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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. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Third party payer
60
( )
2. Which of the following should be a factor when selecting an outside collection agency?
[ ]
Fair Debt Collection Practices Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
If the diagnosis makes you ask 'How did that happen?'
3. An employer identification number is required by law from every employer for federal tax accounting purposes
True
Age analysis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Voucher
4. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Voucher
460-519
True
Check your explanation of benefits form
5. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
( )
The code may not be used as the first code
Fair Debt Collection Practices Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
6. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
False
V01-V83
( )
Petty cash
7. 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...
Inaccurate and/or incorrect billing
True
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
60
8. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
Pre-certification.
If the diagnosis makes you ask 'How did that happen?'
Based on the patient's reported income from the previous month.
9. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
HCPCS
$280.
6 months
10. 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?
11. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
12. 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
CPC
Payee
Fair Debt Collection Practice Act
13. Which of the following is also called Public Law 95-109?
Capitated rate
Fair Debt Collection Practice Act
Referrals
Inaccurate and/or incorrect billing
14. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
False
460-519
Disclosure
Payer
15. A small fee that is collected at the time of service is called a(n) _______________.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
16. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Fraud.
6 months
Third-party
Punitive damages
17. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
Liability
False
Third-party
Fraud.
18. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Punitive damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Includes
False
19. The most common disbursement is for...
Payer
V01-V83
Capitated rate
Office supplies.
20. The payment system used by Medicare is based on...
Resources
Capitated rate
False
Disclosure
21. 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.
Includes
Up to $500 -000 - or 1% of the practice's net worth
Petty cash
Office supplies.
22. A health-care provider who practices under false qualifications/credentials is guilty of...
Fair Debt Collection Practices Act
Fraud.
Pre-certification.
Age analysis
23. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
HCPCS Level II codes
Fraud.
Payer
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
24. Money paid for intentionally breaking the law is called _______________ _______________.
Punitive damages
V01-V83
Up to $500 -000 - or 1% of the practice's net worth
$280.
25. 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...
Pre-certification.
Office supplies.
Age analysis
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
26. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Resources
Check your explanation of benefits form
Fraud.
Disclosure
27. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third-party
( )
Check your explanation of benefits form
Payee
28. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
29. Eligibility for Medicaid is...
30. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Form W-4.
Truth in Lending Act
True
31. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
HCPCS Level II codes
$280.
Liability
Punitive damages
32. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
False
Truth in Lending Act
Resources
Age analysis
33. 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
False
False
Petty cash
Referrals
34. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Pre-certification.
Form W-4.
6 months
35. In order to be considered negotiable - a check must be signed by the _______________.
Liability
If the diagnosis makes you ask 'How did that happen?'
Payer
HCPCS Level II codes
36. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Liability
Referrals
37. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Punitive damages
Capitated rate
Pre-certification.
CPC
38. An easy way to remember when an E code is required is...
39. An act of deception used to take advantage of another person or entity is called...
Age analysis
Fraud.
Check your explanation of benefits form
Payee
40. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
False
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Includes
Voucher
41. 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?
True
V01-V83
The code may not be used as the first code
Ask the physician to select a more specific code
42. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
The code may not be used as the first code
True
Damages
43. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Up to $500 -000 - or 1% of the practice's net worth
False
Includes
Check your explanation of benefits form
44. The person to whom the check is written is the _______________.
Payee
Age analysis
Open-book
Check your explanation of benefits form
45. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Resources
Includes
Age analysis
False
46. The most common disbursement is for...
False
Age analysis.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Office supplies.
47. 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
Office supplies.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Petty cash
48. 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.
( )
False
Office supplies.
V01-V83
49. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Pre-certification.
False
False
50. The _______________-_______________ _______________ is the health plan that pays for medical services
True
Third party payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
The code may not be used as the first code