AMCA BILLING & CODING PRACTICE TEST EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025
What type of insurance allows treatment virtually anywhere
with a high deductible that policyholder are willing to pay? -
ANSWER - >PPO
Veterans with service related disabilities are eligible for care
under which of the following programs: - ANSWER - >CHAMPVA
______________________ is usually sponsored and partially
paid by an employer - ANSWER - >Group Health Insurance
______________________ are used to report encounter for
circumstances other than a disease or injury in ICD-10-CM -
ANSWER - >Z codes
The abbreviation PMPM stand for - ANSWER - >Per member
per month
Schedule of benefits means: - ANSWER - >Medical service
covered under the insured's policy
Medicare is funded by - ANSWER - >Federal funds
, Physician's establish a list of their usual fees for? - ANSWER -
>The procedures and services they frequently perform
The insurance carrier is allowed to use any method to
determine the amount for a service, also known as th -
ANSWER - >Allowed amount
Which of the following statements is true under the doctrine of
respondeat superior? - ANSWER - >The physician is responsible
for any errors made by the medical staff
HIPAA stands for which of the following? - ANSWER - >Health
Insurance Portability and Accountability Act
Information given by a patient to medical personnel that
cannot be disclosed without consent constitutes - ANSWER -
>Privileged communication
Why is a superbill/encounter form an important document in
the office? - ANSWER - >It ensures the correct patient data
information and procedure codes
Which of the following facilities does not use CMS-1500 forms?
- ANSWER - >Acute care
Physicians usually submit claims for patients and receive
payments directly from the payers. The policy holder
authorized this by signing and dating a: - ANSWER -
>Assignment of benefits
WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025
What type of insurance allows treatment virtually anywhere
with a high deductible that policyholder are willing to pay? -
ANSWER - >PPO
Veterans with service related disabilities are eligible for care
under which of the following programs: - ANSWER - >CHAMPVA
______________________ is usually sponsored and partially
paid by an employer - ANSWER - >Group Health Insurance
______________________ are used to report encounter for
circumstances other than a disease or injury in ICD-10-CM -
ANSWER - >Z codes
The abbreviation PMPM stand for - ANSWER - >Per member
per month
Schedule of benefits means: - ANSWER - >Medical service
covered under the insured's policy
Medicare is funded by - ANSWER - >Federal funds
, Physician's establish a list of their usual fees for? - ANSWER -
>The procedures and services they frequently perform
The insurance carrier is allowed to use any method to
determine the amount for a service, also known as th -
ANSWER - >Allowed amount
Which of the following statements is true under the doctrine of
respondeat superior? - ANSWER - >The physician is responsible
for any errors made by the medical staff
HIPAA stands for which of the following? - ANSWER - >Health
Insurance Portability and Accountability Act
Information given by a patient to medical personnel that
cannot be disclosed without consent constitutes - ANSWER -
>Privileged communication
Why is a superbill/encounter form an important document in
the office? - ANSWER - >It ensures the correct patient data
information and procedure codes
Which of the following facilities does not use CMS-1500 forms?
- ANSWER - >Acute care
Physicians usually submit claims for patients and receive
payments directly from the payers. The policy holder
authorized this by signing and dating a: - ANSWER -
>Assignment of benefits
