AMCA MEDICAL BILLING AND CODING EXAM STUDY GUIDE
EXPECTED QUESTIONS AND ANSWERS 2027
Question 1.
Inclusion notes
Correct Answer: Headed by the word "includes" and refine the content of the
category appearing above them
Question 2.
Sub-category
Correct Answer: 4 or 5 alphanumeric subdivision of a category
Question 3.
Brackets {}
Correct Answer: enclose synonyms, alternative wording or explanatory phrases.
Brackets identify manifestation codes.
Question 4.
Eponym
Correct Answer: Condition named for a person - such as Hodgkin's disease
Question 5.
NEC
Correct Answer: Not Elsewhere Classifiable - no code is specific for that
condition
Question 6.
NOS
Correct Answer: Not Otherwise Specified - used when a condition is not
completely described in the medical record
Question 7.
Category
Correct Answer: Three character alphanumeric code that covers a single disease
or related condition
Question 8.
Exclusion notes
Correct Answer: Headed by the word "excludes" and indicates conditions that
are not classifiable to the preceding code
, Question 9.
Parentheses ( )
Correct Answer: used in both the index and tabular list to enclose
supplementary words - non-essential modifiers
Question 10.
Colons :
Correct Answer: used in the Tabular List after an incomplete term which needs
one or more of the modifiers
Question 11.
Sequelae
Correct Answer: Are conditions that remain after a patient's acute illness or
injury has ended - could be called residual effects or late effects
Question 12.
Providers
Correct Answer: Physicians, hospitals and other suppliers that furnish care or
supplies to Medicare. Patients are called providers
Question 13.
Beneficiary Pays:
Correct Answer: Deductible, premiums, co-insurance (20%) non-covered services
Question 14.
Medicare Pays:
Correct Answer: Covered services (80%)
Question 15.
The correct procedure for assigning accurate diagnosis codes has six steps
Correct Answer: 1. Review complete medical documentation
2. Abstract the medical conditions from the visit documentation
3. Identify the main term for each condition
4. Locate the main term in the alphabetic index
5. Verify the code in the tabular list
6. Check compliance with any applicable Official Guidelines and list codes in
appropriate order
EXPECTED QUESTIONS AND ANSWERS 2027
Question 1.
Inclusion notes
Correct Answer: Headed by the word "includes" and refine the content of the
category appearing above them
Question 2.
Sub-category
Correct Answer: 4 or 5 alphanumeric subdivision of a category
Question 3.
Brackets {}
Correct Answer: enclose synonyms, alternative wording or explanatory phrases.
Brackets identify manifestation codes.
Question 4.
Eponym
Correct Answer: Condition named for a person - such as Hodgkin's disease
Question 5.
NEC
Correct Answer: Not Elsewhere Classifiable - no code is specific for that
condition
Question 6.
NOS
Correct Answer: Not Otherwise Specified - used when a condition is not
completely described in the medical record
Question 7.
Category
Correct Answer: Three character alphanumeric code that covers a single disease
or related condition
Question 8.
Exclusion notes
Correct Answer: Headed by the word "excludes" and indicates conditions that
are not classifiable to the preceding code
, Question 9.
Parentheses ( )
Correct Answer: used in both the index and tabular list to enclose
supplementary words - non-essential modifiers
Question 10.
Colons :
Correct Answer: used in the Tabular List after an incomplete term which needs
one or more of the modifiers
Question 11.
Sequelae
Correct Answer: Are conditions that remain after a patient's acute illness or
injury has ended - could be called residual effects or late effects
Question 12.
Providers
Correct Answer: Physicians, hospitals and other suppliers that furnish care or
supplies to Medicare. Patients are called providers
Question 13.
Beneficiary Pays:
Correct Answer: Deductible, premiums, co-insurance (20%) non-covered services
Question 14.
Medicare Pays:
Correct Answer: Covered services (80%)
Question 15.
The correct procedure for assigning accurate diagnosis codes has six steps
Correct Answer: 1. Review complete medical documentation
2. Abstract the medical conditions from the visit documentation
3. Identify the main term for each condition
4. Locate the main term in the alphabetic index
5. Verify the code in the tabular list
6. Check compliance with any applicable Official Guidelines and list codes in
appropriate order
