2025/2026 Exam Questions and Answers
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A patient has called to schedule an appointment for an office visit to see
the doctor tomorrow for an earache. It is discovered during the scheduling
process that the insurance policy on file has been cancelled. Which of the
following should the insurance and coding specialist do next? - 🧠 ANSWER
✔✔Advise the patient to bring current insurance information to the
appointment.
An established patient is being seen by the physician today. The patient
owes $25.00 for the visit. The amount collected for the office visit is called
the - 🧠 ANSWER ✔✔copayment
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 - 🧠
ANSWER ✔✔patient ledger.
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, A new HIM director was recently hired at a hospital. She was advised her
health insurance benefits become available in 90 days. Which of the
following is correct regarding her health insurance? - 🧠 ANSWER ✔✔She
will be able to keep her current medical insurance from her previous job
through COBRA.
A claim submitted with all the necessary and accurate information so that it
can be processed and paid is called a - 🧠 ANSWER ✔✔clean claim.
A patient has two health insurance policies-a group insurance plan through
her full-time employer and another group insurance plan through her
husband's employer. Which of the following policies should be billed as
primary? - 🧠 ANSWER ✔✔her policy.
A Medicare patient has an 80/20 plan. The charged amount was $300.00.
The amount allowed was $100.00. Which is the patient's coinsurance? - 🧠
ANSWER ✔✔20%
A Medicare patient presents to an outpatient hospital facility for a
scheduled hysterectomy. To which Medicare plan should the facility submit
the claim? - 🧠 ANSWER ✔✔Part B
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COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED