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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. The ICD-9-CM convention code first underlying disease means...
False
Fraud.
Statement of income and expense
The code may not be used as the first code
2. Most practices use checks from a standard checkbook - or they use _______________ checks - which are business checks with stubs attached
HCPCS Level II codes
Voucher
Copayment
Petty cash
3. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Controlling accounts payable
Disclosure
Punitive damages
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
4. 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
Referrals
Traveler's
Inaccurate and/or incorrect billing
460-519
5. 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
Resources
Referrals
60
Pre-certification.
6. 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?
V01-V83
Pre-certification.
Open-book
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
7. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
6 months
Based on the patient's reported income from the previous month.
Punitive damages
Age analysis
8. The _______________-_______________ _______________ is the health plan that pays for medical services
Punitive damages
If the diagnosis makes you ask 'How did that happen?'
Third party payer
False
9. The law requires all employers to withhold money from employees' net earnings to pay federal - state - and local income taxes
True
True
False
True
10. Some insurers will not pay a claim unless it is filed within ________ of the date of service
Third party payer
6 months
Statement of income and expense
False
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?
Based on the patient's reported income from the previous month.
Age analysis
Ask the physician to select a more specific code
V01-V83
12. The person to whom the check is written is the _______________.
Inaccurate and/or incorrect billing
Payee
Includes
Payer
13. Which of the following types of insurance covers injuries that are caused by the insured or that occurred on the insured's property?
Liability
Fraud.
Payee
Inaccurate and/or incorrect billing
14. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Third party payer
Check your explanation of benefits form
Third-party
Based on the patient's reported income from the previous month.
15. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
False
Payee
True
CPC
16. An act of deception used to take advantage of another person or entity is called...
Liability
Fraud.
CPC
V01-V83
17. An employer identification number is required by law from every employer for federal tax accounting purposes
Fair Debt Collection Practices Act
Payer
Fair Debt Collection Practices Act
True
18. Which of the following is also called Public Law 95-109?
Form W-4.
60
Fair Debt Collection Practice Act
False
19. The _______________ coding system has two levels and is used for coding services for Medicare patients
Inaccurate and/or incorrect billing
True
Liability
HCPCS
20. Which of the following ICD-9-CM conventions indicates that the entries following it refine the content of a preceding entry?
460-519
Fair Debt Collection Practices Act
Damages
Includes
21. National codes issued by CMS that cover many supplies and durable medical equipment are...
HCPCS
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
HCPCS Level II codes
Form W-4.
22. 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
Liability
False
Form W-4.
23. The most appropriate response from a medical assistant when a patient calls the medical practice questioning why an insurance claim was rejected is...
Up to $500 -000 - or 1% of the practice's net worth
Check your explanation of benefits form
Ask the physician to select a more specific code
Traveler's
24. The number of dependents an employee is claiming is found on the
Third-party
Voucher
Check your explanation of benefits form
Form W-4.
25. Money paid as compensation as result of a lawsuit is called _______________.
Damages
Voucher
$280.
Disclosure
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
False
Third-party
Ask the physician to select a more specific code
Traveler's
27. The payment system used by Medicare is based on...
$280.
Based on the patient's reported income from the previous month.
Resources
False
28. Which of the following prohibits harassment and false statements when attempting to collect from a patient?
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
HCPCS
Fair Debt Collection Practices Act
Liability
29. 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.
Petty cash
460-519
False
Third party payer
30. The process of classifying and reviewing past-due accounts from the first date of billing is...
460-519
V01-V83
The code may not be used as the first code
Age analysis.
31. Eligibility for Medicaid is...
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32. 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...
If the diagnosis makes you ask 'How did that happen?'
True
The code may not be used as the first code
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
33. The determination of the amount of money paid by a third-party payer for a procedure is...
( )
Pre-certification.
True
Capitated rate
34. 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
Referrals
$280.
CPC
35. Most practices try to reduce expenses by...
[ ]
Controlling accounts payable
Punitive damages
Petty cash
36. National codes issued by CMS that cover many supplies and durable medical equipment are...
Choose an agency after a patient fails to respond to the final collection letter or has twice broken a promise to pay
Truth in Lending Act
[ ]
HCPCS Level II codes
37. Prison sentences are possible consequences of...
Inaccurate and/or incorrect billing
Third-party
Pre-certification.
V01-V83
38. The American Academy of Professional Coders offers the ____ credential - also requiring coursework and on-the-job experience.
CPC
Disclosure
60
60
39. The payment system used by Medicare is based on...
Resources
Punitive damages
Inaccurate and/or incorrect billing
HCPCS Level II codes
40. The determination of the amount of money paid by a third-party payer for a procedure is...
Pre-certification.
Petty cash
False
Includes
41. 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
Form W-4.
Up to $500 -000 - or 1% of the practice's net worth
Copayment
42. Where will you locate the ICD code for a complete radiologic examination of the nasal bones?
Punitive damages
Payee
Fair Debt Collection Practice Act
460-519
43. 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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44. Forgiveness or waiver of copayments by the provider due to the patient's inability to pay is a universally acceptable practice
The code may not be used as the first code
CPC
( )
False
45. A federal Truth in Lending statement - which is a written description of the agreed terms of payment - is also called a(n) _______________ statement
Includes
Up to $500 -000 - or 1% of the practice's net worth
Disclosure
Inaccurate and/or incorrect billing
46. 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...
HCPCS Level II codes
Denied as a billing error because the treatment was not medically necessary based on the diagnosis.
Based on the patient's reported income from the previous month.
Time and a half for all hours worked beyond the normal 8 hours in a regular workday
47. An easy way to remember when an E code is required is...
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48. The process of classifying and reviewing past-due accounts by age from the first date of billing is called _______________ _______________.
Age analysis
Traveler's
V01-V83
Copayment
49. A health-care provider who practices under false qualifications/credentials is guilty of...
False
V01-V83
Liability
Fraud.
50. 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.
460-519
False
CPC
Copayment