MEDICAL BILLING AND CODING FINAL
EXAM QUESTIONS ANS ANSWERS
WITH SOLUTIONS 2024
Which of the following is a reason for why the field of medical billing and coding is in high demand? -
ANSWER An aging population will use more healthcare services to manage a multitude of chronic
diseases.
What is the process of reporting diagnoses and procedures/services as numeric and alphanumeric
characters on the insurance claim? - ANSWER Medical coding
What is the two-way, real time video visit between the patient and the physician at a distant site? -
ANSWER Telehealth
What is the amount for which the patient is financially responsible before an insurance policy provides
payment? - ANSWER Deductible
What type of health insurance is provided through your employer or purchased directly from an
insurance company? - ANSWER Commercial
What is the missing word in the following phrase:
"If it wasn't ___________, it wasn't done." - ANSWER Documented
What section of the SOAP note contains the chief complaint and the patient's description of the
presenting problem? - ANSWER Subjective
What is health information in a digital format that is created and shared by providers across more than
one healthcare setting? - ANSWER Electronic health record (EHR)
What is the reimbursement method where one payment covers all services during an episode of care? -
ANSWER Bundled payment
, What is a written order from your primary care provider for you to see a specialist or get certain medical
services? - ANSWER Referral
What health plans are designed to put more responsibility on the employee for their healthcare
spending? - ANSWER Consumer-directed health plans
In a physician practice, revenue cycle management is also called what? - ANSWER Accounts receivable
What is the computer-to-computer transfer of data between providers and third-party payers? -
ANSWER Electronic data interchange (EDI)
What type of claim was never entered into the computer system of the insurance company because it
failed to meet specific data requirements? - ANSWER Rejected claim
What is the maximum amount that an insurer will reimburse for a covered service or procedure? -
ANSWER Allowable charge
What is price transparency in healthcare? - ANSWER Patients are informed about what charges to
expect.
What is the term for an individual who has not reached the age of majority (usually 18) but is no longer
under the care and control of parents? - ANSWER Emancipated minor
What is any information that can link a specific individual to medical records? - ANSWER Protected
Health Information (PHI)
Which of the following is an example of consent? - ANSWER The patient allows insurance benefits to be
paid directly to the provider.
The HIPAA Security Rule provides standards for health information maintained or transmitted in what
format? - ANSWER electronic
EXAM QUESTIONS ANS ANSWERS
WITH SOLUTIONS 2024
Which of the following is a reason for why the field of medical billing and coding is in high demand? -
ANSWER An aging population will use more healthcare services to manage a multitude of chronic
diseases.
What is the process of reporting diagnoses and procedures/services as numeric and alphanumeric
characters on the insurance claim? - ANSWER Medical coding
What is the two-way, real time video visit between the patient and the physician at a distant site? -
ANSWER Telehealth
What is the amount for which the patient is financially responsible before an insurance policy provides
payment? - ANSWER Deductible
What type of health insurance is provided through your employer or purchased directly from an
insurance company? - ANSWER Commercial
What is the missing word in the following phrase:
"If it wasn't ___________, it wasn't done." - ANSWER Documented
What section of the SOAP note contains the chief complaint and the patient's description of the
presenting problem? - ANSWER Subjective
What is health information in a digital format that is created and shared by providers across more than
one healthcare setting? - ANSWER Electronic health record (EHR)
What is the reimbursement method where one payment covers all services during an episode of care? -
ANSWER Bundled payment
, What is a written order from your primary care provider for you to see a specialist or get certain medical
services? - ANSWER Referral
What health plans are designed to put more responsibility on the employee for their healthcare
spending? - ANSWER Consumer-directed health plans
In a physician practice, revenue cycle management is also called what? - ANSWER Accounts receivable
What is the computer-to-computer transfer of data between providers and third-party payers? -
ANSWER Electronic data interchange (EDI)
What type of claim was never entered into the computer system of the insurance company because it
failed to meet specific data requirements? - ANSWER Rejected claim
What is the maximum amount that an insurer will reimburse for a covered service or procedure? -
ANSWER Allowable charge
What is price transparency in healthcare? - ANSWER Patients are informed about what charges to
expect.
What is the term for an individual who has not reached the age of majority (usually 18) but is no longer
under the care and control of parents? - ANSWER Emancipated minor
What is any information that can link a specific individual to medical records? - ANSWER Protected
Health Information (PHI)
Which of the following is an example of consent? - ANSWER The patient allows insurance benefits to be
paid directly to the provider.
The HIPAA Security Rule provides standards for health information maintained or transmitted in what
format? - ANSWER electronic
