AMCA BILLING & CODING TEST
QUESTIONS & ANSWERS(RATED
A+)
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 - ANSWERC
Veterans with service related disabilities are eligible for case under which of the
following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - ANSWERC
_______________________ is usually sponsored and partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - ANSWERC
______________________ 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 - ANSWERD
The abbreviation PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual after midnight - ANSWERA
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - ANSWERC
Medicare is funded by:
a. State Funds
b. Federal Funds
, c. Employers
d. The patient - ANSWERB
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 - ANSWERB
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 - ANSWERB
Which of the following statements is true under the doctrine of respondeat superior?
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 - ANSWERC
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 - ANSWERA
Information given by a patient to medical personnel that cannot be disclosed without
consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
d. Negligence - ANSWERC
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 - ANSWERD
Which of the following facilities does not use CMS-1500 forms?
a. ASC (Ambulatory Surgery Center)
b. Nursing Home
c. Acute care
d. Dialysis clinic - ANSWERD
QUESTIONS & ANSWERS(RATED
A+)
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 - ANSWERC
Veterans with service related disabilities are eligible for case under which of the
following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - ANSWERC
_______________________ is usually sponsored and partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - ANSWERC
______________________ 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 - ANSWERD
The abbreviation PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual after midnight - ANSWERA
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - ANSWERC
Medicare is funded by:
a. State Funds
b. Federal Funds
, c. Employers
d. The patient - ANSWERB
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 - ANSWERB
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 - ANSWERB
Which of the following statements is true under the doctrine of respondeat superior?
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 - ANSWERC
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 - ANSWERA
Information given by a patient to medical personnel that cannot be disclosed without
consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
d. Negligence - ANSWERC
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 - ANSWERD
Which of the following facilities does not use CMS-1500 forms?
a. ASC (Ambulatory Surgery Center)
b. Nursing Home
c. Acute care
d. Dialysis clinic - ANSWERD
