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. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
Voucher
CPC
$280.
Petty cash


2. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
460-519
Inaccurate and/or incorrect billing
Resources
Punitive damages


3. In order to be considered negotiable - a check must be signed by the _______________.
Liability
Up to $500 -000 - or 1% of the practice's net worth
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer


4. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Ask the physician to select a more specific code
Third-party
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
True


5. Prison sentences are possible consequences of...
HCPCS
Inaccurate and/or incorrect billing
False
[ ]


6. The most common disbursement is for...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability
The code may not be used as the first code
Office supplies.


7. An employer identification number is required by law from every employer for federal tax accounting purposes
Truth in Lending Act
True
Disclosure
Check your explanation of benefits form


8. Which of the following should be a factor when selecting an outside collection agency?
Fair Debt Collection Practice Act
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Disclosure
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


9. Prison sentences are possible consequences of...
False
Inaccurate and/or incorrect billing
Punitive damages
If the diagnosis makes you ask 'How did that happen?'


10. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
[ ]
Fraud.
Pre-certification.
CPC


11. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Open-book
Liability
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Traveler's


12. 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?
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
( )
( )


13. The person to whom the check is written is the _______________.
Fair Debt Collection Practice Act
Fraud.
The code may not be used as the first code
Payee


14. Eligibility for Medicaid is...

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15. 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
Petty cash
460-519
Fair Debt Collection Practices Act


16. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
6 months
6 months
Traveler's
[ ]


17. 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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18. 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.
Third-party
False
60
Fair Debt Collection Practice Act


19. The determination of the amount of money paid by a third-party payer for a procedure is...
Payee
Pre-certification.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
HCPCS


20. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
False
Payee
Age analysis
Fair Debt Collection Practices Act


21. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
HCPCS
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'
Capitated rate


22. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Referrals
460-519
Disclosure
Third-party


23. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Statement of income and expense
HCPCS Level II codes
False


24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
False
Inaccurate and/or incorrect billing
False
Includes


25. A small fee that is collected at the time of service is called a(n) _______________.
Copayment
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Includes


26. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
( )
Age analysis
[ ]
460-519


27. The _______________-_______________ _______________ is the health plan that pays for medical services
False
Third party payer
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


28. A small fee that is collected at the time of service is called a(n) _______________.
HCPCS Level II codes
Punitive damages
Copayment
Traveler's


29. 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...
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.
Age analysis
Fraud.


30. 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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31. 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
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
False
Open-book
Age analysis.


32. National codes issued by CMS that cover many supplies and durable medical equipment are...
Punitive damages
HCPCS Level II codes
Resources
Fair Debt Collection Practices Act


33. The Relative Value Unit System was created to...
Traveler's
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Voucher


34. The _______________-_______________ _______________ is the health plan that pays for medical services
V01-V83
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third party payer
Liability


35. 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.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Petty cash
Statement of income and expense
False


36. The payment system used by Medicare is based on...
Third-party
Includes
Resources
Pre-certification.


37. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
( )
HCPCS Level II codes
False
If the diagnosis makes you ask 'How did that happen?'


38. Eligibility for Medicaid is...

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39. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Age analysis
CPC
Damages
False


40. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Form W-4.
Copayment
Voucher


41. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
If the diagnosis makes you ask 'How did that happen?'
Disclosure
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday


42. A health-care provider who practices under false qualifications/credentials is guilty of...
Payer
Fraud.
CPC
Payee


43. 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
Open-book
( )
Third party payer
HCPCS


44. The payment system used by Medicare is based on...
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
60
Resources
Pre-certification.


45. The number of dependents an employee is claiming is found on the
Form W-4.
6 months
( )
Referrals


46. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
HCPCS Level II codes
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Copayment
Truth in Lending Act


47. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Form W-4.
Age analysis.
The code may not be used as the first code
6 months


48. 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?
Fraud.
Third-party
V01-V83
60


49. Money paid as compensation as result of a lawsuit is called _______________.
Check your explanation of benefits form
Damages
Punitive damages
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay


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

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