AMCA BILLING & CODING TEST (ANSWERS MAY NOT BE WRONG,
DOUBLE CHECK THEM) SOLVED CORRECTLY LATEST UPDATE 2027
GRADED A+
Question 1.
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
Correct Answer: C
Question 2.
Veterans with service related disabilities are eligible for case under which of the following
programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE
Correct Answer: C
Question 3.
_______________________ is usually sponsored and partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide
Correct Answer: C
Question 4.
______________________ 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
Correct Answer: D
,Question 5.
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
Correct Answer: A
Question 6.
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization
Correct Answer: C
Question 7.
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient
Correct Answer: B
Question 8.
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
Correct Answer: B
, Question 9.
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
Correct Answer: B
Question 10.
Which of the following statements is true under the doctrine of respondeat superior?
a. The billing and coding specialist is superior to other members of the medical staff
b. The billing and coding specialist is responsible for any errors made by the medical staff
c. The physician is responsible for any errors made by the medical staff
d. The person who has been employed for the longest period of time is responsible for any
errors made by the medical staff
Correct Answer: C
Question 11.
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Practices and Agreements
Correct Answer: A
Question 12.
Information given by a patient to medical personnel that cannot be disclosed without
consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
d. Negligence
Correct Answer: C
DOUBLE CHECK THEM) SOLVED CORRECTLY LATEST UPDATE 2027
GRADED A+
Question 1.
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
Correct Answer: C
Question 2.
Veterans with service related disabilities are eligible for case under which of the following
programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE
Correct Answer: C
Question 3.
_______________________ is usually sponsored and partially paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide
Correct Answer: C
Question 4.
______________________ 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
Correct Answer: D
,Question 5.
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
Correct Answer: A
Question 6.
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization
Correct Answer: C
Question 7.
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient
Correct Answer: B
Question 8.
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
Correct Answer: B
, Question 9.
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
Correct Answer: B
Question 10.
Which of the following statements is true under the doctrine of respondeat superior?
a. The billing and coding specialist is superior to other members of the medical staff
b. The billing and coding specialist is responsible for any errors made by the medical staff
c. The physician is responsible for any errors made by the medical staff
d. The person who has been employed for the longest period of time is responsible for any
errors made by the medical staff
Correct Answer: C
Question 11.
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Practices and Agreements
Correct Answer: A
Question 12.
Information given by a patient to medical personnel that cannot be disclosed without
consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
d. Negligence
Correct Answer: C
