Medical Billing and Coding Final Exam | Practice Questions & Answers

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Medical Billing and Coding Final Exam




1. Which of the following is a reason for why the field of medical

billing and coding is in high demand?

Answer An aging population will use more healthcare services to

manage a multitude of chronic diseases.

2. What is the process of reporting diagnoses and

procedures/services as numeric and alphanumeric characters on the

insurance claim?

Answer Medical coding

3. What is the two-way, real time video visit between the patient

and the physician at a distant site?

Answer Telehealth

4. What is the amount for which the patient is financially

responsible before an insurance policy provides payment?
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Answer Deductible

5. What type of health insurance is provided through your

employer or pur- chased directly from an insurance company?

Answer Commercial

6. What is the missing word in the following phrase


"If it wasn't , it wasn't done."

Answer Documented

7. What section of the SOAP note contains the chief complaint

and the pa- tient's description of the presenting problem?

Answer Subjective

8. What is health information in a digital format that is created

and shared by providers across more than one healthcare setting?

Answer Electronic health record (EHR)

9. What is the reimbursement method where one payment

covers all services during an episode of care?

Answer Bundled payment

10. What is a written order from your primary care provider for you

to see a specialist or get certain medical services?

Answer Referral
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11. What health plans are designed to put more responsibility on

the employee for their healthcare spending?

Answer Consumer-directed health plans

12. In a physician practice, revenue cycle management is also called

what?

Answer -

Accounts receivable

13. What is the computer-to-computer transfer of data between

providers and third-party payers?

Answer Electronic data interchange (EDI)

14. What type of claim was never entered into the computer

system of the insurance company because it failed to meet specific

data requirements?

Answer - Rejected claim

15. What is the maximum amount that an insurer will reimburse for

a covered service or procedure?

Answer Allowable charge

16. What is price transparency in healthcare?

Answer Patients are informed about what charges to expect.

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