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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. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
False
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable
2. In order to be considered negotiable - a check must be signed by the _______________.
Copayment
Payer
Third-party
Disclosure
3. Money paid for intentionally breaking the law is called _______________ _______________.
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
[ ]
Punitive damages
4. Which of the following is also called Public Law 95-109?
$280.
Fair Debt Collection Practice Act
Based on the patient's reported income from the previous month.
If the diagnosis makes you ask 'How did that happen?'
5. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
If the diagnosis makes you ask 'How did that happen?'
Check your explanation of benefits form
Punitive damages
Ask the physician to select a more specific code
6. The number of dependents an employee is claiming is found on the
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
Damages
Form W-4.
7. The person to whom the check is written is the _______________.
Payee
Damages
Fraud.
The code may not be used as the first code
8. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
CPC
Includes
9. The ______________ is paid to the provider even if the patient receives no care
Third-party
Capitated rate
Voucher
Includes
10. 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.
If the diagnosis makes you ask 'How did that happen?'
Form W-4.
False
Based on the patient's reported income from the previous month.
11. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Inaccurate and/or incorrect billing
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
Copayment
12. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
False
Referrals
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
13. An act of deception used to take advantage of another person or entity is called...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
14. 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
The code may not be used as the first code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Referrals
15. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Damages
Fair Debt Collection Practices Act
False
16. 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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17. 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
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
CPC
18. The determination of the amount of money paid by a third-party payer for a procedure is...
Payer
True
Pre-certification.
Open-book
19. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
HCPCS
If the diagnosis makes you ask 'How did that happen?'
Fraud.
20. 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.
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
Open-book
21. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
Voucher
Statement of income and expense
22. The _______________-_______________ _______________ is the health plan that pays for medical services
Ask the physician to select a more specific code
Check your explanation of benefits form
Third party payer
True
23. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Open-book
Inaccurate and/or incorrect billing
460-519
HCPCS
24. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
Includes
Damages
25. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Fraud.
Damages
Disclosure
460-519
26. Prison sentences are possible consequences of...
Check your explanation of benefits form
Inaccurate and/or incorrect billing
Statement of income and expense
Payer
27. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Office supplies.
Statement of income and expense
Includes
28. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Fair Debt Collection Practice Act
False
Liability
29. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
CPC
460-519
Age analysis
False
30. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
31. The ICD-9-CM convention code first underlying disease means...
Liability
Copayment
Based on the patient's reported income from the previous month.
The code may not be used as the first code
32. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS Level II codes
Office supplies.
( )
33. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
6 months
Up to $500 -000 - or 1% of the practice's net worth
Age analysis
34. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Age analysis
Pre-certification.
Voucher
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
35. The Relative Value Unit System was created to...
Third-party
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Age analysis.
Referrals
36. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
60
Ask the physician to select a more specific code
Statement of income and expense
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
37. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Resources
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
60
38. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Resources
Capitated rate
Based on the patient's reported income from the previous month.
True
39. 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
Damages
The code may not be used as the first code
Controlling accounts payable
40. An act of deception used to take advantage of another person or entity is called...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act
Fraud.
CPC
41. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Liability
60
Damages
42. 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
460-519
Fraud.
60
43. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
False
Payee
Age analysis.
44. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Check your explanation of benefits form
V01-V83
6 months
False
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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fraud.
Up to $500 -000 - or 1% of the practice's net worth
If the diagnosis makes you ask 'How did that happen?'
46. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
True
$280.
Age analysis.
Disclosure
47. 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
Open-book
V01-V83
$280.
48. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fair Debt Collection Practices Act
$280.
49. Eligibility for Medicaid is...
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50. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Fraud.
Ask the physician to select a more specific code
Punitive damages
6 months
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