determination of the amount of money paid by a third-party payer for a procedure is...
V01-V83
CPC
Copayment
Pre-certification.
12. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Up to $500 -000 - or 1% of the practice's net worth
Age analysis.
( )
Fair Debt Collection Practices Act
13. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Open-book
Third party payer
Ask the physician to select a more specific code
Traveler's
14. 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?
V01-V83
Based on the patient's reported income from the previous month.
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
15. The determination of the amount of money paid by a third-party payer for a procedure is...
Disclosure
Ask the physician to select a more specific code
Fair Debt Collection Practices Act
Pre-certification.
16. Money paid as compensation as result of a lawsuit is called _______________.
Payer
Truth in Lending Act
Damages
Controlling accounts payable
17. The most common disbursement is for...
V01-V83
False
Office supplies.
Voucher
18. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Pre-certification.
CPC
Fraud.
19. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
Inaccurate and/or incorrect billing
False
Age analysis
20. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act
Copayment
Based on the patient's reported income from the previous month.
21. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Age analysis
False
Third-party
$280.
22. Most practices try to reduce expenses by...
Age analysis
Controlling accounts payable
Liability
False
23. 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.
Age analysis
CPC
False
Age analysis
24. A health-care provider who practices under false qualifications/credentials is guilty of...
Capitated rate
Fraud.
Payer
Up to $500 -000 - or 1% of the practice's net worth
25. Which of the following is also called Public Law 95-109?
False
Payer
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
26. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Based on the patient's reported income from the previous month.
Payer
True
Resources
27. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Payee
Disclosure
False
If the diagnosis makes you ask 'How did that happen?'
28. An employer identification number is required by law from every employer for federal tax accounting purposes
Check your explanation of benefits form
True
Office supplies.
Office supplies.
29. The Relative Value Unit System was created to...
Truth in Lending Act
Open-book
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
V01-V83
30. 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
Age analysis.
Referrals
CPC
Liability
31. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
False
Payer
Voucher
Statement of income and expense
32. 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?
33. 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.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Third-party
34. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
False
Includes
False
Disclosure
35. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
False
Truth in Lending Act
Petty cash
Referrals
36. The payment system used by Medicare is based on...
Controlling accounts payable
[ ]
Resources
False
37. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Check your explanation of benefits form
False
Referrals
38. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
The code may not be used as the first code
Age analysis
HCPCS Level II codes
6 months
39. An easy way to remember when an E code is required is...
40. The _______________-_______________ _______________ is the health plan that pays for medical services
False
Fair Debt Collection Practice Act
Pre-certification.
Third party payer
41. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Damages
HCPCS
Office supplies.
42. 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
If the diagnosis makes you ask 'How did that happen?'
( )
Third party payer
43. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
False
Fraud.
CPC
[ ]
44. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
6 months
False
Includes
Truth in Lending Act
45. 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.
Truth in Lending Act
The code may not be used as the first code
V01-V83
46. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Fair Debt Collection Practice Act
Third-party
Voucher
47. Money paid as compensation as result of a lawsuit is called _______________.
Fair Debt Collection Practice Act
Damages
Liability
[ ]
48. 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.
Office supplies.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Disclosure
49. The payment system used by Medicare is based on...
Check your explanation of benefits form
Third party payer
[ ]
Resources
50. An act of deception used to take advantage of another person or entity is called...
$280.
Controlling accounts payable
Pre-certification.
Fraud.