MEDICAL BILLING CODING MAIN TEST 2026 MANUAL
QUESTIONS AND ANSWERS RATED A+
✔✔What is a provider called who has agreed to accept negotiated (often discounted)
rates from a heatlh plan? - ✔✔Network provider
✔✔What is a healthcare delivery system organized to manage cost, utilization, and
quality of care? - ✔✔Managed care
✔✔What is the money that a medical practice has generated and is available for use,
especially to pay expenses? - ✔✔Cash flow
✔✔What do health insurance specialists review in order to post insurance payments
and adjustments to a patient's account? - ✔✔Remittance advice
✔✔Which federal law protects the privacy and security of a patient's heatlh information?
- ✔✔Health Insurance Portability and Accountability Act (HIPAA)
✔✔What is any part of a medical record that is created, stored, received, or transmitted
by a healthcare provider that identifies an individual? - ✔✔Protected Health Information
(PHI)
✔✔What is the Minimum Necessary Standard? - ✔✔The healthcare provider has a duty
to limit the disclosure of PHI to only the information that is absolutely necessary to
accomplish the purpose of the disclosure
✔✔Paying attention to a key feature in this code set (laterality), what is the ICD-10-CM
code for sprain of the anterior cruciate ligament of the left knee, subsequent encounter?
- ✔✔S83.512D
✔✔After interpreting the coding convention of etiology and manifestation, what is the
ICD-10-CM code for arthropathy of right knee due to ulcerative colitis? - ✔✔K51.90,
M07.661
✔✔According to the general coding guidelines about combination codes, what is the
ICD-10-CM code for Type I diabetes mellitus with neuropathy? - ✔✔E10.40
✔✔The patient is undergoing treatment for carcinoma of the lower third of the
esophagus. What is the correct ICD-10-CM code? - ✔✔C15.5
✔✔The patient was diagnosed with an infection of the colostomy site with cellulitis of
the abdominal wall. What is/are the correct ICD-10-CM code(s)? - ✔✔K904.02, L03.311
QUESTIONS AND ANSWERS RATED A+
✔✔What is a provider called who has agreed to accept negotiated (often discounted)
rates from a heatlh plan? - ✔✔Network provider
✔✔What is a healthcare delivery system organized to manage cost, utilization, and
quality of care? - ✔✔Managed care
✔✔What is the money that a medical practice has generated and is available for use,
especially to pay expenses? - ✔✔Cash flow
✔✔What do health insurance specialists review in order to post insurance payments
and adjustments to a patient's account? - ✔✔Remittance advice
✔✔Which federal law protects the privacy and security of a patient's heatlh information?
- ✔✔Health Insurance Portability and Accountability Act (HIPAA)
✔✔What is any part of a medical record that is created, stored, received, or transmitted
by a healthcare provider that identifies an individual? - ✔✔Protected Health Information
(PHI)
✔✔What is the Minimum Necessary Standard? - ✔✔The healthcare provider has a duty
to limit the disclosure of PHI to only the information that is absolutely necessary to
accomplish the purpose of the disclosure
✔✔Paying attention to a key feature in this code set (laterality), what is the ICD-10-CM
code for sprain of the anterior cruciate ligament of the left knee, subsequent encounter?
- ✔✔S83.512D
✔✔After interpreting the coding convention of etiology and manifestation, what is the
ICD-10-CM code for arthropathy of right knee due to ulcerative colitis? - ✔✔K51.90,
M07.661
✔✔According to the general coding guidelines about combination codes, what is the
ICD-10-CM code for Type I diabetes mellitus with neuropathy? - ✔✔E10.40
✔✔The patient is undergoing treatment for carcinoma of the lower third of the
esophagus. What is the correct ICD-10-CM code? - ✔✔C15.5
✔✔The patient was diagnosed with an infection of the colostomy site with cellulitis of
the abdominal wall. What is/are the correct ICD-10-CM code(s)? - ✔✔K904.02, L03.311
