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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. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Ask the physician to select a more specific code
Capitated rate
Fair Debt Collection Practice Act
2. Most practices try to reduce expenses by...
Petty cash
Controlling accounts payable
60
Age analysis
3. The determination of the amount of money paid by a third-party payer for a procedure is...
Third party payer
Pre-certification.
Up to $500 -000 - or 1% of the practice's net worth
Controlling accounts payable
4. 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
Capitated rate
False
5. The _______________-_______________ _______________ is the health plan that pays for medical services
Fair Debt Collection Practice Act
Third party payer
Up to $500 -000 - or 1% of the practice's net worth
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Punitive damages
False
Capitated rate
Age analysis
7. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
6 months
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Punitive damages
8. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Damages
The code may not be used as the first code
CPC
Fraud.
9. 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
V01-V83
Punitive damages
60
False
10. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
False
11. 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
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Statement of income and expense
HCPCS
12. 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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13. The payment system used by Medicare is based on...
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Resources
True
14. The _______________ coding system has two levels and is used for coding services for Medicare patients
60
6 months
False
HCPCS
15. 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
Check your explanation of benefits form
Payee
CPC
Open-book
16. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
Referrals
Fraud.
Age analysis.
17. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Copayment
False
Payee
[ ]
18. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Pre-certification.
Resources
Truth in Lending Act
$280.
19. Money paid as compensation as result of a lawsuit is called _______________.
Damages
False
Office supplies.
Form W-4.
20. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Fraud.
Fair Debt Collection Practices Act
$280.
21. The most common disbursement is for...
False
Office supplies.
Copayment
Up to $500 -000 - or 1% of the practice's net worth
22. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Traveler's
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
23. 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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24. 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.
False
Third party payer
If the diagnosis makes you ask 'How did that happen?'
Disclosure
25. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Inaccurate and/or incorrect billing
Damages
True
26. 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
Office supplies.
Capitated rate
HCPCS
27. 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
Statement of income and expense
Capitated rate
Includes
28. 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?
Copayment
V01-V83
Damages
HCPCS Level II codes
29. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Includes
$280.
The code may not be used as the first code
30. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Fraud.
Fair Debt Collection Practice Act
Third party payer
True
31. The process of classifying and reviewing past-due accounts from the first date of billing is...
6 months
Age analysis.
Petty cash
460-519
32. A health-care provider who practices under false qualifications/credentials is guilty of...
Up to $500 -000 - or 1% of the practice's net worth
Fraud.
The code may not be used as the first code
V01-V83
33. The _______________ coding system has two levels and is used for coding services for Medicare patients
Capitated rate
Controlling accounts payable
HCPCS
Ask the physician to select a more specific code
34. 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.
Third party payer
Petty cash
Form W-4.
Controlling accounts payable
35. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
V01-V83
Based on the patient's reported income from the previous month.
Resources
Voucher
36. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Voucher
Punitive damages
False
Voucher
37. 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?'
Open-book
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer
38. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
460-519
Statement of income and expense
True
39. The most common disbursement is for...
False
6 months
Office supplies.
Open-book
40. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
Voucher
Open-book
Copayment
41. The number of dependents an employee is claiming is found on the
Referrals
Resources
Form W-4.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
42. A health-care provider who practices under false qualifications/credentials is guilty of...
Check your explanation of benefits form
Fraud.
Check your explanation of benefits form
Open-book
43. The payment system used by Medicare is based on...
Fraud.
Third-party
Form W-4.
Resources
44. 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.
Up to $500 -000 - or 1% of the practice's net worth
6 months
False
Check your explanation of benefits form
45. An easy way to remember when an E code is required is...
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46. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Resources
[ ]
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practices Act
47. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Up to $500 -000 - or 1% of the practice's net worth
Age analysis
Truth in Lending Act
48. In order to be considered negotiable - a check must be signed by the _______________.
Truth in Lending Act
Payer
Fraud.
If the diagnosis makes you ask 'How did that happen?'
49. Prison sentences are possible consequences of...
False
Form W-4.
False
Inaccurate and/or incorrect billing
50. Which of the following is also called Public Law 95-109?
Referrals
Fair Debt Collection Practice Act
( )
Age analysis
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