Questions With 100% Correct And Verified
Answers 2025\2026 update
MedicallBillinglSpecialistlshouldlhavelexpertiselinlALLlBUTlWHICHlONEloflth
ese?
a.lCPTlandlICD-9-CMlcoding
b.lMedicallinsurance
c.lClinicallpsychology
d.lMedicallterminologyl-lCORRECTlANSWERS-c.lClinicallpsychology
Medicalletiquettelhasltoldolwithl______.
a.lshowinglconsiderationlforlothers
b.lcustomslinlthelmedicallprofession
c.lconduct,lcourtesy,landlmanners
d.lAlllanswerslarelcorrectl-lCORRECTlANSWERS-d.lAlllanswerslarelcorrect
Fromlallegallstandpoint,lfaxinglpatientlinformationlraiseslcriticallissueslwithl___
___?
a.lincreasinglcostsloflhealthlcare
b.lpatientlconfidentiality
c.lsavingltimelinldiagnosis
d.lpatientlepidemiologyl-lCORRECTlANSWERS-b.lpatientlconfidentiality
ThelCPTlcodelforlendovascularlrepairloflaldescendinglthoraciclaorticlaneurysmli
nvolvinglcoverageloflthelleftlsubclavianlarterylorigin,linitiallendoprosthesislplusld
escendinglthoraciclaorticlextension(s)liflrequiredltolthellevelloflceliaclarterylorigi
nlisl_____l_____.
a.l33880
b.l33881
c.l33883
d.l33886l-lCORRECTlANSWERS-a.l33880
ALLlBUTlWHICHlONEloflthelfollowinglislimportantlpatientlinformationlforloffi
celrecords?
a.lInsurancelpolicylnumbersl
vendarsol
,b.lDateloflbirth
c.lSociallSecuritylnumber
d.lReligiouslpreferencel-lCORRECTlANSWERS-d.lReligiouslpreference
Thelcodelforlchronicltonsillitislisl_____.
a.l463.00
b.l474.00
c.l474.02
d.l476.00l-lCORRECTlANSWERS-b.l474.00
Forlwhichloneloflthelfollowinglshouldlcodinglandlbillinglbeldelayedluntillthelpath
ologylreportlbeenlreceived?l
a.lThirdldegreelburns
b.lRepairlofllacerations
c.lExcisionlofllesions
d.lRemovalloflanlorganl-lCORRECTlANSWERS-c.lExcisionlofllesions
Patientlconditionslshouldlalwaysldoldocumentedlandlcodedl_______.
a.ltolthelhighestldegreeloflcertainty
b.lbylthelphysician
c.laccordingltolstafflconsensus
d.lbylthelofficelmanagerl-lCORRECTlANSWERS-
a.ltolthelhighestldegreeloflcertainty
InlthelMedicarelprogram,lal"clean"lclaimlmeanslthatl_____.
a.lthelclaimlhaslnoldeficiencies
b.lthelcarrierldoeslnotlneedltolfurtherlinvestigate
c.lthelclaimlpasseslalllelectronicledits
d.lAlllanswerslarelcorrectl-lCORRECTlANSWERS-d.lAlllanswerslarelcorrect
ThelHealthlInsurancelClaimlFormlCMS-1500lisl_______.
a.loutdatedlandlshouldlneverlbelused
b.lacceptedlbylnearlylalllinsurancelcarriers
c.lrequiredlbylthelAMA
d.lmandatedlbylHIPAAl-lCORRECTlANSWERS-d.lmandatedlbylHIPAA
Thelmedicalltermlforlwaterlonlthelbrainlisl______.
a.lcephalocele
b.lcephalohydrosis
c.lhydrocephalus
d.lhydrocelel-lCORRECTlANSWERS-c.lhydrocephalus
vendarsol
,WhichloflthelfollowinglislNOTlassociatedlwithlcomputers?
a.lEPO
b.lROM
c.lRAM
d.lCPUl-lCORRECTlANSWERS-a.lEPO
StatelinsurancelcommissionerslorldepartmentlwillldolALLlBUTlWHICHlONElo
flthelfollowing?
a.lHandlelillegallcancellationsloflpolicies
b.lAssurelthatlagentslcomplylwithlinsurancellaws
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
d.lAssurelthatlbrokerslcomplylwithlinsurancellawsl-lCORRECTlANSWERS-
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
UnderltheloriginallMedicarelPlan,lalpatientlwholwantsltolprotestlpaymentlthatlwa
slnotlmadelshouldlbeltoldltol_____.
a.lfilelanlappeal
b.lhirelallawyer
c.lasklforlanlAdministrativelLawlJudgelhearing
d.lfilelalclaimlwithlthelCMSlregionallofficel-lCORRECTlANSWERS-
a.lfilelanlappeal
Militarylpersonnellandltheirldependentslreceivelmedicallcoveragelthroughl_____
.
a.lCHAMPVA
b.lMedicarel
c.lprivatelHMOs
d.lTRICAREl-lCORRECTlANSWERS-d.lTRICARE
ThelHealthlInsurancelPortabilitylandlAccountabilitylActl(HIPAA)ldealslwithl___
____.
a.lprivacylruleslforlprotectedlhealthlinformation
b.lstandardslforlelectronicltransactions
c.lstandardslforlcodelsets
d.lAlllanswerslarelcorrectl-lCORRECTlANSWERS-d.lAlllanswerslarelcorrect
WhichloflthelfollowinglgroupsloflpeoplelareleligiblelforlMedicaid?
a.lRetired,loverlthelagelofl65,lvisionlimpaired,lorldisabled
b.lPeoplelwholarelinjuredlonltheljob
c.lRetiredlmilitarylpersonnellandltheirldependents
vendarsol
, d.lNeedylandllow-incomelpeoplel-lCORRECTlANSWERS-d.lNeedylandllow-
incomelpeople
WhichloflthelfollowinglwouldlnotlbelcoveredlbylMedicare?
a.lCosmeticlsurgery
d.lHomelhealthlcare
c.lHospitalization
d.lBloodltransfusionsl-lCORRECTlANSWERS-a.lCosmeticlsurgery
MedicarelenrolleeslhavelthelrightltolassignltheirlbenefitsltolHMOs.
a.lTrue
b.lFalse
c.lOnlylinlCalifornialandlFlorida
d.lOnlylinlNewlJerseylandlUtahl-lCORRECTlANSWERS-a.lTrue
Thelmodifierl-22lattachedltolalCPTlcodelwillloftenl_______.
a.lfacilitatelelectroniclsubmissions
b.ldelayedlpayment
c.lguaranteelpaymentl
d.lrequiredlcallinglaltoll-freelnumberl-lCORRECTlANSWERS-
c.lguaranteelpayment
Workers'lCompensationllawslserveslwhatlpurpose?
a.lTolprovidelallonglconvalescencelforlsicklemployees
b.lTolensurelpaymentloflfeesltolattorneys
c.lTolreceivelcompensationlfromlthelpubliclandlprivatelcharities
d.lTolencouragelemploymentlinterestlinlsafetyl-lCORRECTlANSWERS-
d.lTolencouragelemploymentlinterestlinlsafety
ALLlBUTlWHICHlONEloflthelfollowinglwilllhelplthelinsurancelspecialistlinlbuil
dinglandltrackinglworkers'lcompensationlclaims?
a.lKeepinglalphonellogloflconversationlwithltheladjuster
b.lObtaininglalworkers'lcompensationlfeelschedule
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
d.lDiscussinglthelcaselwithlthelclaimslrepresentativel-lCORRECTlANSWERS-
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
ThelSociallSecuritylDisabilitylInsurancel(SSDI)lprovideslbenefitslforl_________.
a.ltheldisabledloverlthelagelofl65
b.lworkerslwithlshortltermldisability
c.lworkers'lwithllongltermldisability
vendarsol