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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. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Disclosure
False
If the diagnosis makes you ask 'How did that happen?'
Up to $500 -000 - or 1% of the practice's net worth
2. Some insurers will not pay a claim unless it is filed within ________ of the date of service
The code may not be used as the first code
6 months
Capitated rate
HCPCS Level II codes
3. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Third party payer
Punitive damages
Payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
4. In order to be considered negotiable - a check must be signed by the _______________.
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Traveler's
Payer
5. An employer identification number is required by law from every employer for federal tax accounting purposes
Office supplies.
HCPCS
Pre-certification.
True
6. An easy way to remember when an E code is required is...
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7. A health-care provider who practices under false qualifications/credentials is guilty of...
If the diagnosis makes you ask 'How did that happen?'
Fraud.
If the diagnosis makes you ask 'How did that happen?'
Petty cash
8. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
6 months
6 months
Capitated rate
Statement of income and expense
9. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Includes
460-519
Copayment
10. 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
( )
Voucher
Fraud.
60
11. The person to whom the check is written is the _______________.
False
Payee
( )
False
12. The Relative Value Unit System was created to...
Office supplies.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False
13. The most common disbursement is for...
Third party payer
Check your explanation of benefits form
Office supplies.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
14. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
460-519
Referrals
Check your explanation of benefits form
Traveler's
15. 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
Inaccurate and/or incorrect billing
[ ]
Referrals
HCPCS
16. Most practices try to reduce expenses by...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Resources
Liability
Controlling accounts payable
17. The ______________ is paid to the provider even if the patient receives no care
Copayment
Capitated rate
HCPCS Level II codes
Open-book
18. 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.
Includes
Payee
Third-party
Copayment
19. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Open-book
Form W-4.
Capitated rate
Ask the physician to select a more specific code
20. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Disclosure
Check your explanation of benefits form
Traveler's
False
21. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Payer
460-519
Voucher
Copayment
22. 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
( )
Age analysis.
23. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Open-book
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
Third party payer
24. A health-care provider who practices under false qualifications/credentials is guilty of...
The code may not be used as the first code
Fraud.
Fair Debt Collection Practice Act
Damages
25. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
Referrals
Inaccurate and/or incorrect billing
CPC
26. National codes issued by CMS that cover many supplies and durable medical equipment are...
Fair Debt Collection Practices Act
Up to $500 -000 - or 1% of the practice's net worth
HCPCS Level II codes
Inaccurate and/or incorrect billing
27. 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
( )
Age analysis.
Open-book
( )
28. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
HCPCS Level II codes
Truth in Lending Act
Inaccurate and/or incorrect billing
Resources
29. 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
If the diagnosis makes you ask 'How did that happen?'
Damages
HCPCS Level II codes
60
30. 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.
False
[ ]
Traveler's
31. Which of the following is also called Public Law 95-109?
Third party payer
Petty cash
Fair Debt Collection Practice Act
60
32. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Open-book
V01-V83
V01-V83
33. 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
False
Check your explanation of benefits form
Age analysis
34. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Disclosure
6 months
Fair Debt Collection Practices Act
Check your explanation of benefits form
35. 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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36. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
HCPCS
HCPCS
Up to $500 -000 - or 1% of the practice's net worth
37. 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
Age analysis.
Damages
Open-book
Fair Debt Collection Practices Act
38. 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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39. An act of deception used to take advantage of another person or entity is called...
Voucher
Damages
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
40. The _______________-_______________ _______________ is the health plan that pays for medical services
Fraud.
Age analysis.
( )
Third party payer
41. The number of dependents an employee is claiming is found on the
Capitated rate
Age analysis
Form W-4.
Fair Debt Collection Practice Act
42. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Includes
Pre-certification.
Punitive damages
43. National codes issued by CMS that cover many supplies and durable medical equipment are...
Payer
HCPCS Level II codes
Up to $500 -000 - or 1% of the practice's net worth
HCPCS
44. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Fair Debt Collection Practices Act
Office supplies.
If the diagnosis makes you ask 'How did that happen?'
45. 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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46. The ICD-9-CM convention code first underlying disease means...
Third party payer
Form W-4.
The code may not be used as the first code
True
47. The process of classifying and reviewing past-due accounts from the first date of billing is...
Damages
The code may not be used as the first code
HCPCS
Age analysis.
48. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Payer
[ ]
V01-V83
49. Prison sentences are possible consequences of...
If the diagnosis makes you ask 'How did that happen?'
False
Copayment
Inaccurate and/or incorrect billing
50. Prison sentences are possible consequences of...
Copayment
Inaccurate and/or incorrect billing
Controlling accounts payable
HCPCS