Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
Remittance advice -
correct answer ✅an electronic or paper based report of payment
sent by the payer to the provider
consumer driven health plan -
correct answer ✅combines a high deductible health plan with one
or more tax preferred savings accounts that the patient directs.
high maintenance organization (HMO) -
correct answer ✅licensed by the state. stringent guidelines and a
narrow choice of providers. Members are assigned primary care
phy. and must use network providers to be covered except in
emergencies.
point of service plan -
correct answer ✅a combination of HMO and PPO
Health savings account (HSA) -
correct answer ✅designed to pay for qualified medical expenses of
individuals who have high deductible health plans and are under
the age of 65
,Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
Health Reimburstment account (HRA) -
correct answer ✅medical reimbursement plan set up and funded
by an employer
preferred provider organization (PPO) -
correct answer ✅pt pays an annual premium and often deductible,
could have low premium with a high deductible or vise versa. may
see an out of network doctor without referral or preauthorization
but the deductible may be higher
fee schedule -
correct answer ✅phys list their charge for each service they
provide
Member/Subscriber/Insured/Policyholder -
correct answer ✅the person who owns the insurance policy
sliding fee scale -
correct answer ✅when offices charge fees based on a pts financial
ability to pay
,Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
self insured -
correct answer ✅a method in which the employer pays directly for
the employees medical bills
premium -
correct answer ✅the policyholder contributes to his/her policy by
paying a set amount of money
flexible savings account (FSA) -
correct answer ✅employees can put pre tax dollars from their
salaries in the FSA, then they can use the funds to pay for certain
medical expenses.
assignment of benefits -
correct answer ✅reimbursement is sent directly from the payer to
the provider
relative value studies -
correct answer ✅a list of 5 digit procedure codes for services with
unit values that indicates the value for each procedures
, Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
capitation -
correct answer ✅managed care plan that are prepaid per person
per month regardless of how many times the pt is seen
precertification -
correct answer ✅the service covered under pts insurance plan
predetermination -
correct answer ✅how much will insurance pay or maximum dollar
amount for this service
preauthorization -
correct answer ✅is this medically necessary?
usual -
correct answer ✅fee normally charged for a given procedure
allowed charges -
correct answer ✅the amount the most the payer will pay any
provider for the CPT codes
administrative assistant Exam Questions
and Answers (Latest Update 2026)
Remittance advice -
correct answer ✅an electronic or paper based report of payment
sent by the payer to the provider
consumer driven health plan -
correct answer ✅combines a high deductible health plan with one
or more tax preferred savings accounts that the patient directs.
high maintenance organization (HMO) -
correct answer ✅licensed by the state. stringent guidelines and a
narrow choice of providers. Members are assigned primary care
phy. and must use network providers to be covered except in
emergencies.
point of service plan -
correct answer ✅a combination of HMO and PPO
Health savings account (HSA) -
correct answer ✅designed to pay for qualified medical expenses of
individuals who have high deductible health plans and are under
the age of 65
,Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
Health Reimburstment account (HRA) -
correct answer ✅medical reimbursement plan set up and funded
by an employer
preferred provider organization (PPO) -
correct answer ✅pt pays an annual premium and often deductible,
could have low premium with a high deductible or vise versa. may
see an out of network doctor without referral or preauthorization
but the deductible may be higher
fee schedule -
correct answer ✅phys list their charge for each service they
provide
Member/Subscriber/Insured/Policyholder -
correct answer ✅the person who owns the insurance policy
sliding fee scale -
correct answer ✅when offices charge fees based on a pts financial
ability to pay
,Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
self insured -
correct answer ✅a method in which the employer pays directly for
the employees medical bills
premium -
correct answer ✅the policyholder contributes to his/her policy by
paying a set amount of money
flexible savings account (FSA) -
correct answer ✅employees can put pre tax dollars from their
salaries in the FSA, then they can use the funds to pay for certain
medical expenses.
assignment of benefits -
correct answer ✅reimbursement is sent directly from the payer to
the provider
relative value studies -
correct answer ✅a list of 5 digit procedure codes for services with
unit values that indicates the value for each procedures
, Medical billing and coding and medical
administrative assistant Exam Questions
and Answers (Latest Update 2026)
capitation -
correct answer ✅managed care plan that are prepaid per person
per month regardless of how many times the pt is seen
precertification -
correct answer ✅the service covered under pts insurance plan
predetermination -
correct answer ✅how much will insurance pay or maximum dollar
amount for this service
preauthorization -
correct answer ✅is this medically necessary?
usual -
correct answer ✅fee normally charged for a given procedure
allowed charges -
correct answer ✅the amount the most the payer will pay any
provider for the CPT codes
