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. 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
HCPCS Level II codes
Payer
Controlling accounts payable
60

2. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Voucher
Statement of income and expense
Referrals

3. 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
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.
60

4. The determination of the amount of money paid by a third-party payer for a procedure is...
Fraud.
Statement of income and expense
Pre-certification.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.

5. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
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.
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

6. The most common disbursement is for...
Damages
Office supplies.
Disclosure
The code may not be used as the first code

7. A small fee that is collected at the time of service is called a(n) _______________.
Office supplies.
Includes
Copayment
Truth in Lending Act

8. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
HCPCS
Liability
Includes
Payee

9. The payment system used by Medicare is based on...
Resources
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
CPC
Capitated rate

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

11. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Fraud.
Fraud.
CPC
Payer

12. The person to whom the check is written is the _______________.
Payee
The code may not be used as the first code
Resources
Fraud.

13. Most practices try to reduce expenses by...
Referrals
False
Controlling accounts payable
( )

14. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
Liability
Statement of income and expense
Payee
60

15. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
( )
Inaccurate and/or incorrect billing
Fraud.

16. 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
CPC
$280.
Controlling accounts payable

17. 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?
$280.
V01-V83
True
Voucher

18. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
Referrals
Form W-4.
HCPCS Level II codes

19. A small fee that is collected at the time of service is called a(n) _______________.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Punitive damages
Copayment
Third party payer

20. The _______________ coding system has two levels and is used for coding services for Medicare patients
HCPCS
False
Form W-4.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

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.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Payee
Age analysis.
Petty cash

22. 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 Level II codes
False
Open-book

23. A health-care provider who practices under false qualifications/credentials is guilty of...
Liability
Fraud.
Capitated rate
Third party payer

24. The number of dependents an employee is claiming is found on the
Form W-4.
Payer
Third party payer
Payer

25. The ICD-9-CM convention code first underlying disease means...
The code may not be used as the first code
Payee
True
Ask the physician to select a more specific code

26. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Damages
Voucher
False
Liability

27. Eligibility for Medicaid is...

28. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
True
Resources
False
Truth in Lending Act

29. 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
Statement of income and expense
Referrals
( )
HCPCS Level II codes

30. Which ICD-9-CM convention is used around nonessential or supplementary terms that do not affect the code?
Includes
6 months
( )
Payer

31. An act of deception used to take advantage of another person or entity is called...
Fraud.
Age analysis.
HCPCS
HCPCS

32. The process of classifying and reviewing past-due accounts from the first date of billing is...
Voucher
Age analysis.
Damages
Ask the physician to select a more specific code

33. In order to be considered negotiable - a check must be signed by the _______________.
Fraud.
Office supplies.
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Payer

34. 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...
Up to $500 -000 - or 1% of the practice's net worth
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Open-book
Based on the patient's reported income from the previous month.

35. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
False
Voucher
Pre-certification.
Pre-certification.

36. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Truth in Lending Act
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Liability
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

37. 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...
False
Ask the physician to select a more specific code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Third party payer

38. The Relative Value Unit System was created to...
Referrals
False
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Open-book

39. National codes issued by CMS that cover many supplies and durable medical equipment are...
Voucher
True
HCPCS Level II codes
Fraud.

40. An employer identification number is required by law from every employer for federal tax accounting purposes
Fair Debt Collection Practice Act
True
Third-party
Check your explanation of benefits form

41. Most practices try to reduce expenses by...
Controlling accounts payable
Truth in Lending Act
Fair Debt Collection Practices Act
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

42. 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
Check your explanation of benefits form
Payee
Resources

43. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Third party payer
Inaccurate and/or incorrect billing
Disclosure
HCPCS

44. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Payee
Fraud.
Form W-4.
Truth in Lending Act

45. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
60
False
True
Disclosure

46. The person to whom the check is written is the _______________.
Petty cash
True
Payee
[ ]

47. An employer identification number is required by law from every employer for federal tax accounting purposes
Fair Debt Collection Practice Act
True
60
Fraud.

48. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
Third party payer
Fraud.
Traveler's

49. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Age analysis
[ ]
Capitated rate

50. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Inaccurate and/or incorrect billing
CPC
6 months
Disclosure