Test your basic knowledge |

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. Money paid as compensation as result of a lawsuit is called _______________.
HCPCS
Copayment
Office supplies.
Damages

2. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Capitated rate
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
If the diagnosis makes you ask 'How did that happen?'
False

3. 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
460-519
Open-book
Fraud.
( )

4. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Age analysis
Up to $500 -000 - or 1% of the practice's net worth
Disclosure
Voucher

5. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Office supplies.
HCPCS Level II codes
Fraud.
False

6. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Payer
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Truth in Lending Act

7. An act of deception used to take advantage of another person or entity is called...
Fair Debt Collection Practice Act
Statement of income and expense
Fraud.
$280.

8. The process of classifying and reviewing past-due accounts from the first date of billing is...
[ ]
Third party payer
Age analysis.
Referrals

9. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
HCPCS Level II codes
False
Damages

10. The _______________-_______________ _______________ is the health plan that pays for medical services
Third party payer
Check your explanation of benefits form
False
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

11. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Resources
Ask the physician to select a more specific code
Age analysis
Fraud.

12. The Relative Value Unit System was created to...
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Ask the physician to select a more specific code
Damages

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

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14. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
$280.
HCPCS

15. In order to be considered negotiable - a check must be signed by the _______________.
Payee
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payer

16. Prison sentences are possible consequences of...
Controlling accounts payable
Inaccurate and/or incorrect billing
False
460-519

17. 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...
Copayment
HCPCS Level II codes
Office supplies.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

18. An act of deception used to take advantage of another person or entity is called...
Fraud.
Damages
Damages
Ask the physician to select a more specific code

19. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Pre-certification.
Traveler's
Third party payer

20. The ICD-9-CM convention code first underlying disease means...
False
Fraud.
Fraud.
The code may not be used as the first code

21. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Controlling accounts payable
Controlling accounts payable
60

22. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Form W-4.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
Statement of income and expense

23. Most practices try to reduce expenses by...
Based on the patient's reported income from the previous month.
False
Controlling accounts payable
Liability

24. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Resources
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False

25. The number of dependents an employee is claiming is found on the
Truth in Lending Act
Third-party
Form W-4.
( )

26. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Traveler's
Voucher
Check your explanation of benefits form

27. 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.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
False
V01-V83

28. 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...
Truth in Lending Act
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Punitive damages

29. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Copayment
Capitated rate
Punitive damages

30. A small fee that is collected at the time of service is called a(n) _______________.
60
Copayment
6 months
Time and a half for all hours worked beyond the normal 8 hours in a regular workday

31. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Voucher
False
( )
True

32. The most common disbursement is for...
Office supplies.
Fair Debt Collection Practices Act
[ ]
V01-V83

33. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
$280.
CPC
Ask the physician to select a more specific code
Includes

34. 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
Check your explanation of benefits form
Includes
Third-party

35. The ______________ is paid to the provider even if the patient receives no care
Open-book
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Capitated rate

36. 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
Statement of income and expense
Age analysis
Statement of income and expense

37. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
( )
Payee
Fraud.
Disclosure

38. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
460-519
Petty cash
Includes

39. 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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40. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Payer
Petty cash
6 months

41. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
$280.
Disclosure
CPC
False

42. 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
Third party payer
Form W-4.
Age analysis.

43. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Fraud.
Liability
Payee
Age analysis

44. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Ask the physician to select a more specific code
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Open-book

45. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
[ ]

46. 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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47. Which of the following should be a factor when selecting an outside collection agency?
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Fraud.
Check your explanation of benefits form

48. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
False
Third party payer
V01-V83
$280.

49. 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.
Payer
Third-party
Payer
Statement of income and expense

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

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