AMCA BILLING & CODING TEST QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTION 100% VERIFIED
CORRECT UPDATED 2025/2026 GUARANTEED SUCCESS
What type of insurance allows treatment virtually anywhere with a high deduc ble that policy
holders are willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO - Ans C
Veterans with service related disabili es are eligible for case under which of the following
programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - Ans C
_______________________ is usually sponsored and par ally paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - Ans C
______________________ are used to report encounters for circumstances other than a
disease or injury in the ICD-10-CM.
a. A codes
,b. V codes
c. Z codes
d. E codes - Ans D
The abbrevia on PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual a4er midnight - Ans A
Schedule of benefits means:
a. Coordina on of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organiza on - Ans C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The pa ent - Ans B
Physicians establish a list of their usual fees for:
a. The charges they have wri8en off
b. The procedures and services they frequently perform
c. Workers' Compensa on pa ents
, d. Their Medicare pa ents - Ans B
The insurance carrier is allowed to use nay method to determine the amount for a service, also
known as the:
a. Allowed amount
b. Fee schedule
c. Deduc ble
d. Insurance premium - Ans B
Which of the following statements is true under the doctrine of respondeat superior?
a. The billing and coding specialist is superior to other members of the medical staff
b. The billing and coding specialist is responsible for any errors made by the medical staff
c. The physician is responsible for any errors made by the medical staff
d. The person who has been employed for the longest period of me is responsible for any
errors made by the medical staff - Ans C
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Prac ces and Agreements - Ans A
Informa on given by a pa ent to medical personnel that cannot be disclosed without consent
cons tutes:
a. Judgment
b. Duty of care
c. Privileged communica on
ANSWERS WITH COMPLETE SOLUTION 100% VERIFIED
CORRECT UPDATED 2025/2026 GUARANTEED SUCCESS
What type of insurance allows treatment virtually anywhere with a high deduc ble that policy
holders are willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO - Ans C
Veterans with service related disabili es are eligible for case under which of the following
programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - Ans C
_______________________ is usually sponsored and par ally paid by an employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - Ans C
______________________ are used to report encounters for circumstances other than a
disease or injury in the ICD-10-CM.
a. A codes
,b. V codes
c. Z codes
d. E codes - Ans D
The abbrevia on PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual a4er midnight - Ans A
Schedule of benefits means:
a. Coordina on of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organiza on - Ans C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The pa ent - Ans B
Physicians establish a list of their usual fees for:
a. The charges they have wri8en off
b. The procedures and services they frequently perform
c. Workers' Compensa on pa ents
, d. Their Medicare pa ents - Ans B
The insurance carrier is allowed to use nay method to determine the amount for a service, also
known as the:
a. Allowed amount
b. Fee schedule
c. Deduc ble
d. Insurance premium - Ans B
Which of the following statements is true under the doctrine of respondeat superior?
a. The billing and coding specialist is superior to other members of the medical staff
b. The billing and coding specialist is responsible for any errors made by the medical staff
c. The physician is responsible for any errors made by the medical staff
d. The person who has been employed for the longest period of me is responsible for any
errors made by the medical staff - Ans C
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Prac ces and Agreements - Ans A
Informa on given by a pa ent to medical personnel that cannot be disclosed without consent
cons tutes:
a. Judgment
b. Duty of care
c. Privileged communica on
