Practice Test (Latest 2026/2027 Update)
Questions with Verified Answers.
Question:
A patient has two health insurance policies-a group insurance plan
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
through her full-time employer and another group insurance plan through
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
her husband's employer. Which of the following policies should be billed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
as primary??
i,-
Answer:
her policy.
i,-
Question:
A Medicare patient has an 80/20 plan. The charged amount was $300.00.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
The amount allowed was $100.00. Which is the patient's coinsurance??
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
20%
Question:
, A Medicare patient presents to an outpatient hospital facility for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
scheduled hysterectomy. To which Medicare plan should the facility
i,- i,- i,- i,- i,- i,- i,- i,- i,-
submit the claim?? i,- i,-
Answer:
Part B i,-
Question:
Claims are often rejected because a provider needs to obtain?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
pre-authorizations.
Question:
How often should the encounter form/superbill CPT codes be updated??
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
annually
Question:
If the insurance carrier's rate of benefits is 80%, the remaining 20% is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
known as? i,-
Answer:
coinsurance.