Questions and Answers (Latest
Update 2026)
The largest federal program providing healthcare is
__________________ which provides health insurance for citizens
aged 65 and older as well as certain patients under the age of 65. -
correct answer ✅Medicare
The ___________________ ______________ is responsible for
filing insurance claims in most medical offices.. -
correct answer ✅Medical Assistant
Patients are generally asked to sign an _____________ of
_____________statement, in which the provider agrees to prepare
healthcare claims for patients, receive payments directly from the
payers, and accept a payer's allowed charge. -
correct answer ✅Assignment, Benefits
The ______________ may be called the insured, the member, or
the subscriber. -
correct answer ✅Policyholder
Under an insurance policy, the policyholder pays a __________ or
_________________________ for keeping the insurance policy in
,Medical Billing & Coding: Final Exam
Questions and Answers (Latest
Update 2026)
force. -
correct answer ✅Premium, an annual charge
A ___________________ is a fixed dollar amount that must be paid
or "met" once a year, in addition to the premium, before the third-
party payer begins to cover medical expenses. -
correct answer ✅Deductible
A ____________________ is a small, fixed fee collected at the time
of the visit from the patients who belong to a managed care health
plan. -
correct answer ✅Co-payment
In a typical medical practice, claims are transmitted within a few
business days ____________ the date of service. -
correct answer ✅After
Insurance claims could be denied as a billing error because if the
treatment was not medically necessary based on the
____________________ and there is no evidence of code linkage. -
correct answer ✅Diagnosis code
, Medical Billing & Coding: Final Exam
Questions and Answers (Latest
Update 2026)
In the ____________ for ___________ benefits, the claims
department compares the fees the physician has charged with the
benefits provided by the patient's health insurance policy to
determine the amount of deductible or coinsurance the patient
owes. -
correct answer ✅Review, Allowable
The total amount the patient owes the practice, including
coinsurance, copayment, deductible, and noncovered services, is
known as the patients __________________. -
correct answer ✅liability
_____________________ insurance covers injuries caused by the
insured or that occurred on the insured's property. -
correct answer ✅Liability
Although eligibility for Medicare Part B is automatic for people
entitled to Medicare Part B coverage is not
______________________. -
correct answer ✅Automatic