AMCA BILLING & CODING TEST
2025/2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO - 🧠 ANSWER ✔✔C
Veterans with service related disabilities are eligible for case under which
of the following programs:
a. CHAMPUS
b. Medicare
,c. CHAMPVA
d. TRICARE - 🧠 ANSWER ✔✔C
_______________________ is usually sponsored and partially paid by an
employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - 🧠 ANSWER ✔✔C
______________________ 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 - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - 🧠 ANSWER ✔✔C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient - 🧠 ANSWER ✔✔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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, c. Workers' Compensation patients
d. Their Medicare patients - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔C
2025/2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO - 🧠 ANSWER ✔✔C
Veterans with service related disabilities are eligible for case under which
of the following programs:
a. CHAMPUS
b. Medicare
,c. CHAMPVA
d. TRICARE - 🧠 ANSWER ✔✔C
_______________________ is usually sponsored and partially paid by an
employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - 🧠 ANSWER ✔✔C
______________________ 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 - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization - 🧠 ANSWER ✔✔C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient - 🧠 ANSWER ✔✔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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, c. Workers' Compensation patients
d. Their Medicare patients - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔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 - 🧠 ANSWER ✔✔C
