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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?
Punitive damages
Open-book
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Liability
2. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
V01-V83
False
Damages
Disclosure
3. The determination of the amount of money paid by a third-party payer for a procedure is...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Controlling accounts payable
Pre-certification.
False
4. 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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5. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Liability
( )
Age analysis
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Fair Debt Collection Practice Act
Based on the patient's reported income from the previous month.
True
Third-party
7. 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.
Resources
CPC
6 months
Petty cash
8. 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.
V01-V83
Third-party
Fair Debt Collection Practices Act
Petty cash
9. 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?
Traveler's
Resources
V01-V83
Controlling accounts payable
10. 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.
Office supplies.
Traveler's
False
Payee
11. The number of dependents an employee is claiming is found on the
60
Age analysis.
Form W-4.
Punitive damages
12. The most common disbursement is for...
Office supplies.
Age analysis.
Petty cash
False
13. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
CPC
Punitive damages
Ask the physician to select a more specific code
14. National codes issued by CMS that cover many supplies and durable medical equipment are...
False
HCPCS Level II codes
Up to $500 -000 - or 1% of the practice's net worth
Truth in Lending Act
15. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Fraud.
False
HCPCS
Fair Debt Collection Practices Act
16. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Punitive damages
Voucher
False
Traveler's
17. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Form W-4.
( )
Ask the physician to select a more specific code
Fraud.
18. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
The code may not be used as the first code
Petty cash
False
True
19. 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?
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
V01-V83
20. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Damages
Voucher
Check your explanation of benefits form
Punitive damages
21. 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
HCPCS
$280.
Office supplies.
Open-book
22. A health-care provider who practices under false qualifications/credentials is guilty of...
Third party payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
False
23. 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...
Damages
Voucher
Payer
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
24. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
6 months
Third party payer
False
25. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Copayment
HCPCS
$280.
[ ]
26. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
CPC
Pre-certification.
Referrals
27. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Form W-4.
Resources
Based on the patient's reported income from the previous month.
28. The person to whom the check is written is the _______________.
60
Up to $500 -000 - or 1% of the practice's net worth
Payee
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
29. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Liability
Fair Debt Collection Practice Act
Disclosure
False
30. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Liability
6 months
Check your explanation of benefits form
460-519
31. The _______________-_______________ _______________ is the health plan that pays for medical services
True
True
If the diagnosis makes you ask 'How did that happen?'
Third party payer
32. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Statement of income and expense
Pre-certification.
Age analysis
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
33. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
[ ]
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Third party payer
34. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Payer
( )
Age analysis.
Age analysis.
35. Money paid for intentionally breaking the law is called _______________ _______________.
Check your explanation of benefits form
$280.
460-519
Punitive damages
36. Prison sentences are possible consequences of...
Controlling accounts payable
Inaccurate and/or incorrect billing
Punitive damages
Voucher
37. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
$280.
460-519
Fraud.
Check your explanation of benefits form
38. The ICD-9-CM convention code first underlying disease means...
Ask the physician to select a more specific code
The code may not be used as the first code
Liability
Truth in Lending Act
39. 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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40. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Pre-certification.
Resources
Capitated rate
41. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Voucher
True
460-519
6 months
42. An easy way to remember when an E code is required is...
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43. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Referrals
Disclosure
Age analysis
44. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Damages
Includes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
CPC
45. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Up to $500 -000 - or 1% of the practice's net worth
Payer
Form W-4.
Age analysis
46. Money paid as compensation as result of a lawsuit is called _______________.
Damages
HCPCS Level II codes
Form W-4.
[ ]
47. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
[ ]
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Includes
Third party payer
48. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Traveler's
Ask the physician to select a more specific code
[ ]
Capitated rate
49. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
Fair Debt Collection Practice Act
Includes
50. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Third party payer
Fair Debt Collection Practice Act
False
True
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