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 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...






2. National codes issued by CMS that cover many supplies and durable medical equipment are...






3. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?






4. The _______________-_______________ _______________ is the health plan that pays for medical services






5. Some insurers will not pay a claim unless it is filed within ________ of the date of service






6. 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...






7. Prison sentences are possible consequences of...






8. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






9. The payment system used by Medicare is based on...






10. The _______________ coding system has two levels and is used for coding services for Medicare patients






11. A small fee that is collected at the time of service is called a(n) _______________.






12. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...






13. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.






14. Which of the following prohibits harassment and false statements when attempting to collect from a patient?






15. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice






16. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?






17. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?






18. In order to be considered negotiable - a check must be signed by the _______________.






19. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?






20. Which of the following prohibits harassment and false statements when attempting to collect from a patient?






21. The _______________ coding system has two levels and is used for coding services for Medicare patients






22. 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.






23. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?






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






25. Most practices try to reduce expenses by...






26. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.






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

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28. 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






29. The _______________-_______________ _______________ is the health plan that pays for medical services






30. Which of the following should be a factor when selecting an outside collection agency?






31. The person to whom the check is written is the _______________.






32. Eligibility for Medicaid is...

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33. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes






34. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement






35. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement






36. An employer identification number is required by law from every employer for federal tax accounting purposes






37. Money paid for intentionally breaking the law is called _______________ _______________.






38. Most practices try to reduce expenses by...






39. The number of dependents an employee is claiming is found on the






40. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.






41. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?






42. An act of deception used to take advantage of another person or entity is called...






43. In order to be considered negotiable - a check must be signed by the _______________.






44. 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






45. 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?

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46. 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.






47. Which of the following is also called Public Law 95-109?






48. The most common disbursement is for...






49. Which of the following is also called Public Law 95-109?






50. 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