RAMP CERTIFICATION EXAM STUDY QUESTIONS
WITH COMPLETE SOLUTIONS
2025/2026
22-99 - CORRECT ANSWER Provider Services and Ambulatory Service Center
Modifiers 22 when I started Ambulatory work
1p-8p - CORRECT ANSWER Category II Modifiers 2nd part of code
p1-p6 - CORRECT ANSWER Anesthesia Physical Status Modifiers Puts you to
sleep
Commercial plans - CORRECT ANSWER Commercial health insurance is a type of
health insurance that covers medical expenses and disability income for the
insured.
Government plans - CORRECT ANSWER A plan established or maintained for its
employees by the Government of the United States, by the government of any
State or political subdivision
Medicare - CORRECT ANSWER The federal health insurance program for people
who are 65 or older, certain younger people with disabilities
Medicare Part A - CORRECT ANSWER (Hospital Insurance)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice
care, and some home health care.
,Medicare Part B - CORRECT ANSWER (Medical Insurance)
Part B covers certain doctors' services, outpatient care, medical supplies, and
preventive services.
Medicare Part C (Medicare Advantage Plans) include: - CORRECT ANSWER
Health Maintenance Organizations, Preferred Provider Organizations, Private
Fee-for-Service Plans, Special Needs Plans,
Medicare Medical, Savings Account Plans
Part D adds prescription drug coverage to: - CORRECT ANSWER Original
Medicare, Some Medicare Cost Plans, Some Medicare Private-Fee-for-Service
Plans, Medicare Medical Savings Account Plans
Advance Beneficiary Notice (ABN) - CORRECT ANSWER (Waiver of liability) a
notice a provider should give you before you receive a service if, based on
Medicare coverage rules, your provider has reason to believe Medicare will not
pay for the service.
What is Medicaid - CORRECT ANSWER A program created by the federal
government, but administered by the state, to provide payment for medical
services for low-income citizens.
People qualify for Medicaid by __________. - CORRECT ANSWER meeting federal
income and asset standards, by fitting into a specified eligibility
Civilian Health and Medical Program of the Department of Veterans Affairs
(CHAMPVA) - CORRECT ANSWER ___________ provides coverage to the spouse or
widow(er) and to the children of a Veteran who: is rated permanently and totally
disabled due to a service-connected disability, was rated permanently and totally
, disabled due to a service-connected condition at the time of death, died of a
service-connected disability, died on active duty and the dependents are not
otherwise eligible for Department of Defense TRICARE benefits
TRICARE - CORRECT ANSWER __________ provided to active duty members and
most retired military personnel and their dependents.
Managed care organizations (MCOs) - CORRECT ANSWER A healthcare provider
whose goal it is to provide appropriate, cost-effective medical treatment.
Health maintenance organization (HMO) - CORRECT ANSWER Limits coverage to
care from doctors who work for or contract with the HMO
Preferred Provider Organization (PPO) - CORRECT ANSWER A type of health plan
that contracts with medical providers, such as hospitals and doctors, to create a
network of participating providers. You pay less if you use providers that belong to
the plan's network.
Precertification - CORRECT ANSWER The process by which a patient is
preapproved for coverage of a specific medical procedure or prescription drug.
Prior authorization - CORRECT ANSWER A requirement that your physician obtain
approval from your health insurance plan to prescribe a specific medication for
you.
Anatomical divisions (regions) - CORRECT ANSWER
Anatomical divisions (body cavities) - CORRECT ANSWER
WITH COMPLETE SOLUTIONS
2025/2026
22-99 - CORRECT ANSWER Provider Services and Ambulatory Service Center
Modifiers 22 when I started Ambulatory work
1p-8p - CORRECT ANSWER Category II Modifiers 2nd part of code
p1-p6 - CORRECT ANSWER Anesthesia Physical Status Modifiers Puts you to
sleep
Commercial plans - CORRECT ANSWER Commercial health insurance is a type of
health insurance that covers medical expenses and disability income for the
insured.
Government plans - CORRECT ANSWER A plan established or maintained for its
employees by the Government of the United States, by the government of any
State or political subdivision
Medicare - CORRECT ANSWER The federal health insurance program for people
who are 65 or older, certain younger people with disabilities
Medicare Part A - CORRECT ANSWER (Hospital Insurance)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice
care, and some home health care.
,Medicare Part B - CORRECT ANSWER (Medical Insurance)
Part B covers certain doctors' services, outpatient care, medical supplies, and
preventive services.
Medicare Part C (Medicare Advantage Plans) include: - CORRECT ANSWER
Health Maintenance Organizations, Preferred Provider Organizations, Private
Fee-for-Service Plans, Special Needs Plans,
Medicare Medical, Savings Account Plans
Part D adds prescription drug coverage to: - CORRECT ANSWER Original
Medicare, Some Medicare Cost Plans, Some Medicare Private-Fee-for-Service
Plans, Medicare Medical Savings Account Plans
Advance Beneficiary Notice (ABN) - CORRECT ANSWER (Waiver of liability) a
notice a provider should give you before you receive a service if, based on
Medicare coverage rules, your provider has reason to believe Medicare will not
pay for the service.
What is Medicaid - CORRECT ANSWER A program created by the federal
government, but administered by the state, to provide payment for medical
services for low-income citizens.
People qualify for Medicaid by __________. - CORRECT ANSWER meeting federal
income and asset standards, by fitting into a specified eligibility
Civilian Health and Medical Program of the Department of Veterans Affairs
(CHAMPVA) - CORRECT ANSWER ___________ provides coverage to the spouse or
widow(er) and to the children of a Veteran who: is rated permanently and totally
disabled due to a service-connected disability, was rated permanently and totally
, disabled due to a service-connected condition at the time of death, died of a
service-connected disability, died on active duty and the dependents are not
otherwise eligible for Department of Defense TRICARE benefits
TRICARE - CORRECT ANSWER __________ provided to active duty members and
most retired military personnel and their dependents.
Managed care organizations (MCOs) - CORRECT ANSWER A healthcare provider
whose goal it is to provide appropriate, cost-effective medical treatment.
Health maintenance organization (HMO) - CORRECT ANSWER Limits coverage to
care from doctors who work for or contract with the HMO
Preferred Provider Organization (PPO) - CORRECT ANSWER A type of health plan
that contracts with medical providers, such as hospitals and doctors, to create a
network of participating providers. You pay less if you use providers that belong to
the plan's network.
Precertification - CORRECT ANSWER The process by which a patient is
preapproved for coverage of a specific medical procedure or prescription drug.
Prior authorization - CORRECT ANSWER A requirement that your physician obtain
approval from your health insurance plan to prescribe a specific medication for
you.
Anatomical divisions (regions) - CORRECT ANSWER
Anatomical divisions (body cavities) - CORRECT ANSWER
