Medical Billing and Coding Final | 2025-2026 LATEST UPDATED | COMPREHENSIVE
QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS
An appropriate approach to maintaining patient confidentiality on the computer is to
change your password every 90 days
Under a contracted or fixed prepayment called____, physicians are paid a fixed amount of
money to provide needed care. capitation
TRICARE and CHAMPVA cover families of all military personnel.
When entering data in medical billing programs, always enter information using capital
letters
The determination of the amount of money paid by a third-party papyer for a procedure is
pre-certification
What is the approval for payment from a third-party requested prior to a procedure? pre-
authorization
When a physician agrees to accept assignment, this means the physician will accept the
amount of money that Medicaid will pay as payment in full for the Medicaid covered service
,Eligibility for Medicaid is based on the patient's reported income from the previous month
Which of the following is part of the process for verifying workers' compensation coverage?
obtaining the employer's approval to provide treatment
What is the term for the 10-digit number identifying the physician's medical specialty?
taxonomy code
What are usual fees that are listed on the office's fee schedule fee charged to most of their
patients most of the time under typical conditions
Which of the following must be verbally discussed with the beneficiary to enable the
beneficiary to consider options and make informed choices? ABN
If providers submit a claim for a simple procedure when in fact a more complicated procedure
was documented in the medical record,______may occur underpayment
Which of the following may occur when providers submit claims that do not meet Medicare's
coding or medical neccessity policies? denial of claim
The use of ICD-9 codes is mandated by HIPAA
, A patient's diagnosis as established by the physician describes the primary condition for
which the patient is receiving treatment
ICD-9 codes are updated yearly
The Alphabetic Index is organized by the condition
When you encounter the word see in the Alphabetic Index, you know that you must look in
another category
The Tabular List is organized by the part of the body involved
In order to ensure reimbursement at the highest allowed level,CPT codes must include
numbers and modifiers that reflect the services performed
___The____ codes are the most important of the CPT codes E/M
___For reporting purposes, CPT considers a patient "new" if the patient has not received
professional services within the past ___year(s) three
When unbundling is done intentionally to receive more payment than is correct, the claim is
likely to be considered fraudulent
QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS
An appropriate approach to maintaining patient confidentiality on the computer is to
change your password every 90 days
Under a contracted or fixed prepayment called____, physicians are paid a fixed amount of
money to provide needed care. capitation
TRICARE and CHAMPVA cover families of all military personnel.
When entering data in medical billing programs, always enter information using capital
letters
The determination of the amount of money paid by a third-party papyer for a procedure is
pre-certification
What is the approval for payment from a third-party requested prior to a procedure? pre-
authorization
When a physician agrees to accept assignment, this means the physician will accept the
amount of money that Medicaid will pay as payment in full for the Medicaid covered service
,Eligibility for Medicaid is based on the patient's reported income from the previous month
Which of the following is part of the process for verifying workers' compensation coverage?
obtaining the employer's approval to provide treatment
What is the term for the 10-digit number identifying the physician's medical specialty?
taxonomy code
What are usual fees that are listed on the office's fee schedule fee charged to most of their
patients most of the time under typical conditions
Which of the following must be verbally discussed with the beneficiary to enable the
beneficiary to consider options and make informed choices? ABN
If providers submit a claim for a simple procedure when in fact a more complicated procedure
was documented in the medical record,______may occur underpayment
Which of the following may occur when providers submit claims that do not meet Medicare's
coding or medical neccessity policies? denial of claim
The use of ICD-9 codes is mandated by HIPAA
, A patient's diagnosis as established by the physician describes the primary condition for
which the patient is receiving treatment
ICD-9 codes are updated yearly
The Alphabetic Index is organized by the condition
When you encounter the word see in the Alphabetic Index, you know that you must look in
another category
The Tabular List is organized by the part of the body involved
In order to ensure reimbursement at the highest allowed level,CPT codes must include
numbers and modifiers that reflect the services performed
___The____ codes are the most important of the CPT codes E/M
___For reporting purposes, CPT considers a patient "new" if the patient has not received
professional services within the past ___year(s) three
When unbundling is done intentionally to receive more payment than is correct, the claim is
likely to be considered fraudulent
