2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay?
a. COBRA
b. EPO
c. PPO
,d. HMO - 🧠 ANSWER ✔✔C
Veterans with service related disabilities are eligible for case under which
of the following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - 🧠 ANSWER ✔✔C
_______________________ is usually sponsored and partially paid by an
employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔D
The abbreviation PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual after midnight - 🧠 ANSWER ✔✔A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - 🧠 ANSWER ✔✔C
Medicare is funded by:
a. State Funds
b. Federal Funds
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, c. Employers
d. The patient - 🧠 ANSWER ✔✔B
Physicians establish a list of their usual fees for:
a. The charges they have written off
b. The procedures and services they frequently perform
c. Workers' Compensation patients
d. Their Medicare patients - 🧠 ANSWER ✔✔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. Deductible
d. Insurance premium - 🧠 ANSWER ✔✔B
Which of the following statements is true under the doctrine of respondeat
superior?