Medical billing and coding Final Exam
[BONUS]- Applications and Case
Studies| Q&A 2025
What is price transparency in healthcare? Patients are informed about what charges to expect.
The field of medical billing and coding is expected to grow due to which key healthcare trend?
Increased demand for managing chronic conditions as the population ages
When translating a patient's diagnosis and procedures into codes for billing, a professional is
performing which essential healthcare process?
Medical coding
A video consultation where a patient connects live with a healthcare provider remotely falls
under which category of healthcare service?
Telehealth
Which term describes the amount a patient must pay out-of-pocket before their health insurance
starts covering costs?
Deductible
An insurance plan offered by an employer or purchased directly from an insurer falls under
which category?
1
, Commercial insurance
What is the missing word in the phrase commonly used in medical documentation practices: “If
it isn’t ____ , it wasn’t done”?
Documented
In a SOAP note, where would you find the patient's main health concerns and their own
description of symptoms?
Subjective
Digital health information that is accessible across various healthcare providers is known as
what?
Electronic Health Record (EHR)
What payment method involves a single, combined payment for all services within a specific
care episode?
Bundled payment
If a patient is directed by their primary care physician to see a specialist, this written
recommendation is known as a _____.
Referral
2
, Health plans that encourage employees to take more control over their healthcare expenses are
classified as _____.
Consumer-directed health plans
What is the main purpose of coding in the medical billing process?
To ensure standardized reporting of diagnoses and treatments for insurance reimbursement
In medical billing, the term used for a fixed payment by the patient at the time of service,
regardless of the total cost of the visit, is known as a _____.
Copayment
If a patient has not met their deductible, how does this impact insurance payment for services?
The patient is responsible for the full cost of services until the deductible is met
Which part of the SOAP note includes information gathered through the healthcare provider’s
own observations and diagnostic tests?
Objective
The HIPAA Privacy Rule protects patient data. What key information is safeguarded by this rule?
Protected Health Information (PHI)
When a healthcare provider lists all the medical services and treatments for a single visit, they
create a _____.
3
[BONUS]- Applications and Case
Studies| Q&A 2025
What is price transparency in healthcare? Patients are informed about what charges to expect.
The field of medical billing and coding is expected to grow due to which key healthcare trend?
Increased demand for managing chronic conditions as the population ages
When translating a patient's diagnosis and procedures into codes for billing, a professional is
performing which essential healthcare process?
Medical coding
A video consultation where a patient connects live with a healthcare provider remotely falls
under which category of healthcare service?
Telehealth
Which term describes the amount a patient must pay out-of-pocket before their health insurance
starts covering costs?
Deductible
An insurance plan offered by an employer or purchased directly from an insurer falls under
which category?
1
, Commercial insurance
What is the missing word in the phrase commonly used in medical documentation practices: “If
it isn’t ____ , it wasn’t done”?
Documented
In a SOAP note, where would you find the patient's main health concerns and their own
description of symptoms?
Subjective
Digital health information that is accessible across various healthcare providers is known as
what?
Electronic Health Record (EHR)
What payment method involves a single, combined payment for all services within a specific
care episode?
Bundled payment
If a patient is directed by their primary care physician to see a specialist, this written
recommendation is known as a _____.
Referral
2
, Health plans that encourage employees to take more control over their healthcare expenses are
classified as _____.
Consumer-directed health plans
What is the main purpose of coding in the medical billing process?
To ensure standardized reporting of diagnoses and treatments for insurance reimbursement
In medical billing, the term used for a fixed payment by the patient at the time of service,
regardless of the total cost of the visit, is known as a _____.
Copayment
If a patient has not met their deductible, how does this impact insurance payment for services?
The patient is responsible for the full cost of services until the deductible is met
Which part of the SOAP note includes information gathered through the healthcare provider’s
own observations and diagnostic tests?
Objective
The HIPAA Privacy Rule protects patient data. What key information is safeguarded by this rule?
Protected Health Information (PHI)
When a healthcare provider lists all the medical services and treatments for a single visit, they
create a _____.
3
