AMCA Medical Coding/Billing Certification Recommended
Complete Exam Questions and Accurate Answers |Already
Passed!! | Pdf
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Practices and Agreements - SELECTED ANSWER 👀
A
Information given by a patient to medical personnel that cannot be
disclosed without consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
d. Negligence - SELECTED ANSWER 👀 C
Why is a superbill/encounter form an important document in the office?
a. It is used when considering purchasing medical billing software
b. It has information needed for vendors
c. It ensures the correct spelling of the patient's name
d. It ensures the correct patient data information and procedure codes -
SELECTED ANSWER 👀 D
,Which of the following facilities does not use CMS-1500 forms?
a. ASC (Ambulatory Surgery Center)
b. Nursing Home
c. Acute care
d. Dialysis clinic - SELECTED ANSWER 👀 D
Physicians usually submit claims for patients and receive payments directly
for the payers. The policy holder authorizes this by signing and dating a:
a. Accept assignment
b. Schedule of benefits
c. Assignment of benefits
d. Encounter form - SELECTED ANSWER 👀 C
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?
a. Treatment, patient protection, operations
b. Treatment, payment and health care operations
c. Type of payment, patient and observation
d. Type of insurance, payment, and health care operations - SELECTED
ANSWER 👀 B
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?
a. If the mother is older than the father than she is primary
b. The parent whose birthday is earlier in the calendar year is the primary
, c. The father is usually older than the mother so he is the primary
d. The parent whose birthday is closest to the child's birthday is the primary
- SELECTED ANSWER 👀 B
There are three participants in the medical insurance relationship: the first
party, the second party and the third party. Who is referred to as the
second party?
a. Physician
b. Secondary insurance
c. Patient
d. Insurance company - SELECTED ANSWER 👀 C
Co-insurance is calculated based on:
Select One:
a. A capitation rate
b. The numbers of policy holders in a plan
c. A fixed charge for each visit
d. A percentage of a charge - SELECTED ANSWER 👀 D
If a health plan member receives medical services from a provider who
does not participate in the plan, the cost for the member is typically:
a. Lower
b. Negotiable
c. Higher
d. The Same - SELECTED ANSWER 👀 C
Complete Exam Questions and Accurate Answers |Already
Passed!! | Pdf
HIPAA, stands for which of the following?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Privacy Assessment and Agreement
c. Health Insurance Privacy and Agreements
d. Health Insurance Practices and Agreements - SELECTED ANSWER 👀
A
Information given by a patient to medical personnel that cannot be
disclosed without consent constitutes:
a. Judgment
b. Duty of care
c. Privileged communication
d. Negligence - SELECTED ANSWER 👀 C
Why is a superbill/encounter form an important document in the office?
a. It is used when considering purchasing medical billing software
b. It has information needed for vendors
c. It ensures the correct spelling of the patient's name
d. It ensures the correct patient data information and procedure codes -
SELECTED ANSWER 👀 D
,Which of the following facilities does not use CMS-1500 forms?
a. ASC (Ambulatory Surgery Center)
b. Nursing Home
c. Acute care
d. Dialysis clinic - SELECTED ANSWER 👀 D
Physicians usually submit claims for patients and receive payments directly
for the payers. The policy holder authorizes this by signing and dating a:
a. Accept assignment
b. Schedule of benefits
c. Assignment of benefits
d. Encounter form - SELECTED ANSWER 👀 C
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?
a. Treatment, patient protection, operations
b. Treatment, payment and health care operations
c. Type of payment, patient and observation
d. Type of insurance, payment, and health care operations - SELECTED
ANSWER 👀 B
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?
a. If the mother is older than the father than she is primary
b. The parent whose birthday is earlier in the calendar year is the primary
, c. The father is usually older than the mother so he is the primary
d. The parent whose birthday is closest to the child's birthday is the primary
- SELECTED ANSWER 👀 B
There are three participants in the medical insurance relationship: the first
party, the second party and the third party. Who is referred to as the
second party?
a. Physician
b. Secondary insurance
c. Patient
d. Insurance company - SELECTED ANSWER 👀 C
Co-insurance is calculated based on:
Select One:
a. A capitation rate
b. The numbers of policy holders in a plan
c. A fixed charge for each visit
d. A percentage of a charge - SELECTED ANSWER 👀 D
If a health plan member receives medical services from a provider who
does not participate in the plan, the cost for the member is typically:
a. Lower
b. Negotiable
c. Higher
d. The Same - SELECTED ANSWER 👀 C
