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