Medical Coding Exam Questions and
Answers 100% Pass
What adds up to form a practice's accounts receivable? - ANSWER-money due
from both health plans and patients
Which of the following is an example of a private-sector payer? - ANSWER-
insurance company
Determine which of the following types of services a health plan will not pay for. -
ANSWER-noncovered services
Identify the type of HMO cost-containment method that requires patients to
obtain approval for services before they receive the treatment. - ANSWER-
requiring preauthorization for services
What step is used when patient payments are later than permitted under the
financial policy? - ANSWER-step 10, follow up patient payments and collections
Collecting copayments is part of which medical billing cycle step? - ANSWER-step
3, check in patients
Employers that offer health plans to employees without using an insurance carrier
are: - ANSWER-self-insured plans
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Patients who enroll in a point-of-service type of HMO may use the services of: -
ANSWER-HMO network or out-of-network provider
A capitated payment amount is called a - ANSWER-prospective payment
Verifying insurance is part of which medical billing cycle step? - ANSWER-step 2,
establish financial responsibility for the visit
For a patient insured by an HMO, the phrase "out-of-network" means providers
who are - ANSWER-not under contract with the payer
Imagine you are a medical insurance specialist; illustrate the impact your ability to
prepare accurate, timely claims can have on the practice. - ANSWER-preparing
accurate and timely claims generally leads to full and timely reimbursement from
the health plan
Name the two components of a consumer-driven health plan (CDHP). -
ANSWER-a health plan and a special "savings account"
Determine which of the following entities is not considered a provider. -
ANSWER-insurance companies
The designation of Registered Medical Assistant (RMA) is awarded by -
ANSWER-AMT
One of the advantages of an HMO for patients who face difficult treatments is
Disease/Case Management by assigning a: - ANSWER-caseworker
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Answers 100% Pass
What adds up to form a practice's accounts receivable? - ANSWER-money due
from both health plans and patients
Which of the following is an example of a private-sector payer? - ANSWER-
insurance company
Determine which of the following types of services a health plan will not pay for. -
ANSWER-noncovered services
Identify the type of HMO cost-containment method that requires patients to
obtain approval for services before they receive the treatment. - ANSWER-
requiring preauthorization for services
What step is used when patient payments are later than permitted under the
financial policy? - ANSWER-step 10, follow up patient payments and collections
Collecting copayments is part of which medical billing cycle step? - ANSWER-step
3, check in patients
Employers that offer health plans to employees without using an insurance carrier
are: - ANSWER-self-insured plans
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Patients who enroll in a point-of-service type of HMO may use the services of: -
ANSWER-HMO network or out-of-network provider
A capitated payment amount is called a - ANSWER-prospective payment
Verifying insurance is part of which medical billing cycle step? - ANSWER-step 2,
establish financial responsibility for the visit
For a patient insured by an HMO, the phrase "out-of-network" means providers
who are - ANSWER-not under contract with the payer
Imagine you are a medical insurance specialist; illustrate the impact your ability to
prepare accurate, timely claims can have on the practice. - ANSWER-preparing
accurate and timely claims generally leads to full and timely reimbursement from
the health plan
Name the two components of a consumer-driven health plan (CDHP). -
ANSWER-a health plan and a special "savings account"
Determine which of the following entities is not considered a provider. -
ANSWER-insurance companies
The designation of Registered Medical Assistant (RMA) is awarded by -
ANSWER-AMT
One of the advantages of an HMO for patients who face difficult treatments is
Disease/Case Management by assigning a: - ANSWER-caseworker
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
