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AMCA HCM 2026 | Billing & Coding Practice Test with 100 Questions – Medicare, CPT, HIPAA

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This document offers a complete practice test for the AMCA Billing & Coding certification, specifically tailored for the HCM 2026 course. It features 100 multiple-choice questions with correct answers, simulating the official AMCA exam format. The material covers essential topics such as CPT and ICD-10-CM coding systems, HIPAA regulations, CMS-1500 and UB-04 claim forms, TRICARE and CHAMPVA insurance plans, Medicare and Medicaid, medical necessity, coding compliance, and healthcare reimbursement procedures. Designed to support both academic learning and professional certification, this resource is ideal for students enrolled in programs such as Health Information Management, Medical Billing & Coding, Healthcare Administration, and Health Sciences. It is also a valuable reference for medical billing professionals, coding specialists, and healthcare office staff seeking to prepare for the AMCA exam or refresh their knowledge. The content is based on key industry standards and concepts drawn from the widely used textbook "Step-by-Step Medical Coding" by Carol J. Buck, making it a reliable study companion for anyone aiming to succeed in medical billing and coding. Keywords: AMCA, billing and coding, HCM 2026, medical coding, CPT codes, ICD-10-CM, HIPAA, CMS-1500, UB-04, Medicare, Medicaid, TRICARE, CHAMPVA, healthcare reimbursement, coding guidelines, claim processing, E/M coding, modifier codes, medical terminology, insurance types, medical billing exam

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AMCA BILLING & CODING TEST
2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS



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 - 🧠 ANSWER ✔✔C


Veterans with service related disabilities are eligible for case under which

of the following programs:

a. CHAMPUS

b. Medicare

c. CHAMPVA


d. TRICARE - 🧠 ANSWER ✔✔C


_______________________ is usually sponsored and partially paid by an

employer.

a. TRICARE

b. Private Insurance

c. Group Health Insurance


d. Worker's Aide - 🧠 ANSWER ✔✔C


______________________ 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 - 🧠 ANSWER ✔✔D


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 - 🧠 ANSWER ✔✔A


Schedule of benefits means:

a. Coordination of benefits

b. HMO

c. Medical service covered under the insured's policy


d. Managed care organization - 🧠 ANSWER ✔✔C


Medicare is funded by:

a. State Funds

b. Federal Funds

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, c. Employers


d. The patient - 🧠 ANSWER ✔✔B


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 - 🧠 ANSWER ✔✔B


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 - 🧠 ANSWER ✔✔B


Which of the following statements is true under the doctrine of respondeat

superior?

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