Billing and Coding Final Exam 2026
Questions and Answers
A claims assistance professional (CAP) acts as an informal representative of
patients and helps patients interpret insurance contracts. - Correct answer-False
Which level of education is generally required for one who seeks employment as
an insurance coder? - Correct answer-c) Completion of an accredited program for
coding certification
The amount of money an insurance billing specialist earns is dependent on which
factors? - Correct answer-d) All of the above: knowledge, experience, size of
employing institution
Medical etiquette refers to... - Correct answer-a) consideration for others
A billing specialist is entrusted with.... - Correct answer-d) All of the above:
holding patients' medical information in confidence, collecting monies, being a
reliable resource for coworkers
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,Standards of conduct by which an insurance billing specialist determines the
propriety of his or her behavior in a relationship are know as medical _____. -
Correct answer-ethics
It is _____ to report incorrect information to private insurance carriers because this
can possible damage the individual and the integrity of the database. - Correct
answer-unethical
The Office of Civil Right enforces... - Correct answer-privacy and security rules.
Privileged information is related to the treatment and progress of patients. - Correct
answer-True
The focus on the health care practice setting and reducing administrative costs and
burdens are the goals of... - Correct answer-HIPAA Title II Administrative
Simplification
Which 3 measures should be taken by a coder who has knowledge of fraud or
abuse? - Correct answer-Notify the provider verbally and in writing; document the
false statement or representation; don't discuss the problem with anyone who is not
involved
The contract is a worker's comp case exists between the... - Correct answer-
physician and insurance company
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, In health insurance, the insured is also known as - Correct answer-subscriber, or
member, or policyholder, or recipient.
If a child has health insurance coverage from 2 parents, according to the birthday
law... - Correct answer-the health plan of the person whose birthday (month and
day, not year) falls earlier in the calendar year pays first. If same b-day, person
whose policy has been in effect longest.
Conditions that existed and were treated before the health insurance policy was
issued are called... - Correct answer-pre-existing conditions
The act created to protect workers and their families so that they can get and
maintain health insurance if they change or lose their jobs is called the - Correct
answer-HIPAA
Assignment of benefits is... - Correct answer-the transfer of one's legal right to
collect an amount payable under an insurance contract.
The SOAP in patient medical record charting may be difined as - Correct answer-
b) subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected? -
Correct answer-a) input a note of which section is in error and enter correct data
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
Questions and Answers
A claims assistance professional (CAP) acts as an informal representative of
patients and helps patients interpret insurance contracts. - Correct answer-False
Which level of education is generally required for one who seeks employment as
an insurance coder? - Correct answer-c) Completion of an accredited program for
coding certification
The amount of money an insurance billing specialist earns is dependent on which
factors? - Correct answer-d) All of the above: knowledge, experience, size of
employing institution
Medical etiquette refers to... - Correct answer-a) consideration for others
A billing specialist is entrusted with.... - Correct answer-d) All of the above:
holding patients' medical information in confidence, collecting monies, being a
reliable resource for coworkers
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,Standards of conduct by which an insurance billing specialist determines the
propriety of his or her behavior in a relationship are know as medical _____. -
Correct answer-ethics
It is _____ to report incorrect information to private insurance carriers because this
can possible damage the individual and the integrity of the database. - Correct
answer-unethical
The Office of Civil Right enforces... - Correct answer-privacy and security rules.
Privileged information is related to the treatment and progress of patients. - Correct
answer-True
The focus on the health care practice setting and reducing administrative costs and
burdens are the goals of... - Correct answer-HIPAA Title II Administrative
Simplification
Which 3 measures should be taken by a coder who has knowledge of fraud or
abuse? - Correct answer-Notify the provider verbally and in writing; document the
false statement or representation; don't discuss the problem with anyone who is not
involved
The contract is a worker's comp case exists between the... - Correct answer-
physician and insurance company
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, In health insurance, the insured is also known as - Correct answer-subscriber, or
member, or policyholder, or recipient.
If a child has health insurance coverage from 2 parents, according to the birthday
law... - Correct answer-the health plan of the person whose birthday (month and
day, not year) falls earlier in the calendar year pays first. If same b-day, person
whose policy has been in effect longest.
Conditions that existed and were treated before the health insurance policy was
issued are called... - Correct answer-pre-existing conditions
The act created to protect workers and their families so that they can get and
maintain health insurance if they change or lose their jobs is called the - Correct
answer-HIPAA
Assignment of benefits is... - Correct answer-the transfer of one's legal right to
collect an amount payable under an insurance contract.
The SOAP in patient medical record charting may be difined as - Correct answer-
b) subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected? -
Correct answer-a) input a note of which section is in error and enter correct data
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
