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

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3. A small fee that is collected at the time of service is called a(n) _______________.
Petty cash
The code may not be used as the first code
Resources
Copayment

4. 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.
60
Controlling accounts payable
Up to $500 -000 - or 1% of the practice's net worth
Third-party

5. 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
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
Referrals

6. The _______________ coding system has two levels and is used for coding services for Medicare patients
False
Payer
HCPCS
Age analysis.

7. The process of classifying and reviewing past-due accounts from the first date of billing is...
If the diagnosis makes you ask 'How did that happen?'
Payer
Age analysis.
Traveler's

8. The _______________-_______________ _______________ is the health plan that pays for medical services
V01-V83
Third party payer
Copayment
[ ]

9. The _______________ coding system has two levels and is used for coding services for Medicare patients
60
460-519
The code may not be used as the first code
HCPCS

10. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Payee
Voucher
Resources
Liability

11. 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.
Truth in Lending Act
[ ]
False

12. The Relative Value Unit System was created to...
HCPCS Level II codes
Damages
Ask the physician to select a more specific code
Determine practice expense relative value units for all Medicare Physician Fee Schedule services

13. If an employee earns $8 per hour and works 35 hours per week - the gross earnings are...
CPC
Third party payer
$280.
( )

14. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Damages
460-519
Includes
Traveler's

15. Eligibility for Medicaid is...

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16. 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.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Disclosure
Statement of income and expense

17. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Age analysis.
Disclosure
Punitive damages
V01-V83

18. In order to be considered negotiable - a check must be signed by the _______________.
60
Payer
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Pre-certification.

19. 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.
Truth in Lending Act
Petty cash
Office supplies.
True

20. The ICD-9-CM convention code first underlying disease means...
[ ]
Based on the patient's reported income from the previous month.
The code may not be used as the first code
True

21. Which of the following should be a factor when selecting an outside collection agency?
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
Referrals

22. Most practices try to reduce expenses by...
HCPCS Level II codes
Pre-certification.
True
Controlling accounts payable

23. Some insurers will not pay a claim unless it is filed within ________ of the date of service
[ ]
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
6 months
Ask the physician to select a more specific code

24. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
Liability
Traveler's
Includes
Copayment

25. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS Level II codes
Check your explanation of benefits form
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Disclosure

26. An employer identification number is required by law from every employer for federal tax accounting purposes
Fair Debt Collection Practice Act
Copayment
True
Statement of income and expense

27. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
CPC
Includes
Payer
Liability

28. The determination of the amount of money paid by a third-party payer for a procedure is...
Referrals
Voucher
Pre-certification.
Payer

29. 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.
Voucher
Third-party
60
Inaccurate and/or incorrect billing

30. National codes issued by CMS that cover many supplies and durable medical equipment are...
CPC
HCPCS Level II codes
Up to $500 -000 - or 1% of the practice's net worth
Office supplies.

31. The Relative Value Unit System was created to...
Up to $500 -000 - or 1% of the practice's net worth
Voucher
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
Open-book

32. The person to whom the check is written is the _______________.
Traveler's
Ask the physician to select a more specific code
Truth in Lending Act
Payee

33. It is acceptable to threaten to send a patient's account to a collection agency even if you are not ready to do so
Fair Debt Collection Practices Act
HCPCS
False
Check your explanation of benefits form

34. The payment system used by Medicare is based on...
CPC
False
Resources
V01-V83

35. 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
Damages
Controlling accounts payable
Third-party

36. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
Ask the physician to select a more specific code
Based on the patient's reported income from the previous month.
Determine practice expense relative value units for all Medicare Physician Fee Schedule services
False

37. Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
Truth in Lending Act
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Resources
Referrals

38. In order to be considered negotiable - a check must be signed by the _______________.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
Payer
Statement of income and expense
Includes

39. An employer identification number is required by law from every employer for federal tax accounting purposes
Includes
True
Fraud.
The code may not be used as the first code

40. Which of the following demonstrates the practice's profitability by illustrating the practice's total income and expenses?
( )
Fair Debt Collection Practice Act
[ ]
Statement of income and expense

41. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
( )
Truth in Lending Act
Damages
False

42. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Traveler's
Age analysis
Office supplies.
False

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
Liability
Capitated rate
Open-book
Payer

44. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Truth in Lending Act
Petty cash
Check your explanation of benefits form

45. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
Controlling accounts payable
CPC
60
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay

46. The most common disbursement is for...
Fair Debt Collection Practices Act
Age analysis
Office supplies.
Fraud.

47. Which of the following ICD-9-CM conventions is used around synonyms - alternative workings - or explanations?
[ ]
Fraud.
Capitated rate
Payer

48. Which of the following is also called Public Law 95-109?
Fair Debt Collection Practice Act
True
Form W-4.
Age analysis

49. A health-care provider who practices under false qualifications/credentials is guilty of...
If the diagnosis makes you ask 'How did that happen?'
Third party payer
Fraud.
Third-party

50. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Third party payer
The code may not be used as the first code
Fair Debt Collection Practices Act
If the diagnosis makes you ask 'How did that happen?'