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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. 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
CPC
Payee
Third-party
Referrals
2. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
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
Copayment
3. An employer identification number is required by law from every employer for federal tax accounting purposes
Liability
True
Fair Debt Collection Practice Act
Third party payer
4. The most common disbursement is for...
Age analysis.
CPC
Referrals
Office supplies.
5. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False
HCPCS
( )
6. Money paid for intentionally breaking the law is called _______________ _______________.
Copayment
Punitive damages
Fraud.
Voucher
7. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
V01-V83
Capitated rate
Referrals
8. The payment system used by Medicare is based on...
Resources
Truth in Lending Act
Ask the physician to select a more specific code
Based on the patient's reported income from the previous month.
9. The process of classifying and reviewing past-due accounts from the first date of billing is...
Damages
Controlling accounts payable
Age analysis.
Controlling accounts payable
10. The _______________ coding system has two levels and is used for coding services for Medicare patients
Age analysis
Based on the patient's reported income from the previous month.
HCPCS
CPC
11. Prison sentences are possible consequences of...
Based on the patient's reported income from the previous month.
False
6 months
Inaccurate and/or incorrect billing
12. 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
Statement of income and expense
True
Office supplies.
13. 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.
Age analysis
Office supplies.
Third-party
Age analysis.
14. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Payer
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
460-519
Form W-4.
15. 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
False
Resources
16. 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
( )
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
60
17. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Fraud.
Voucher
Traveler's
Open-book
18. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Ask the physician to select a more specific code
Voucher
Traveler's
Resources
19. Money paid as compensation as result of a lawsuit is called _______________.
460-519
False
Payee
Damages
20. The ICD-9-CM convention code first underlying disease means...
Age analysis
The code may not be used as the first code
Inaccurate and/or incorrect billing
Fraud.
21. The ______________ is paid to the provider even if the patient receives no care
Punitive damages
Office supplies.
True
Capitated rate
22. An act of deception used to take advantage of another person or entity is called...
Resources
[ ]
Fraud.
6 months
23. In order to be considered negotiable - a check must be signed by the _______________.
Payer
$280.
Office supplies.
Age analysis.
24. Eligibility for Medicaid is...
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25. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
If the diagnosis makes you ask 'How did that happen?'
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure
CPC
26. The process of classifying and reviewing past-due accounts from the first date of billing is...
Age analysis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Disclosure
Includes
27. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
V01-V83
False
CPC
Disclosure
28. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Third-party
Petty cash
CPC
Resources
29. 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...
Pre-certification.
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Includes
30. 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
Inaccurate and/or incorrect billing
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Based on the patient's reported income from the previous month.
31. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Based on the patient's reported income from the previous month.
Age analysis
[ ]
True
32. Money paid for intentionally breaking the law is called _______________ _______________.
Resources
CPC
Punitive damages
Office supplies.
33. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Open-book
Check your explanation of benefits form
$280.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
34. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Referrals
V01-V83
Truth in Lending Act
35. Some insurers will not pay a claim unless it is filed within ________ of the date of service
False
V01-V83
6 months
CPC
36. The ______________ is paid to the provider even if the patient receives no care
Age analysis
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fair Debt Collection Practices Act
Capitated rate
37. 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
Voucher
Referrals
Office supplies.
Form W-4.
38. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Disclosure
HCPCS Level II codes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Office supplies.
39. 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
Up to $500 -000 - or 1% of the practice's net worth
Inaccurate and/or incorrect billing
Truth in Lending Act
40. An easy way to remember when an E code is required is...
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41. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
True
HCPCS
Fair Debt Collection Practices Act
42. 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
Controlling accounts payable
60
CPC
Third party payer
43. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Age analysis.
Payee
Third-party
False
44. Money paid as compensation as result of a lawsuit is called _______________.
460-519
Damages
V01-V83
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
45. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Fraud.
Fair Debt Collection Practices Act
Truth in Lending Act
False
46. 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.
Traveler's
Office supplies.
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
47. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
( )
Third-party
Petty cash
CPC
48. Which of the following should be a factor when selecting an outside collection agency?
Inaccurate and/or incorrect billing
Fair Debt Collection Practice Act
Referrals
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
49. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
If the diagnosis makes you ask 'How did that happen?'
Age analysis
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
50. 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
Third party payer
Traveler's
Based on the patient's reported income from the previous month.