AMCA MAA BILLING & CODING questions and answers
rated A+ 2025
Co-Payment - ANSWER-Some contract insurance plans require a "fixed amount" be paid for the office
visits. This amount is usually collected at the time of the visit.
Term Deductible - ANSWER-Amount of money that the insured must incur before the policy begins to
pay.
Network - ANSWER-When multiple computers are linked together and share information
Informed Consent - ANSWER-Giving the patient adequate information concerning the method, risk
and consequences prior to a procedure
Assignment of Benefits - ANSWER-A statement authoring the insurance company to pay benefits to
the physician
Chief Complaint - ANSWER-The symptoms a patient is currently seen for
STAT - ANSWER-If the doctor wants test done immediately, the test is said to be ordered on a "___"
basis
Patient's Bill of Rights - ANSWER-Health policies concerning the patient's constitutional right to
privacy, confidentiality, and informed consent
Physician ends relationship with a patient - ANSWER-Thorough documentation, in writing to the
patient, the reason for withdrawing from the case and offer specified number of days to seek a new
physician
Appendix E - ANSWER-List of Three Digit Categories in the ICD-9
NEC - ANSWER-Indicates the use of a code assignment for "other" when a more specific code does
not exist
Malignant - ANSWER-Used to describe a cancerous tumor that grows worse over time.
In Situ - ANSWER-Malignancy that is located within the original site of development
CHAMPVA - ANSWER-Veterans with service related to disabilities are eligible for care under this
program
Dependents - ANSWER-Family members, such as spouse or children, who are covered under the
member's insurance policy
Electronic Medical Records or E M R - ANSWER-Computerized records of one physician's encounter
with a patient over time.
Electronic Health Record or E H R - ANSWER-Reflects the data from all sources that have treated the
individual.
Personal Health Record or P H R - ANSWER-Maintained and owned by the patient. Patient makes the
decision to share contents with the Physician
, Acute Care - ANSWER-Most often refers to hospitals, treats patients with urgent problems that
cannot be handled.
Ambulatory Care - ANSWER-Refers to treatment without admission to hospital.
Clinical Templates - ANSWER-Allows doctors to document patient encounters into an E H R on a
structured form.
R A D T - ANSWER-Refers to Registration, Admissions, Discharge and Transfer
Unique Patient Identifier or U P I - ANSWER-links all clinical observations, tests, procedures,
complaints, evaluations, and diagnoses to the patient.
Clinical Vocabularies - ANSWER-Set of common definitions for medical terms that ease
communication by decreasing uncertainty.
SNO MED C T - ANSWER-Clinical vocabulary designed to encompass all terms used in medicine
LO INC - ANSWER-Terms and codes used for electronic exchange of lab results and clinical
observations.
U M L S - ANSWER-Thesaurus database of medical terms
Fixed Appointment Scheduling - ANSWER-One patient is scheduled for a specific appointment time.
Cluster Scheduling - ANSWER-To schedule a group of patients around the same block time who are
coming in to receive the same type of service
Double Booking - ANSWER-When two patients are scheduled to see the same physician at once.
Wave Scheduling Method - ANSWER-To accommodate a large amount of patients. Patients are
scheduled the first half of each hour and are seen in the order in which they arrive.
Alphabetical Filing System - ANSWER-Filed according to patient's last name
Cross Referencing - ANSWER-Blank file for each last name for patient's with a hyphened last name
directing them to the patient's actual file.
Numeric Filing System - ANSWER-Information regarding each patient is stored using a number instead
of the patient's last name. A method which helps to mask the patient's identity.
Personal and Financial Information - ANSWER-Insurance data, marital status, next of kin, and other
items collected for personal identification.
Medical Information - ANSWER-includes the main reason patient seeks care,family/ patient medical
history, exam results, physical exam forms, lab reports, and any other report that pertains to the
patient's health care.
Social Information - ANSWER-includes items such as race, ethnicity, hobbies and lifestyles choices.
Self Insure - ANSWER-employers pay directly for employee's medical bills
Sliding Fee Scale - ANSWER-When offices charge fees based on a patient's financial ability to pay.
Beneficiary - ANSWER-Individuals who qualify for the program
Premium - ANSWER-The policyholder contributes to his/her policy by paying a set amount of money
rated A+ 2025
Co-Payment - ANSWER-Some contract insurance plans require a "fixed amount" be paid for the office
visits. This amount is usually collected at the time of the visit.
Term Deductible - ANSWER-Amount of money that the insured must incur before the policy begins to
pay.
Network - ANSWER-When multiple computers are linked together and share information
Informed Consent - ANSWER-Giving the patient adequate information concerning the method, risk
and consequences prior to a procedure
Assignment of Benefits - ANSWER-A statement authoring the insurance company to pay benefits to
the physician
Chief Complaint - ANSWER-The symptoms a patient is currently seen for
STAT - ANSWER-If the doctor wants test done immediately, the test is said to be ordered on a "___"
basis
Patient's Bill of Rights - ANSWER-Health policies concerning the patient's constitutional right to
privacy, confidentiality, and informed consent
Physician ends relationship with a patient - ANSWER-Thorough documentation, in writing to the
patient, the reason for withdrawing from the case and offer specified number of days to seek a new
physician
Appendix E - ANSWER-List of Three Digit Categories in the ICD-9
NEC - ANSWER-Indicates the use of a code assignment for "other" when a more specific code does
not exist
Malignant - ANSWER-Used to describe a cancerous tumor that grows worse over time.
In Situ - ANSWER-Malignancy that is located within the original site of development
CHAMPVA - ANSWER-Veterans with service related to disabilities are eligible for care under this
program
Dependents - ANSWER-Family members, such as spouse or children, who are covered under the
member's insurance policy
Electronic Medical Records or E M R - ANSWER-Computerized records of one physician's encounter
with a patient over time.
Electronic Health Record or E H R - ANSWER-Reflects the data from all sources that have treated the
individual.
Personal Health Record or P H R - ANSWER-Maintained and owned by the patient. Patient makes the
decision to share contents with the Physician
, Acute Care - ANSWER-Most often refers to hospitals, treats patients with urgent problems that
cannot be handled.
Ambulatory Care - ANSWER-Refers to treatment without admission to hospital.
Clinical Templates - ANSWER-Allows doctors to document patient encounters into an E H R on a
structured form.
R A D T - ANSWER-Refers to Registration, Admissions, Discharge and Transfer
Unique Patient Identifier or U P I - ANSWER-links all clinical observations, tests, procedures,
complaints, evaluations, and diagnoses to the patient.
Clinical Vocabularies - ANSWER-Set of common definitions for medical terms that ease
communication by decreasing uncertainty.
SNO MED C T - ANSWER-Clinical vocabulary designed to encompass all terms used in medicine
LO INC - ANSWER-Terms and codes used for electronic exchange of lab results and clinical
observations.
U M L S - ANSWER-Thesaurus database of medical terms
Fixed Appointment Scheduling - ANSWER-One patient is scheduled for a specific appointment time.
Cluster Scheduling - ANSWER-To schedule a group of patients around the same block time who are
coming in to receive the same type of service
Double Booking - ANSWER-When two patients are scheduled to see the same physician at once.
Wave Scheduling Method - ANSWER-To accommodate a large amount of patients. Patients are
scheduled the first half of each hour and are seen in the order in which they arrive.
Alphabetical Filing System - ANSWER-Filed according to patient's last name
Cross Referencing - ANSWER-Blank file for each last name for patient's with a hyphened last name
directing them to the patient's actual file.
Numeric Filing System - ANSWER-Information regarding each patient is stored using a number instead
of the patient's last name. A method which helps to mask the patient's identity.
Personal and Financial Information - ANSWER-Insurance data, marital status, next of kin, and other
items collected for personal identification.
Medical Information - ANSWER-includes the main reason patient seeks care,family/ patient medical
history, exam results, physical exam forms, lab reports, and any other report that pertains to the
patient's health care.
Social Information - ANSWER-includes items such as race, ethnicity, hobbies and lifestyles choices.
Self Insure - ANSWER-employers pay directly for employee's medical bills
Sliding Fee Scale - ANSWER-When offices charge fees based on a patient's financial ability to pay.
Beneficiary - ANSWER-Individuals who qualify for the program
Premium - ANSWER-The policyholder contributes to his/her policy by paying a set amount of money
