MEDICAL BILLING CODING 2026/2027 EXAM SCRIPT
QUESTIONS AND ANSWERS RATED A+
✔✔WORKERS COMPENSATION - ✔✔A form of insurance paid by the employer
providing cash benefits to workers injured or disabled in the course of employment.
✔✔MEDICARE PARTS - ✔✔Medicare: Part A, Part B, Part C, & Part D. Part A covers
hospital Insurance. Part B covers Medical Insurance Physician visits and Out patient
procedures. Part D Covers Prescription
✔✔ICD-9 CODES - ✔✔International Classification of Disease Codes
✔✔E, CODES - ✔✔Codes reported to identify how an injury occurred and the location
when it occurred.
✔✔V, CODES - ✔✔A sub-classification of ICD-9-CM coding used to identify health care
encounters that occur for reasons other than illness or injury and to identify patients
whose injury or illness is influenced by special circumstances or problems.
✔✔HIPAA - ✔✔Health Insurance Portability and Accountability Act of 1996
✔✔HIPAA PROCEDURE CODES - ✔✔COVER BROAD ARRAY OF HEALTH-CARE
SERVICES AND PROCEDURES
✔✔DRG - ✔✔Diagnosis Related Group. Used only with Medicare and Inpatient stay.
✔✔CPT SYMBOLS - ✔✔BULLET, PLUS SIGN TO ADD CODE, TRIANGLE TO
REVISED CODE, TWO TRIANGLE SIDE BY SIDE, IS DESCRIPTION CHANGE.
✔✔PAR - ✔✔IN-NETWORK PROVIDER
✔✔NON-PAR - ✔✔OUT OF NETWORK PROVIDER
✔✔AGING REPORT - ✔✔Report that shows how long debt has gone unpaid
✔✔ANOTHER TERM FOR EOB - ✔✔REMITTANCE ADVICE (RA)
✔✔ROLE OF A MEDICAL BILLER AND CODER - ✔✔TO MAKE SURE ALL MEDICAL
BILLS ARE PROPERLY SUBMITTED.
✔✔PREEXISTING CONDITION - ✔✔An illness or disorder of a beneficiary that existed
before the effective date of insurance coverage.
, ✔✔CLASSIFICATION IN WHICH RECORD ARE FILE IN MEDICAL OFFICES -
✔✔ACTIVE, INACTIVE, AND CLOSED
✔✔ACCEPTED ASSIGNMENT - ✔✔Provider agrees to accept what insurance
company approves as payment in full for the claim
✔✔ENCOUNTER FORM - ✔✔a list of the procedures and charges for a patient's visit.
Is also call super-bill.
✔✔COINSURANCE - ✔✔1. A cost-sharing requirement under a health insurance policy
providing that the insured will assume a percentage of the costs for covered services. 2.
For Medicare, after application of the yearly cash deductible, the portion of the
reasonable charges (20%) for which the beneficiary is responsible.
✔✔ICD-9 CODES - ✔✔HAVE DECIMAL POINTS IN IT
✔✔WHAT IS THE MAIN TERM FOR CHEST PAIN - ✔✔PAIN
✔✔ICD-9-CM CONTAINS CODE IN NUMERIC ORDER - ✔✔IS VOLUME ONE
✔✔ICD-9 DISEASE CATEGORY CODES CONTAIN - ✔✔3 DIGITS
✔✔ICD-9 DISEASE SUB-CLASSIFICATION CODES CONTAIN - ✔✔5 DIGITS
✔✔ICD-9 IS PUBLISHED BY - ✔✔W.H.O ANNUALLY
✔✔SUB CLASSIFICATION - ✔✔5 digit that allows even more specific information about
a disease
✔✔SUB CATEGORY - ✔✔In ICD-9-CM, a four-digit code number that provides more
information or specificity
✔✔NCHS - ✔✔National Center for Health Statistics
✔✔QUALIFIED DIAGNOSIS - ✔✔a working diagnosis which is not yet established
✔✔HEALTH CARE CLEARINGHOUSE - ✔✔An entity that standardizes health
information data in a standard billing format.
✔✔DX - ✔✔DIAGNOSE
✔✔COORDINATION OF BENEFITS - ✔✔Health insurance policy clause that applies to
an individual covered by more than one medical insurance policy that explains how the
policy will pay if more than one insurance policy applies to the claim.
QUESTIONS AND ANSWERS RATED A+
✔✔WORKERS COMPENSATION - ✔✔A form of insurance paid by the employer
providing cash benefits to workers injured or disabled in the course of employment.
✔✔MEDICARE PARTS - ✔✔Medicare: Part A, Part B, Part C, & Part D. Part A covers
hospital Insurance. Part B covers Medical Insurance Physician visits and Out patient
procedures. Part D Covers Prescription
✔✔ICD-9 CODES - ✔✔International Classification of Disease Codes
✔✔E, CODES - ✔✔Codes reported to identify how an injury occurred and the location
when it occurred.
✔✔V, CODES - ✔✔A sub-classification of ICD-9-CM coding used to identify health care
encounters that occur for reasons other than illness or injury and to identify patients
whose injury or illness is influenced by special circumstances or problems.
✔✔HIPAA - ✔✔Health Insurance Portability and Accountability Act of 1996
✔✔HIPAA PROCEDURE CODES - ✔✔COVER BROAD ARRAY OF HEALTH-CARE
SERVICES AND PROCEDURES
✔✔DRG - ✔✔Diagnosis Related Group. Used only with Medicare and Inpatient stay.
✔✔CPT SYMBOLS - ✔✔BULLET, PLUS SIGN TO ADD CODE, TRIANGLE TO
REVISED CODE, TWO TRIANGLE SIDE BY SIDE, IS DESCRIPTION CHANGE.
✔✔PAR - ✔✔IN-NETWORK PROVIDER
✔✔NON-PAR - ✔✔OUT OF NETWORK PROVIDER
✔✔AGING REPORT - ✔✔Report that shows how long debt has gone unpaid
✔✔ANOTHER TERM FOR EOB - ✔✔REMITTANCE ADVICE (RA)
✔✔ROLE OF A MEDICAL BILLER AND CODER - ✔✔TO MAKE SURE ALL MEDICAL
BILLS ARE PROPERLY SUBMITTED.
✔✔PREEXISTING CONDITION - ✔✔An illness or disorder of a beneficiary that existed
before the effective date of insurance coverage.
, ✔✔CLASSIFICATION IN WHICH RECORD ARE FILE IN MEDICAL OFFICES -
✔✔ACTIVE, INACTIVE, AND CLOSED
✔✔ACCEPTED ASSIGNMENT - ✔✔Provider agrees to accept what insurance
company approves as payment in full for the claim
✔✔ENCOUNTER FORM - ✔✔a list of the procedures and charges for a patient's visit.
Is also call super-bill.
✔✔COINSURANCE - ✔✔1. A cost-sharing requirement under a health insurance policy
providing that the insured will assume a percentage of the costs for covered services. 2.
For Medicare, after application of the yearly cash deductible, the portion of the
reasonable charges (20%) for which the beneficiary is responsible.
✔✔ICD-9 CODES - ✔✔HAVE DECIMAL POINTS IN IT
✔✔WHAT IS THE MAIN TERM FOR CHEST PAIN - ✔✔PAIN
✔✔ICD-9-CM CONTAINS CODE IN NUMERIC ORDER - ✔✔IS VOLUME ONE
✔✔ICD-9 DISEASE CATEGORY CODES CONTAIN - ✔✔3 DIGITS
✔✔ICD-9 DISEASE SUB-CLASSIFICATION CODES CONTAIN - ✔✔5 DIGITS
✔✔ICD-9 IS PUBLISHED BY - ✔✔W.H.O ANNUALLY
✔✔SUB CLASSIFICATION - ✔✔5 digit that allows even more specific information about
a disease
✔✔SUB CATEGORY - ✔✔In ICD-9-CM, a four-digit code number that provides more
information or specificity
✔✔NCHS - ✔✔National Center for Health Statistics
✔✔QUALIFIED DIAGNOSIS - ✔✔a working diagnosis which is not yet established
✔✔HEALTH CARE CLEARINGHOUSE - ✔✔An entity that standardizes health
information data in a standard billing format.
✔✔DX - ✔✔DIAGNOSE
✔✔COORDINATION OF BENEFITS - ✔✔Health insurance policy clause that applies to
an individual covered by more than one medical insurance policy that explains how the
policy will pay if more than one insurance policy applies to the claim.
