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 demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
False
CPC
6 months


2. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
6 months
Third party payer
Voucher


3. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Ask the physician to select a more specific code
Includes
460-519
Fraud.


4. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
Voucher
Age analysis
$280.


5. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
False
60
Pre-certification.


6. The number of dependents an employee is claiming is found on the
False
Form W-4.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Petty cash


7. The most common disbursement is for...
Ask the physician to select a more specific code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Office supplies.
Inaccurate and/or incorrect billing


8. National codes issued by CMS that cover many supplies and durable medical equipment are...
Based on the patient's reported income from the previous month.
Fraud.
HCPCS Level II codes
Disclosure


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

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10. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False


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

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12. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Inaccurate and/or incorrect billing
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
If the diagnosis makes you ask 'How did that happen?'
True


13. 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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14. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Inaccurate and/or incorrect billing
Punitive damages
Fraud.
Ask the physician to select a more specific code


15. Prison sentences are possible consequences of...
Office supplies.
Third-party
Inaccurate and/or incorrect billing
Ask the physician to select a more specific code


16. Which of the following is also called Public Law 95-109?
Payer
Third-party
Fair Debt Collection Practice Act
Up to $500 -000 - or 1% of the practice's net worth


17. 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.
6 months
Third-party
HCPCS
Disclosure


18. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
True
Petty cash
Controlling accounts payable
False


19. Which of the following should be a factor when selecting an outside collection agency?
Check your explanation of benefits form
Open-book
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Office supplies.


20. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Traveler's
CPC
Damages
Pre-certification.


21. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
False
HCPCS
Liability
Truth in Lending Act


22. 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?
Fair Debt Collection Practices Act
V01-V83
Based on the patient's reported income from the previous month.
Open-book


23. The Relative Value Unit System was created to...
Resources
Office supplies.
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services


24. Prison sentences are possible consequences of...
Statement of income and expense
Fraud.
Referrals
Inaccurate and/or incorrect billing


25. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Inaccurate and/or incorrect billing
Punitive damages
Ask the physician to select a more specific code


26. The determination of the amount of money paid by a third-party payer for a procedure is...
Check your explanation of benefits form
Damages
Pre-certification.
Check your explanation of benefits form


27. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
( )
False


28. The _______________ coding system has two levels and is used for coding services for Medicare patients
CPC
Controlling accounts payable
HCPCS
Voucher


29. Which of the following is also called Public Law 95-109?
HCPCS
True
Fair Debt Collection Practice Act
Based on the patient's reported income from the previous month.


30. The ICD-9-CM convention code first underlying disease means...
Fraud.
Check your explanation of benefits form
False
The code may not be used as the first code


31. The Relative Value Unit System was created to...
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
If the diagnosis makes you ask 'How did that happen?'
False


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
False
Third-party
6 months
Open-book


33. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Punitive damages
Damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.


34. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Truth in Lending Act
Referrals
460-519
Includes


35. 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.
False
Fair Debt Collection Practice Act
6 months


36. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Age analysis.
Disclosure
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


37. The _______________-_______________ _______________ is the health plan that pays for medical services
Based on the patient's reported income from the previous month.
Third party payer
True
Liability


38. 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.
Pre-certification.
[ ]
Open-book
False


39. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Voucher
Pre-certification.
Truth in Lending Act


40. 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.
Controlling accounts payable
Open-book
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False


41. Eligibility for Medicaid is...

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42. Eligibility for Medicaid is...

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43. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
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
If the diagnosis makes you ask 'How did that happen?'
$280.


44. 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
Resources
Payee
Fair Debt Collection Practices Act


45. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Office supplies.
[ ]
Form W-4.
If the diagnosis makes you ask 'How did that happen?'


46. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
6 months
True
Check your explanation of benefits form


47. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure
[ ]
HCPCS Level II codes


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


49. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Copayment
Damages
HCPCS


50. The ______________ is paid to the provider even if the patient receives no care
HCPCS
V01-V83
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday