AMCA medical coding/billing certification EXAM
2026 EXAM QUESTIONS AND VERIFIED ANSWERS | GRADED A+ |
LATEST UPDATE 2026/2027 | GUARANTEED PASS.
What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay? -CORRECT ANSWER PPO
Veterans with service related disabilities are eligible for case under which
program? -
CORRECT ANSWER CHAMPVA
__________ are used to report encounters for circumstances other than a disease
or injury in the ICD-10-CM -CORRECT ANSWER E codes
The abbreviation PMPM stands for -CORRECT ANSWER Per Member Per Month
Schedule of benefits means -CORRECT ANSWER medical service covered under
the insured's policy
,Medicare is funded by -CORRECT ANSWER Federal funds
physicians establish a list of their usual fees for: -CORRECT ANSWER the
procedures and services they frequently perform
the insurance carrier is allowed to use nay method to determine the amount for a
service, also known as the: -CORRECT ANSWER allowed amount
Which of the following statements is true under the doctrine of respondeat
superior? CORRECT ANSWER The physician is responsible for any errors made by
the medical
staff
HIPAA stands for which of the following? -CORRECT ANSWER Health Insurance
Portability and Accountability Act
__________ is usually sponsored and partially paid by an employer -CORRECT
ANSWER Group Health Insurance
, Information given by a patient to medical personnel that cannot be disclosed
without consent constitutes: -CORRECT ANSWER privileged communication
Why is a super bill/encounter form an important document in the office? -
CORRECT
ANSWER it's ensures the correct patient data information and procedures
Which of the following facilities does NOT use CMS-1500 forms? -CORRECT
ANSWER Nursing home
Under the HIPAA Privacy Rule, providers do not need specific authorization in
order to release a patients PHI for TPO purposes. What does TPO stand for? -
CORRECT ANSWER Treatment, Payment, and Health Care operations
If both parents cover dependents on their plan, the child's primary insurance is
usually determined by the birthday rule. What is meant by the birthday rule? -
CORRECT
ANSWER The parent whose birthday is earlier in the calendar year is the primary
2026 EXAM QUESTIONS AND VERIFIED ANSWERS | GRADED A+ |
LATEST UPDATE 2026/2027 | GUARANTEED PASS.
What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay? -CORRECT ANSWER PPO
Veterans with service related disabilities are eligible for case under which
program? -
CORRECT ANSWER CHAMPVA
__________ are used to report encounters for circumstances other than a disease
or injury in the ICD-10-CM -CORRECT ANSWER E codes
The abbreviation PMPM stands for -CORRECT ANSWER Per Member Per Month
Schedule of benefits means -CORRECT ANSWER medical service covered under
the insured's policy
,Medicare is funded by -CORRECT ANSWER Federal funds
physicians establish a list of their usual fees for: -CORRECT ANSWER the
procedures and services they frequently perform
the insurance carrier is allowed to use nay method to determine the amount for a
service, also known as the: -CORRECT ANSWER allowed amount
Which of the following statements is true under the doctrine of respondeat
superior? CORRECT ANSWER The physician is responsible for any errors made by
the medical
staff
HIPAA stands for which of the following? -CORRECT ANSWER Health Insurance
Portability and Accountability Act
__________ is usually sponsored and partially paid by an employer -CORRECT
ANSWER Group Health Insurance
, Information given by a patient to medical personnel that cannot be disclosed
without consent constitutes: -CORRECT ANSWER privileged communication
Why is a super bill/encounter form an important document in the office? -
CORRECT
ANSWER it's ensures the correct patient data information and procedures
Which of the following facilities does NOT use CMS-1500 forms? -CORRECT
ANSWER Nursing home
Under the HIPAA Privacy Rule, providers do not need specific authorization in
order to release a patients PHI for TPO purposes. What does TPO stand for? -
CORRECT ANSWER Treatment, Payment, and Health Care operations
If both parents cover dependents on their plan, the child's primary insurance is
usually determined by the birthday rule. What is meant by the birthday rule? -
CORRECT
ANSWER The parent whose birthday is earlier in the calendar year is the primary
