Introduction to Medical Billing and
Coding Exam Questions and Answers
(Latest Update 2026)
What are medical coders? -
correct answer ✅They translate healthcare provider's report of a
patients visit into a procedure and/or diagnosis codes for billing
purposes.
What are medical billers? -
correct answer ✅They submit the codes given by the medical
coder as a claim for an insurance company to determine payment
for the services. It is their responsibility checking for accuracy in
transaction reports, creating bills for patients, creating formally
correct claims, and collecting payments
What is a claim? (Medical billing) -
correct answer ✅Itemize list of procedures, services, and costs
that is sent from a healthcare provider to a payer to collect
reimbursement for the provided services.
The medical biller receives _______ which explains what services
and procedures the insurance company paid for, analyze them, and
then creates bills for patients. -
correct answer ✅explanation of benefits (EOB)
, Introduction to Medical Billing and
Coding Exam Questions and Answers
(Latest Update 2026)
What does EOB stand for? -
correct answer ✅explanation of benefits
What is an example of a medical biller's job? -
correct answer ✅They take the procedural and diagnosis codes at
the medical coder has translated and creates aclaim from these
using a form or a type of software program. The biller that reviews
the patient's insurance policy determine if the procedures and
services performed by the healthcare provider a covered by that
patient's plan. The medical biller needs to make sure that each
code, and less each procedure listed on the claim, is actually
billable, and since the claim to the insurance company. The
insurance company then performs an evaluation known as payer
adjudication, which determines the amount of the bill they will
Reimburse the provider for, and then sends this information back to
the provider in the form of an EOB. The EOB explains the amount
paid for by the insurance company, as well as any obligation the
patient may have. The biller then reviews the EOB be for accuracy,
as well as ensures that the charges and reimbursements
correspond to the providers agreement with the payer. If there is
any balance owing by the patient, a patient statement will need to
be created and sent out to the patient. The biller also follows up
with the patient for payment, and in a non-pay situation, sends the
bill for collections.
Coding Exam Questions and Answers
(Latest Update 2026)
What are medical coders? -
correct answer ✅They translate healthcare provider's report of a
patients visit into a procedure and/or diagnosis codes for billing
purposes.
What are medical billers? -
correct answer ✅They submit the codes given by the medical
coder as a claim for an insurance company to determine payment
for the services. It is their responsibility checking for accuracy in
transaction reports, creating bills for patients, creating formally
correct claims, and collecting payments
What is a claim? (Medical billing) -
correct answer ✅Itemize list of procedures, services, and costs
that is sent from a healthcare provider to a payer to collect
reimbursement for the provided services.
The medical biller receives _______ which explains what services
and procedures the insurance company paid for, analyze them, and
then creates bills for patients. -
correct answer ✅explanation of benefits (EOB)
, Introduction to Medical Billing and
Coding Exam Questions and Answers
(Latest Update 2026)
What does EOB stand for? -
correct answer ✅explanation of benefits
What is an example of a medical biller's job? -
correct answer ✅They take the procedural and diagnosis codes at
the medical coder has translated and creates aclaim from these
using a form or a type of software program. The biller that reviews
the patient's insurance policy determine if the procedures and
services performed by the healthcare provider a covered by that
patient's plan. The medical biller needs to make sure that each
code, and less each procedure listed on the claim, is actually
billable, and since the claim to the insurance company. The
insurance company then performs an evaluation known as payer
adjudication, which determines the amount of the bill they will
Reimburse the provider for, and then sends this information back to
the provider in the form of an EOB. The EOB explains the amount
paid for by the insurance company, as well as any obligation the
patient may have. The biller then reviews the EOB be for accuracy,
as well as ensures that the charges and reimbursements
correspond to the providers agreement with the payer. If there is
any balance owing by the patient, a patient statement will need to
be created and sent out to the patient. The biller also follows up
with the patient for payment, and in a non-pay situation, sends the
bill for collections.
