AMCA BILLING & CODING TEST Exam , Most Recent Exam 2026
Actual Complete Real Exam Questions And Correct Answers
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When a panel code from the Pathology and Laboratory
section is reported:
a. 50% of the listed tests must have been
performed
b. 90% of the listed tests must have been
performed
c. All the listed tests must have been
performed
d. All of the listed tests must have been performed on
the same day -
ANSWER-
C
What is the Medicare Coverage Gap also know as the "donut
hole"?
a. The amount of out of pocket costs after a certain amount of
money has been spent from Medicare on prescription drugs
b. It is the gap in coverage from month to month
c. It is out of pocket costs associated with a hospital stay
d. It is a specific part of Medicare coverage that can be
subscribed to -
,ANSWER-
A
A payer's initial processing of a claim
screens for:
a. Utilization
guidelines
b. Medical
edits
c. Claim
attachments
d. Basic errors in claim data or missing information
- ANSWER-D
A claim may be downcoded
because:
a. The claim does not list a charge for every
procedure code
b. The claim is for non-covered
services
c. The documentation does not justify the
level of service
d. The procedure code applies to a patient of the other gender
- ANSWER-C
Payers should comply with the
required:
,a. Insurance aging
report
b. Remittance
advice
c. Claim turnaround
time
d. Retention schedule -
ANSWER-C
What is a capitated payment?
a. This is when a provider can only see specific patients with
specific insurance
b. This is when a physician can only charge a specific amount
of money
c. This is a regular payment received by the physician
d. This when a physician has a contract with an insurance
company to be paid
whether he sees the patient or not -
ANSWER-D
The patient aging report is used to:
a. Collect overdue accounts from patients
b. Enter write-offs to a patient's account
c. Enter payments into the patient billing system
d. Track overdue claims from payers - ANSWER-D
A deviated septum dur to a nasal fracture could be
considered a: a. Allergic effect
b. Early effect
, c. Adverse effect
d. Late effect - ANSWER-D
What is a correctly completed claim submitted within the
policy time limit? a. Dirty
b. Draft
c. Clean
d. Incomplete - ANSWER-C
The day sheet produced by the practice management
program shows: a. What each patient owes the practice
as of that date
b. What each payer owes the practice as of that date
c. They payments and charges that occurred on that date
d. The overdue accounts on that date - ANSWER-C
The word used in medical terminology to mean "toward the
midline of the body"
is:
a.
Dorsal
b.
Medial
c.
Lateral
d. Ventral -
ANSWER-B
Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) | Already Graded A+ | Guaranteed Success |
Newest Exam | Just Released!!
When a panel code from the Pathology and Laboratory
section is reported:
a. 50% of the listed tests must have been
performed
b. 90% of the listed tests must have been
performed
c. All the listed tests must have been
performed
d. All of the listed tests must have been performed on
the same day -
ANSWER-
C
What is the Medicare Coverage Gap also know as the "donut
hole"?
a. The amount of out of pocket costs after a certain amount of
money has been spent from Medicare on prescription drugs
b. It is the gap in coverage from month to month
c. It is out of pocket costs associated with a hospital stay
d. It is a specific part of Medicare coverage that can be
subscribed to -
,ANSWER-
A
A payer's initial processing of a claim
screens for:
a. Utilization
guidelines
b. Medical
edits
c. Claim
attachments
d. Basic errors in claim data or missing information
- ANSWER-D
A claim may be downcoded
because:
a. The claim does not list a charge for every
procedure code
b. The claim is for non-covered
services
c. The documentation does not justify the
level of service
d. The procedure code applies to a patient of the other gender
- ANSWER-C
Payers should comply with the
required:
,a. Insurance aging
report
b. Remittance
advice
c. Claim turnaround
time
d. Retention schedule -
ANSWER-C
What is a capitated payment?
a. This is when a provider can only see specific patients with
specific insurance
b. This is when a physician can only charge a specific amount
of money
c. This is a regular payment received by the physician
d. This when a physician has a contract with an insurance
company to be paid
whether he sees the patient or not -
ANSWER-D
The patient aging report is used to:
a. Collect overdue accounts from patients
b. Enter write-offs to a patient's account
c. Enter payments into the patient billing system
d. Track overdue claims from payers - ANSWER-D
A deviated septum dur to a nasal fracture could be
considered a: a. Allergic effect
b. Early effect
, c. Adverse effect
d. Late effect - ANSWER-D
What is a correctly completed claim submitted within the
policy time limit? a. Dirty
b. Draft
c. Clean
d. Incomplete - ANSWER-C
The day sheet produced by the practice management
program shows: a. What each patient owes the practice
as of that date
b. What each payer owes the practice as of that date
c. They payments and charges that occurred on that date
d. The overdue accounts on that date - ANSWER-C
The word used in medical terminology to mean "toward the
midline of the body"
is:
a.
Dorsal
b.
Medial
c.
Lateral
d. Ventral -
ANSWER-B
