HCM EXAM | 2025 ULTIMATE EXAM WITH
ACTUAL QUESTIONS AND CORRECT VERIFIED
ANSWERS. GUARANTEED CERTIFICATION
SUCCESS. A+ GRADED
The patient is seen by his family physician for follow-up
treatment of recently diagnosed asthmatic bronchitis. The
physician's fee is $75. The patient's copayment is $20, and
the patient is not required to pay any additional amount to
the provider. The payer reimburses the physician $28
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the account: $ -
✔ ANSWER ✔ A 20
B 28
C 27
The patient undergoes chemical ablation of one facial lesion
in her physician's office. The physician's fee is $240. The
patient's copayment is $18, and the patient is not required
to pay any additional amount to the provider. The payer
reimburses the physician $105.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the account: $ -
✔ ANSWER ✔ A. 18
,B. 105
C. 117
The patient undergoes arthroscopic surgery at an
ambulatory surgical center. The surgeon's fee is $890. The
patient's coinsurance is 20 percent of the $700 fee
schedule, and the patient is not required to pay any
additional amount to the provider. The payer reimburses the
surgeon 80 percent of the $700 fee schedule.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the account: $ -
✔ ANSWER ✔ A. 140
B. 560
C. 190
The patient was referred to an orthopedic specialist for
evaluation of chronic ankle pain. The physician's fee is
$150. The patient's coinsurance is 30 percent of the $100
fee schedule, and the patient is not required to pay any
additional amount to the provider. The payer reimburses the
physician 70 percent of the $100 fee schedule for this
service.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the amount: $ -
✔ ANSWER ✔ A. 30
,B. 70
C. 50
The patient received preventive medicine services. The
physician's fee is $150. The patient's copayment is $10 of
the $75 fee schedule, and the patient is not required to pay
any additional amount to the provider. The payer
reimburses the physician 80 percent of the $75 for
schedule.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the amount: $ -
✔ ANSWER ✔ A. 10
B. 60
C. 80
Which party signs a contract with a health insurance
company and thus, owns the health insurance policy? - ✔
ANSWER ✔ policyholder
, Which has as its goal access to health coverage for every
individual, regardless of the system implemented to achieve
that goal? - ✔ ANSWER ✔ universal health insurance
The terms electronic health record (EHR) and electronic
medical record (EMR) are often used interchangeably, but
the _____ is a more global concept that includes the
collection of patient information documented by a number of
providers at different facilities regarding one patient. - ✔
ANSWER ✔ EHR
Total practice management software (TPMS) is used to
generate the EMR, automating which of the following
medical practice functions? - ✔ ANSWER ✔ patient
registration
If a veteran is rated as 100 percent permanently and totally
disabled as a result of a service-connected condition, which
program will provide benefits to the veteran's dependents? -
✔ ANSWER ✔ CHAMPVA
A new fee schedule for Medicare services was implemented
as part of OBRA in 1989 and 1990, replacing the regional
"usual and reasonable" payment basis with a fixed fee
schedule called: - ✔ ANSWER ✔ CLIA
ACTUAL QUESTIONS AND CORRECT VERIFIED
ANSWERS. GUARANTEED CERTIFICATION
SUCCESS. A+ GRADED
The patient is seen by his family physician for follow-up
treatment of recently diagnosed asthmatic bronchitis. The
physician's fee is $75. The patient's copayment is $20, and
the patient is not required to pay any additional amount to
the provider. The payer reimburses the physician $28
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the account: $ -
✔ ANSWER ✔ A 20
B 28
C 27
The patient undergoes chemical ablation of one facial lesion
in her physician's office. The physician's fee is $240. The
patient's copayment is $18, and the patient is not required
to pay any additional amount to the provider. The payer
reimburses the physician $105.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the account: $ -
✔ ANSWER ✔ A. 18
,B. 105
C. 117
The patient undergoes arthroscopic surgery at an
ambulatory surgical center. The surgeon's fee is $890. The
patient's coinsurance is 20 percent of the $700 fee
schedule, and the patient is not required to pay any
additional amount to the provider. The payer reimburses the
surgeon 80 percent of the $700 fee schedule.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the account: $ -
✔ ANSWER ✔ A. 140
B. 560
C. 190
The patient was referred to an orthopedic specialist for
evaluation of chronic ankle pain. The physician's fee is
$150. The patient's coinsurance is 30 percent of the $100
fee schedule, and the patient is not required to pay any
additional amount to the provider. The payer reimburses the
physician 70 percent of the $100 fee schedule for this
service.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the amount: $ -
✔ ANSWER ✔ A. 30
,B. 70
C. 50
The patient received preventive medicine services. The
physician's fee is $150. The patient's copayment is $10 of
the $75 fee schedule, and the patient is not required to pay
any additional amount to the provider. The payer
reimburses the physician 80 percent of the $75 for
schedule.
a. Enter the amount the patient pays the provider: $
b. Enter the amount the payer reimburses the provider: $
c. Enter the amount the provider "writes off" the amount: $ -
✔ ANSWER ✔ A. 10
B. 60
C. 80
Which party signs a contract with a health insurance
company and thus, owns the health insurance policy? - ✔
ANSWER ✔ policyholder
, Which has as its goal access to health coverage for every
individual, regardless of the system implemented to achieve
that goal? - ✔ ANSWER ✔ universal health insurance
The terms electronic health record (EHR) and electronic
medical record (EMR) are often used interchangeably, but
the _____ is a more global concept that includes the
collection of patient information documented by a number of
providers at different facilities regarding one patient. - ✔
ANSWER ✔ EHR
Total practice management software (TPMS) is used to
generate the EMR, automating which of the following
medical practice functions? - ✔ ANSWER ✔ patient
registration
If a veteran is rated as 100 percent permanently and totally
disabled as a result of a service-connected condition, which
program will provide benefits to the veteran's dependents? -
✔ ANSWER ✔ CHAMPVA
A new fee schedule for Medicare services was implemented
as part of OBRA in 1989 and 1990, replacing the regional
"usual and reasonable" payment basis with a fixed fee
schedule called: - ✔ ANSWER ✔ CLIA
