AMCA BILLING & CODING TEST EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
Bad debt is defined as:
a. Patient refunds
b. Collectible A/R
c. Uncollectible A/R
d. Payer refunds - ANSWERS-C
The principal diagnosis when coding ICD-10-CM codes refers
to which of the following?
a. The signs or symptoms
b. An external cause code
c. a "Z" code for a history or cancer
d. The condition or diagnosis that brought the patient into
the facility - ANSWERS-D
,The suffix -scopy means:
a. Insertion
b. Incision
c. Visualize
d. Excision - ANSWERS-C
When working under a managed care plan, physicians agree
to:
a. Accept fees that are predetermined by the plan
b. Set fees within certain ranges provided by the plan
c. Charge fees that are based on local community averages
d. Base fees on national trends - ANSWERS-A
______________________ 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 - ANSWERS-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 - ANSWERS-A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - ANSWERS-C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient - ANSWERS-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 - ANSWERS-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 - ANSWERS-B
Which of the following statements is true under the
doctrine of respondeat superior?
a. The billing and coding specialist is superior to other
members of the medical staff
b. The billing and coding specialist is responsible for any
errors made by the medical staff
c. The physician is responsible for any errors made by the
medical staff
d. The person who has been employed for the longest
period of time is responsible for any errors made by the
medical staff - ANSWERS-C
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
Bad debt is defined as:
a. Patient refunds
b. Collectible A/R
c. Uncollectible A/R
d. Payer refunds - ANSWERS-C
The principal diagnosis when coding ICD-10-CM codes refers
to which of the following?
a. The signs or symptoms
b. An external cause code
c. a "Z" code for a history or cancer
d. The condition or diagnosis that brought the patient into
the facility - ANSWERS-D
,The suffix -scopy means:
a. Insertion
b. Incision
c. Visualize
d. Excision - ANSWERS-C
When working under a managed care plan, physicians agree
to:
a. Accept fees that are predetermined by the plan
b. Set fees within certain ranges provided by the plan
c. Charge fees that are based on local community averages
d. Base fees on national trends - ANSWERS-A
______________________ 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 - ANSWERS-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 - ANSWERS-A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - ANSWERS-C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient - ANSWERS-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 - ANSWERS-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 - ANSWERS-B
Which of the following statements is true under the
doctrine of respondeat superior?
a. The billing and coding specialist is superior to other
members of the medical staff
b. The billing and coding specialist is responsible for any
errors made by the medical staff
c. The physician is responsible for any errors made by the
medical staff
d. The person who has been employed for the longest
period of time is responsible for any errors made by the
medical staff - ANSWERS-C
