AMCA BILLING & CODING TEST Exam , Most Recent
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Physicians establish a list of their usual fees for:
a. The charges they have written off
b. The procedures and services they frequently perform
c. Workers' Compensation patients
d. Their Medicare patients - Answers-B
The insurance carrier is allowed to use nay method to
determine the amount for a service, also known as the:
a. Allowed amount
b. Fee schedule
c. Deductible
d. Insurance premium - Answers-B
Which of the following statements is true under the
doctrine of respondeat superior?
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a. The billing and coding specialist is superior to other
members of the medical staff
b. The billing and coding specialist is responsible for any
errors made by the medical staff
c. The physician is responsible for any errors made by the
medical staff
d. The person who has been employed for the longest
period of time is responsible for any errors made by the
medical staff - Answers-C
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Practices and Agreements - Answers-
A
Information given by a patient to medical personnel that
cannot be disclosed without consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
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d. Negligence - Answers-C
Why is a superbill/encounter form an important document
in the office?
a. It is used when considering purchasing medical billing
software
b. It has information needed for vendors
c. It ensures the correct spelling of the patient's name
d. It ensures the correct patient data information and
procedure codes - Answers-D
What type of insurance allows treatment virtually
anywhere with a high deductible that policy holders are
willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO - Answers-C
Veterans with service related disabilities are eligible for
case under which of the following programs:
a. CHAMPUS
b. Medicare
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c. CHAMPVA
d. TRICARE - Answers-C
_______________________ is usually sponsored and
partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - Answers-C
______________________ are used to report encounters
for circumstances other than a disease or injury in the
ICD-10-CM.
a. A codes
b. V codes
c. Z codes
d. E codes - Answers-D
The abbreviation PMPM stands for:
a. Per member per month
b. Provider membership per management