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. 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
Includes
HCPCS Level II codes
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


2. 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.
Petty cash
Open-book
False
The code may not be used as the first code


3. 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...
Open-book
[ ]
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.


4. Money paid for intentionally breaking the law is called _______________ _______________.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Referrals
Punitive damages
Age analysis


5. 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
True
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
60
Damages


6. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
6 months
HCPCS Level II codes
Includes


7. The _______________-_______________ _______________ is the health plan that pays for medical services
Age analysis.
Third party payer
Fraud.
Statement of income and expense


8. The number of dependents an employee is claiming is found on the
Form W-4.
Fraud.
Fair Debt Collection Practice Act
60


9. An act of deception used to take advantage of another person or entity is called...
Inaccurate and/or incorrect billing
Capitated rate
V01-V83
Fraud.


10. 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.
V01-V83
Office supplies.


11. The most common disbursement is for...
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Third party payer
Traveler's


12. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
The code may not be used as the first code
Petty cash
Liability


13. Which of the following is also called Public Law 95-109?
CPC
Pre-certification.
Fair Debt Collection Practice Act
Petty cash


14. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Punitive damages
Resources
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


15. The payment system used by Medicare is based on...
Fraud.
Referrals
Resources
60


16. Prison sentences are possible consequences of...
Liability
Payee
Inaccurate and/or incorrect billing
Statement of income and expense


17. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Petty cash
Payee
Traveler's


18. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Capitated rate
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
V01-V83
460-519


19. An act of deception used to take advantage of another person or entity is called...
If the diagnosis makes you ask 'How did that happen?'
Disclosure
Fraud.
If the diagnosis makes you ask 'How did that happen?'


20. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
460-519
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Ask the physician to select a more specific code


21. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
True
Truth in Lending Act
Statement of income and expense
True


22. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
( )
Punitive damages
False
True


23. 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
Controlling accounts payable
False


24. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Form W-4.
Check your explanation of benefits form
460-519
Third party payer


25. 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
Resources
Payee
Resources


26. The number of dependents an employee is claiming is found on the
The code may not be used as the first code
Copayment
Fair Debt Collection Practice Act
Form W-4.


27. Money paid as compensation as result of a lawsuit is called _______________.
Copayment
Petty cash
Damages
Liability


28. 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
Third-party
Copayment
Includes


29. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Statement of income and expense
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Truth in Lending Act


30. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Petty cash
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability


31. 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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32. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Controlling accounts payable
60
False
6 months


33. 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
Open-book
The code may not be used as the first code
False
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


34. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Truth in Lending Act
Damages
460-519


35. 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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36. Most practices try to reduce expenses by...
False
Statement of income and expense
Controlling accounts payable
HCPCS Level II codes


37. 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.
Petty cash
Controlling accounts payable
Based on the patient's reported income from the previous month.
Age analysis.


38. 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.
True
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


39. The person to whom the check is written is the _______________.
Payee
Pre-certification.
False
Controlling accounts payable


40. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Copayment
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Referrals


41. An employer identification number is required by law from every employer for federal tax accounting purposes
Controlling accounts payable
Truth in Lending Act
True
Pre-certification.


42. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Traveler's
True
Payer


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

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44. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
Petty cash
True
Pre-certification.


45. 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.
Up to $500 -000 - or 1% of the practice's net worth
Fair Debt Collection Practice Act
False
Third-party


46. Prison sentences are possible consequences of...
( )
Capitated rate
False
Inaccurate and/or incorrect billing


47. Eligibility for Medicaid is...

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48. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Inaccurate and/or incorrect billing
True
Inaccurate and/or incorrect billing
[ ]


49. Eligibility for Medicaid is...

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50. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Payer
Damages
Fair Debt Collection Practices Act
Referrals