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. Eligibility for Medicaid is...

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2. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
The code may not be used as the first code
Voucher
Punitive damages

3. The payment system used by Medicare is based on...
Resources
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
False

4. 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
Petty cash
Age analysis.
Open-book
Age analysis

5. A health-care provider who practices under false qualifications/credentials is guilty of...
Truth in Lending Act
Fraud.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Petty cash

6. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
460-519
True
6 months

7. An act of deception used to take advantage of another person or entity is called...
Fraud.
Disclosure
Damages
Based on the patient's reported income from the previous month.

8. Which of the following should be a factor when selecting an outside collection agency?
Pre-certification.
False
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

9. 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
True
Damages
Liability

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
V01-V83
Age analysis
Form W-4.
60

11. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Resources
False
True
Up to $500 -000 - or 1% of the practice's net worth

12. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Liability
Referrals
$280.
460-519

13. The person to whom the check is written is the _______________.
Capitated rate
Up to $500 -000 - or 1% of the practice's net worth
[ ]
Payee

14. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Includes
6 months
False
Third party payer

15. The Relative Value Unit System was created to...
Traveler's
Ask the physician to select a more specific code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

16. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Truth in Lending Act
Form W-4.
True
Petty cash

17. An act of deception used to take advantage of another person or entity is called...
Up to $500 -000 - or 1% of the practice's net worth
False
Fraud.
Based on the patient's reported income from the previous month.

18. The ______________ is paid to the provider even if the patient receives no care
If the diagnosis makes you ask 'How did that happen?'
Capitated rate
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payee

19. 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
Form W-4.
Third-party
CPC
Referrals

20. The payment system used by Medicare is based on...
Resources
Ask the physician to select a more specific code
Referrals
60

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.
Liability
Punitive damages
Petty cash
Copayment

22. 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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23. 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
True
False
Damages
Open-book

24. Prison sentences are possible consequences of...
HCPCS
Inaccurate and/or incorrect billing
Third party payer
Office supplies.

25. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Statement of income and expense
Controlling accounts payable
Pre-certification.
Damages

26. National codes issued by CMS that cover many supplies and durable medical equipment are...
Includes
Third-party
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS Level II codes

27. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
True
Copayment
The code may not be used as the first code

28. Money paid for intentionally breaking the law is called _______________ _______________.
Includes
Age analysis
Copayment
Punitive damages

29. The determination of the amount of money paid by a third-party payer for a procedure is...
Traveler's
Third-party
Pre-certification.
Fraud.

30. The ______________ is paid to the provider even if the patient receives no care
Office supplies.
Fair Debt Collection Practices Act
Capitated rate
False

31. 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?
Payee
V01-V83
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Office supplies.

32. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Office supplies.
460-519
Check your explanation of benefits form

33. 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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34. Which of the following is also called Public Law 95-109?
$280.
$280.
Fair Debt Collection Practice Act
HCPCS Level II codes

35. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
False
Disclosure
Statement of income and expense
The code may not be used as the first code

36. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Third party payer
Ask the physician to select a more specific code
V01-V83
True

37. The person to whom the check is written is the _______________.
Payee
Age analysis.
Fraud.
True

38. The ICD-9-CM convention code first underlying disease means...
60
Third-party
Fair Debt Collection Practices Act
The code may not be used as the first code

39. Which of the following should be a factor when selecting an outside collection agency?
Fraud.
60
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Statement of income and expense

40. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Based on the patient's reported income from the previous month.
V01-V83
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Includes

41. The most common disbursement is for...
Liability
Office supplies.
True
Liability

42. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
The code may not be used as the first code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False

43. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
HCPCS
Payee
Voucher
460-519

44. 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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45. The Relative Value Unit System was created to...
Disclosure
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
60

46. Prison sentences are possible consequences of...
Capitated rate
Punitive damages
Inaccurate and/or incorrect billing
Office supplies.

47. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Statement of income and expense
Up to $500 -000 - or 1% of the practice's net worth
Ask the physician to select a more specific code
Controlling accounts payable

48. 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...
Fair Debt Collection Practices Act
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Fair Debt Collection Practices Act

49. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Petty cash
Disclosure
Fair Debt Collection Practices Act
Damages

50. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Check your explanation of benefits form
460-519
False
Fraud.