Module 3 Week 4

Question 1

When an entry is made on the day sheet, it is called:

Answer 1

Journalizing

Question 2

The total amount of cash, checks, and card payments should be manually recorded on a:

Answer 2

Cash control sheet

Question 3

Patients should be given a receipt:

Answer 3

When they make payment in any form

Question 4

In the past, the ____ system was exclusively used to record financial transactions.

Answer 4

Pegboard

Question 5

Waiving deductibles/co-pays is unlawful because:

Answer 5

All of the responses are correct
(false claims, anti-kickback violation, excessive utilization)

Question 6

Why is it important to explain patient financial obligations?

Answer 6

All of the responses are correct
(helps planning, clarifies charges, helps patient focus)

Question 7

“You have not paid your prior balance. Your account will be sent to collections if not paid in full today.”

Answer 7

Which statement would not be professional?

Question 8

A professional courtesy discount is an example of a(n):

Answer 8

Adjustment

Question 9

The process of transferring info from one record to another is called:

Answer 9

Posting

Question 10

Discounts must generally be authorized by:

Answer 10

Provider

Question 11

Computerized practice management software does not:

Answer 11

Require a substantial amount of time to post procedures

Question 12

Which is true of computerized accounting systems?

Answer 12

Automatically update records as info is entered

Question 13

A(n) ____ form lists the procedures performed and their codes.

Answer 13

Encounter

Question 14

Payment subtracted from balance

Answer 14

credit

Question 15

Charge added to balance

Answer 15

debit

Question 16

Reflects that the amount paid is greater than what was due

Answer 16

Credit balance

Question 17

Reflects that the amount paid is less than the amount due

Answer 17

Debit balance

Question 18

Formatted screens/databases for faster actions

Answer 18

Advantage

Question 19

Useful reports for decisions

Answer 19

Advantage

Question 20

Fast/accurate generation of invoices, orders, payroll

Answer 20

Advantage

Question 21

Program must meet business needs, poor programming causes problems

Answer 21

Disadvantage

Question 22

Better use of resources/cash flow improvement

Answer 22

advantage

Question 23

integrated ledger system for recording

Answer 23

advantage

Question 24

automatic account calculations

Answer 24

advantage

Question 25

handwritten paper ledgers

Answer 25

disadvantage

Question 26

The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) remained in use in the U.S. until September 30th of what year?

Answer 26

2015

Question 27

Reducing an E/M service to a lower level strictly on the diagnosis code reported is called:

Answer 27

Downcoding

Question 28

When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order?

Answer 28

Order of importance

Question 29

Which level of HCPCS includes codes for products, supplies, and services not in CPT?

Answer 29

Level II

Question 30

Assigning a code that doesn’t match documentation to increase reimbursement is called:

Answer 30

Upcoding

Question 31

HCPCS Level I codes are known as:

Answer 31

Current Procedural Terminology (CPT)

Question 32

The most important ICD coding rule says the reason for the visit is coded first. This is known as the:

Answer 32

Reason Rule

Question 33

Where in the CPT manual would you find information on modifiers?

Answer 33

Appendix A

Question 34

As a result of the Medicare Modernization Act of 2004, HCPCS/CPT codes are updated every year on:

Answer 34

January 1

Question 35

ICD codes are descriptive of:

Answer 35

Presenting disease or condition

Question 36

If a procedure is not documented, it is considered:

Answer 36

Never to have been performed

Question 37

Which HCPCS Level II codes are temporary?

Answer 37

G codes

Question 38

Which would not be a required step in using medical necessity guidelines?

Answer 38

Reviewing the family history section of the progress note

Question 39

A _____ is used to inform third-party payers that circumstances for a code have been altered.

Answer 39

Modifier

Question 40

Which of the following is not true about HCPCS Level II codes?

Answer 40

The search begins in the Tabular List

Question 41

In CPT, the + symbol stands for:

Answer 41

Add-on code

Question 42

When coding, the main term from the provider’s statement is looked up in the:

Answer 42

Index

Question 43

Who publishes CPT?

Answer 43

American Medical Association (AMA)

Question 44

Office services are generally selected in the EMR by:

Answer 44

Provider

Question 45

Which is true about HCPCS Level II codes?

Answer 45

All of the above (Products/supplies, format of 1 letter + 4 numbers, temporary codes)

Question 46

In 2019, the penalty per violation of the federal anti-kickback statute was:

Answer 46

$102,522

Question 47

AMA defines medical necessity as services/procedures that are:

Answer 47

All of the responses are correct

Question 48

Upcoding can result in:

Answer 48

Serious fines and penalties

Question 49

Level of history obtained

Answer 49

key component

Question 50

Counseling

Answer 50

Contributory factor