MEDICAL BILLING AND CODING MAIN EXAM SCRIPT 2025
QUESTIONS WITH ANSWERS GUARANTEE A+
✔✔HIPPA allows a health care provider to communicate with a patient's family friends
or other persons who are involved in the patients care regarding his or her mental
health status providing - ✔✔the patient doesn't object
✔✔When using the EHR to schedule a patient visit, which of the following screens
should be used to complete the scheduling process? - ✔✔patient search
✔✔an established patient is being seen by a physician today. The patient owes $25.00
for the visit. The amount collected for the office visit is - ✔✔Copayment
✔✔A patient has two health insurance policies- a group insurance plan through her her
full time employer and another group insurance plan through her husband's employer.
Which of the following policies should be billed as primary? - ✔✔her policy
✔✔dkdje - ✔✔sksksk
✔✔which of the following are violations of the Stark Law? - ✔✔accepting gifts in place
of payment from patients
Referring patients to facilities where the provider has a financial interest
✔✔xkddk - ✔✔sjsjj
✔✔other. Presents today for upper GI endoscopy and a biopsy of the stomach. Cpt
code? - ✔✔43239
✔✔a physician performed a bilateral l4 l5 laminectomy on a patient in an
AMBULATORY SURGICAL CENTER. Which of the following place of service codes
should be used on the case 1500? - ✔✔24
✔✔A patient was seen in the office. Charges were recorded and submitted to the
patient's insurance and an EOB was received by the office with a payment of $70.89.
These transactions should be recorded in the - ✔✔patient ledger
✔✔an insurance and coding specialist is reviewing appendix m in the cpt book. Which
of the following tasks is she most likely performing - ✔✔checking for renumbered codes
✔✔zkdxk - ✔✔sksks
✔✔sisjd - ✔✔ajsks
, ✔✔Collecting statistics on the frequency of copay collection at time of service is a step
in the process of - ✔✔Managing A/R
✔✔If the insurance carrier's rate of benefits is 80%, the remaining 20% is known as -
✔✔coinsurance
✔✔If a married couple is covered under both spouses' health insurance and the
husband wishes to schedule an appointment for an annual exam, he should call his
primary care provider and - ✔✔Schedule an appointment using both his insurance
benefits and his wife's insurance benefits
✔✔A 73 year old pt. Presents for an office visit. GERD and hypertension. Icd 10 cm
code - ✔✔k21.9
✔✔a Medicare pt. Has an 80/20 plan. The charged amount was $300.00 the amount
allowed was $100.00. Which of the following is the patient's coinsurance? - ✔✔Allowed
amount x 20%, $20.00
✔✔which of the following covers inpatient hospital stays? - ✔✔part a
✔✔a pt. Presents for excision of a lesion in his arm. The lesion was 3 cm with a 0.5 cm
margins. Cpt code - ✔✔11404
✔✔The patient's total charges are $300. The allowed amount is $150. Benefits pay at
60%. Which of the following will the patient have to pay? - ✔✔The allowed amount is
150. 60% of 150 is 90 (the amount the insurance will pay) 150-90 = patient's
responsibility, $60
✔✔which of the following patient information is needed to determine a Medicaid sliding
fee scale? Select 3. - ✔✔Poverty level
Number of dependents
Salary
✔✔a 72 year old pt. Is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. Which of the following modifiers
should be reported for anesthesia. - ✔✔AA-QS
✔✔Which of the following items are mandatory in patient financial policies? Select 3 -
✔✔expectation of payment due at the time of service
Collection process
Statement that responsibility for payment lies with patient
QUESTIONS WITH ANSWERS GUARANTEE A+
✔✔HIPPA allows a health care provider to communicate with a patient's family friends
or other persons who are involved in the patients care regarding his or her mental
health status providing - ✔✔the patient doesn't object
✔✔When using the EHR to schedule a patient visit, which of the following screens
should be used to complete the scheduling process? - ✔✔patient search
✔✔an established patient is being seen by a physician today. The patient owes $25.00
for the visit. The amount collected for the office visit is - ✔✔Copayment
✔✔A patient has two health insurance policies- a group insurance plan through her her
full time employer and another group insurance plan through her husband's employer.
Which of the following policies should be billed as primary? - ✔✔her policy
✔✔dkdje - ✔✔sksksk
✔✔which of the following are violations of the Stark Law? - ✔✔accepting gifts in place
of payment from patients
Referring patients to facilities where the provider has a financial interest
✔✔xkddk - ✔✔sjsjj
✔✔other. Presents today for upper GI endoscopy and a biopsy of the stomach. Cpt
code? - ✔✔43239
✔✔a physician performed a bilateral l4 l5 laminectomy on a patient in an
AMBULATORY SURGICAL CENTER. Which of the following place of service codes
should be used on the case 1500? - ✔✔24
✔✔A patient was seen in the office. Charges were recorded and submitted to the
patient's insurance and an EOB was received by the office with a payment of $70.89.
These transactions should be recorded in the - ✔✔patient ledger
✔✔an insurance and coding specialist is reviewing appendix m in the cpt book. Which
of the following tasks is she most likely performing - ✔✔checking for renumbered codes
✔✔zkdxk - ✔✔sksks
✔✔sisjd - ✔✔ajsks
, ✔✔Collecting statistics on the frequency of copay collection at time of service is a step
in the process of - ✔✔Managing A/R
✔✔If the insurance carrier's rate of benefits is 80%, the remaining 20% is known as -
✔✔coinsurance
✔✔If a married couple is covered under both spouses' health insurance and the
husband wishes to schedule an appointment for an annual exam, he should call his
primary care provider and - ✔✔Schedule an appointment using both his insurance
benefits and his wife's insurance benefits
✔✔A 73 year old pt. Presents for an office visit. GERD and hypertension. Icd 10 cm
code - ✔✔k21.9
✔✔a Medicare pt. Has an 80/20 plan. The charged amount was $300.00 the amount
allowed was $100.00. Which of the following is the patient's coinsurance? - ✔✔Allowed
amount x 20%, $20.00
✔✔which of the following covers inpatient hospital stays? - ✔✔part a
✔✔a pt. Presents for excision of a lesion in his arm. The lesion was 3 cm with a 0.5 cm
margins. Cpt code - ✔✔11404
✔✔The patient's total charges are $300. The allowed amount is $150. Benefits pay at
60%. Which of the following will the patient have to pay? - ✔✔The allowed amount is
150. 60% of 150 is 90 (the amount the insurance will pay) 150-90 = patient's
responsibility, $60
✔✔which of the following patient information is needed to determine a Medicaid sliding
fee scale? Select 3. - ✔✔Poverty level
Number of dependents
Salary
✔✔a 72 year old pt. Is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. Which of the following modifiers
should be reported for anesthesia. - ✔✔AA-QS
✔✔Which of the following items are mandatory in patient financial policies? Select 3 -
✔✔expectation of payment due at the time of service
Collection process
Statement that responsibility for payment lies with patient
