QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS 2025
Thelmedicalltermlforlwaterlonlthelbrainlisl______.
a.lCephalocele
b.lCephalohydrosis
c.lHydrocephalus
d.lHydrocele
l- CORRECT ANSWER >>>-c.lHydrocephalus
WhichloflthelfollowinglislNOTlassociatedlwithlcomputers?
a.lEPO
b.lROM
c.lRAM
d.lCPUl-l
CORRECT ANSWER >>>-a.lEPO
StatelinsurancelcommissionerslorldepartmentlwillldolALLlBUTlWHICHlONElofl
thelfollowing?
a.lHandlelillegallcancellationsloflpolicies
b.lAssurelthatlagentslcomplylwithlinsurancellaws
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
d.lAssurelthatlbrokerslcomplylwithlinsurancellaws
l-lCORRECT ANSWER >>>-
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
UnderltheloriginallMedicarelPlan,lalpatientlwholwantsltolprotestlpaymentlthatl
waslnotlmadelshouldlbeltoldltol_____.
a.lfilelanlappeal
b.lhirelallawyer
c.lasklforlanlAdministrativelLawlJudgelhearing
d.lfilelalclaimlwithlthelCMSlregionalloffice
l-lCORRECT ANSWER >>>-a.lfilelanlappeal
Militarylpersonnellandltheirldependentslreceivelmedicallcoveragelthroughl_____.
a.lCHAMPVA
1
,b.lMedicarel
c.lprivatelHMOs
d.lTRICARE
l-lCORRECT ANSWER >>>-d.lTRICARE
ThelHealthlInsurancelPortabilitylandlAccountabilitylActl(HIPAA)ldealslwithl___
____.
a.lprivacylruleslforlprotectedlhealthlinformation
b.lstandardslforlelectronicltransactions
c.lstandardslforlcodelsets
d.lAlllanswerslarelcorrectl-l
CORRECT ANSWER >>>-d.lAlllanswerslarelcorrect
WhichloflthelfollowinglgroupsloflpeoplelareleligiblelforlMedicaid?
a.lRetired,loverlthelagelofl65,lvisionlimpaired,lorldisabled
b.lPeoplelwholarelinjuredlonltheljob
c.lRetiredlmilitarylpersonnellandltheirldependents
d.lNeedylandllow-incomelpeoplel-
lCORRECT ANSWER >>>-d.lNeedylandllow-incomelpeople
WhichloflthelfollowinglwouldlnotlbelcoveredlbylMedicare?
a.lCosmeticlsurgery
d.lHomelhealthlcare
c.lHospitalization
d.lBloodltransfusionsl-l
CORRECT ANSWER >>>-a.lCosmeticlsurgery
MedicarelenrolleeslhavelthelrightltolassignltheirlbenefitsltolHMOs.
a.lTrue
b.lFalse
c.lOnlylinlCalifornialandlFlorida
d.lOnlylinlNewlJerseylandlUtah
l-lCORRECT ANSWER >>>-a.lTrue
Thelmodifierl-22lattachedltolalCPTlcodelwillloftenl_______.
a.lfacilitatelelectroniclsubmissions
b.ldelayedlpayment
c.lguaranteelpaymentl
d.lrequiredlcallinglaltoll-freelnumber
l-lCORRECT ANSWER >>>-c.lguaranteelpayment
2
,Workers'lCompensationllawslserveslwhatlpurpose?
a.lTolprovidelallonglconvalescencelforlsicklemployees
b.lTolensurelpaymentloflfeesltolattorneys
c.lTolreceivelcompensationlfromlthelpubliclandlprivatelcharities
d.lTolencouragelemploymentlinterestlinlsafetyl
-lCORRECT ANSWER >>>-d.lTolencouragelemploymentlinterestlinlsafety
ALLlBUTlWHICHlONEloflthelfollowinglwilllhelplthelinsurancelspecialistlinlbuil
dinglandltrackinglworkers'lcompensationlclaims?
a.lKeepinglalphonellogloflconversationlwithltheladjuster
b.lObtaininglalworkers'lcompensationlfeelschedule
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
d.lDiscussinglthelcaselwithlthelclaimslrepresentativel
-lCORRECT ANSWER >>>-
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
ThelSociallSecuritylDisabilitylInsurancel(SSDI)lprovideslbenefitslforl_________.
a.ltheldisabledloverlthelagelofl65
b.lworkerslwithlshortltermldisability
c.lworkers'lwithllongltermldisability
d.lcoveredlworkerslinjuredlonltheljob
l-lCORRECT ANSWER >>>-c.lworkers'lwithllongltermldisability
WhichloflthelfollowinglislNOTlpartloflalmedicallcoderlandlbillinglspecialist'sljobl
description?
a.lCodinglinformationlfromlmedicallrecords
b.lConsultinglwithlphysicianslforlclarificationlofldata
c.lMaintaininglofficelstafflpersonnellfileslandldata
d.lVerifyingldatalonlencounterlformsl
-lCORRECT ANSWER >>>-c.lMaintaininglofficelstafflpersonnellfileslandldata
Self-
employedlinsurancelbillinglspecialistslcanlbelexpectedltoldolALLlBUTlWHICHl
ONEloflthelfollowing?
a.lObtainlalbusinessllicense
b.lObtainlemployeelbenefits
c.lFollowllegallstandards
d.lFilelquarterlyltaxesl
-lCORRECT ANSWER >>>-b.lObtainlemployeelbenefits
3
, Dorland'slandlStedman'slarelcommonlylusedl_______.
a.lmedicalldictionaries
b.lcodelbook
c.lcertificationlprograms
d.linsurancelnewsletters
l-lCORRECT ANSWER >>>-a.lmedicalldictionaries
AlmedicallconditionlNOTlcoveredlbylanlinsurancelbylanlinsurancelcarrierlislcalle
dlanl_______.
a.lincision
b.loption
c.lexception
d.lexclusionl-lCORRECT ANSWER >>>-d.lexclusion
Thelconditionlestablishedlafterlstudylthatlislchieflylresponsiblelforlalpatient'sladm
issionltolalhospitallislknownlaslthel______.
a.ladministratinglsymptoms
b.lprincipalldiagnosis
c.lprimaryldiagnosis
d.ladmittingldiagnosisl-lCORRECT ANSWER >>>-b.lprincipalldiagnosis
WhichlgrouplislNOTlentitledltolmedicallbenefitslunderlTRICARElStandard?
a.lMilitarylretireeslandltheirleligiblelfamilylmembers
b.lWardslandlpre-adoptivelchildrenloflmilitarylservicelmembers
c.lEligiblelfamilylmembersloflactiveldutylservicelmembers
d.lDependentsloflactivelmilitarylwithltotal,lpermanentlservice-
connectedldisabilityl-lCORRECT ANSWER >>>-
d.lDependentsloflactivelmilitarylwithltotal,lpermanentlservice-connectedldisability
ThelCPTlcodelforlcomputedltomographyloflthelheadlandlbrainlwithoutlcontrastlis
l_______.
a.l70490
b.l70480
c.l70470
d.l70450l-lCORRECT ANSWER >>>-d.l70450
WhichlofltheselsituationldoeslNOTlrequirelinformedlconsentlbylthelpatient?
a.lSurgery
b.lPrescriptionloflalcontrolledlsubstancesl
4