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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. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Fair Debt Collection Practices Act
Age analysis.
V01-V83
Copayment
2. The process of classifying and reviewing past-due accounts from the first date of billing is...
60
Resources
Payee
Age analysis.
3. Some insurers will not pay a claim unless it is filed within ________ of the date of service
6 months
$280.
Damages
Voucher
4. A health-care provider who practices under false qualifications/credentials is guilty of...
Fraud.
True
V01-V83
6 months
5. 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?
6. Money paid for intentionally breaking the law is called _______________ _______________.
Office supplies.
Punitive damages
Capitated rate
CPC
7. The ______________ is paid to the provider even if the patient receives no care
CPC
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
True
Capitated rate
8. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
CPC
False
False
Disclosure
9. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
60
Traveler's
Check your explanation of benefits form
Fair Debt Collection Practices Act
10. 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.
Up to $500 -000 - or 1% of the practice's net worth
Referrals
Third-party
Resources
11. 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
V01-V83
Fraud.
Copayment
12. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
Inaccurate and/or incorrect billing
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
[ ]
13. What kind of checks are printed in $10 - $20 - $50 - and $100 denominations and must be purchased and signed at the bank?
14. 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?
The code may not be used as the first code
Age analysis
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
V01-V83
15. An employer identification number is required by law from every employer for federal tax accounting purposes
Form W-4.
True
Damages
Fair Debt Collection Practice Act
16. The Relative Value Unit System was created to...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Voucher
Open-book
Referrals
17. National codes issued by CMS that cover many supplies and durable medical equipment are...
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Payee
HCPCS Level II codes
Truth in Lending Act
18. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
False
HCPCS
Truth in Lending Act
19. 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...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
False
HCPCS Level II codes
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
20. The ICD-9-CM convention code first underlying disease means...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
The code may not be used as the first code
If the diagnosis makes you ask 'How did that happen?'
Disclosure
21. Expenses such as routine eye examinations or dental care that are not covered by an insurance company are called exclusions.
True
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'
Includes
22. 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
Office supplies.
Open-book
True
23. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Fraud.
Resources
Statement of income and expense
24. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Pre-certification.
Truth in Lending Act
Third party payer
False
25. The ICD-9-CM convention code first underlying disease means...
V01-V83
The code may not be used as the first code
HCPCS Level II codes
Controlling accounts payable
26. Eligibility for Medicaid is...
27. Which of the following should be a factor when selecting an outside collection agency?
Punitive damages
Pre-certification.
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Up to $500 -000 - or 1% of the practice's net worth
28. Most practices try to reduce expenses by...
Capitated rate
Age analysis
Controlling accounts payable
Statement of income and expense
29. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
HCPCS
CPC
Liability
Resources
30. In order to be considered negotiable - a check must be signed by the _______________.
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.
V01-V83
Payer
31. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
( )
Up to $500 -000 - or 1% of the practice's net worth
False
32. 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
Third party payer
Open-book
Pre-certification.
The code may not be used as the first code
33. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Age analysis
False
Fair Debt Collection Practices Act
Petty cash
34. 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.
Copayment
Controlling accounts payable
False
Form W-4.
35. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Damages
CPC
Liability
Petty cash
36. Which of the following is also called Public Law 95-109?
HCPCS
Fair Debt Collection Practice Act
( )
The code may not be used as the first code
37. The most common disbursement is for...
Truth in Lending Act
Copayment
Office supplies.
Payee
38. The ______________ is paid to the provider even if the patient receives no care
Capitated rate
If the diagnosis makes you ask 'How did that happen?'
Damages
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
39. 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
True
$280.
Up to $500 -000 - or 1% of the practice's net worth
60
40. An act of deception used to take advantage of another person or entity is called...
460-519
( )
HCPCS Level II codes
Fraud.
41. The determination of the amount of money paid by a third-party payer for a procedure is...
Age analysis
$280.
Pre-certification.
Truth in Lending Act
42. Which of the following requires creditors to provide applicants with accurate and complete credit costs and terms?
Fair Debt Collection Practice Act
Fraud.
Truth in Lending Act
True
43. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Capitated rate
Ask the physician to select a more specific code
Form W-4.
44. The _______________-_______________ _______________ is the health plan that pays for medical services
HCPCS Level II codes
Third party payer
HCPCS Level II codes
False
45. The person to whom the check is written is the _______________.
CPC
Office supplies.
V01-V83
Payee
46. Money paid for intentionally breaking the law is called _______________ _______________.
Age analysis.
Punitive damages
( )
Referrals
47. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
$280.
Fair Debt Collection Practices Act
True
If the diagnosis makes you ask 'How did that happen?'
48. The number of dependents an employee is claiming is found on the
Disclosure
False
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.
49. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
460-519
( )
Statement of income and expense
HCPCS
50. When looking up an ICD-9-CM code - you see the notation NOS. What should you do?
Based on the patient's reported income from the previous month.
Fair Debt Collection Practices Act
Ask the physician to select a more specific code
[ ]