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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 types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
If the diagnosis makes you ask 'How did that happen?'
Voucher
Liability
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
2. 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.
Pre-certification.
Petty cash
Age analysis.
Check your explanation of benefits form
3. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Check your explanation of benefits form
Statement of income and expense
Resources
Disclosure
4. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
60
False
Disclosure
Fair Debt Collection Practices Act
5. The _______________-_______________ _______________ is the health plan that pays for medical services
If the diagnosis makes you ask 'How did that happen?'
Third party payer
Statement of income and expense
( )
6. Which of the following should be a factor when selecting an outside collection agency?
Capitated rate
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
True
7. Money paid for intentionally breaking the law is called _______________ _______________.
Fraud.
Resources
Third party payer
Punitive damages
8. 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
False
Ask the physician to select a more specific code
Damages
9. 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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10. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
6 months
V01-V83
Includes
Truth in Lending Act
11. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Punitive damages
Open-book
[ ]
Third-party
12. The most common disbursement is for...
460-519
Controlling accounts payable
Punitive damages
Office supplies.
13. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Office supplies.
False
Age analysis
False
14. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
False
Fair Debt Collection Practices Act
( )
Voucher
15. Most practices try to reduce expenses by...
Fraud.
Based on the patient's reported income from the previous month.
Controlling accounts payable
Punitive damages
16. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Office supplies.
Fraud.
Age analysis
False
17. The payment system used by Medicare is based on...
Check your explanation of benefits form
Form W-4.
Resources
Office supplies.
18. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Controlling accounts payable
60
False
460-519
19. The most common disbursement is for...
Fraud.
True
Office supplies.
60
20. The person to whom the check is written is the _______________.
Controlling accounts payable
The code may not be used as the first code
Payee
Liability
21. 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.
HCPCS
( )
Petty cash
False
22. The Relative Value Unit System was created to...
Punitive damages
Office supplies.
Damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
23. Money paid for intentionally breaking the law is called _______________ _______________.
Age analysis
Damages
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
24. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
Pre-certification.
60
HCPCS
25. Prison sentences are possible consequences of...
Ask the physician to select a more specific code
Inaccurate and/or incorrect billing
Resources
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
26. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Includes
Pre-certification.
Fraud.
Ask the physician to select a more specific code
27. 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.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third-party
True
V01-V83
28. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third-party
29. The payment system used by Medicare is based on...
True
If the diagnosis makes you ask 'How did that happen?'
Open-book
Resources
30. Which of the following is also called Public Law 95-109?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Check your explanation of benefits form
Fair Debt Collection Practice Act
Third-party
31. The ______________ is paid to the provider even if the patient receives no care
Pre-certification.
Controlling accounts payable
Third-party
Capitated rate
32. 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
True
Age analysis
Copayment
33. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
Payee
Disclosure
Damages
34. Which of the following is also called Public Law 95-109?
Up to $500 -000 - or 1% of the practice's net worth
Pre-certification.
Fair Debt Collection Practice Act
Traveler's
35. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Based on the patient's reported income from the previous month.
Copayment
Capitated rate
Includes
36. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
Pre-certification.
V01-V83
Liability
37. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Ask the physician to select a more specific code
Third party payer
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
38. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
[ ]
Third party payer
V01-V83
True
39. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Inaccurate and/or incorrect billing
True
[ ]
If the diagnosis makes you ask 'How did that happen?'
40. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Based on the patient's reported income from the previous month.
False
Resources
( )
41. The ICD-9-CM convention code first underlying disease means...
CPC
Referrals
The code may not be used as the first code
460-519
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
Referrals
Statement of income and expense
HCPCS Level II codes
43. A small fee that is collected at the time of service is called a(n) _______________.
Truth in Lending Act
Third party payer
Copayment
Payee
44. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Age analysis
Ask the physician to select a more specific code
False
Pre-certification.
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?
V01-V83
Ask the physician to select a more specific code
Fraud.
If the diagnosis makes you ask 'How did that happen?'
46. A health-care provider who practices under false qualifications/credentials is guilty of...
False
Disclosure
Fraud.
$280.
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.
Voucher
Traveler's
Copayment
Third-party
48. Which of the following should be a factor when selecting an outside collection agency?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fair Debt Collection Practice Act
Third-party
49. 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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50. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Check your explanation of benefits form
Fraud.
Truth in Lending Act
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