AMT EXAMINATION STUDY SHEET 2026
QUESTIONS WITH DETAILED SOLUTIONS
◉An organization that contracts with the government to handle and
mediate insurance claims from the medical facilities, home health
agencies, or providers of medical services or supplies.
a. Guarantor
b. Service benefit plan
c. Fiscal intermediary
d. Carrier. Answer: c. Fiscal intermediary
◉Which one of the following is an insurance claim processing error?
a. Entering all diagnoses on the claim
b. Using "rule out" diagnosis
c. Recording one item per line
d. Using both ICD-10 and CPT codes. Answer: b. Using "rule out"
diagnosis
,◉Traditional health insurance plans that pay for all or a share of the
cost of covered services, regardless of which physician, hospital, or
other licensed healthcare provider is used. Policyholders and their
dependents choose when and where to get healthcare services.
a. Indemnity plan
b. Health maintenance organization plan
c. Self-insured plan
d. Managed care plan. Answer: a. Indemnity plan
◉The term "total permanent impairment" means that the patient
a. is unable to work for one year.
b. is unable to perfor duties for 30 days.
c. may return to full occupational duty.
d. is unable to perform previous occupational duties.. Answer: d. is
unable to perform previous occupational duties.
◉An example of a Medicare HCPCS code number is
a. 934.6
b. 99211
c. J0540
,d. V72.3. Answer: c. J0540
◉Claims for Medicaid patients enrolled in a managed care plan are
paid according to what fee schedule?
a. PPO
b. Medicaid
c. Medicare
d. Capitated. Answer: d. Capitated
◉A written authorization by the patient giving the insurance
company the right to pay the physician directly for billed services is
known as the
a. copayment.
b. deductible.
c. Assigment of Benefits.
d. premium. Incorrect. Answer: c. Assigment of Benefits.
◉A person who holds a health benefit plan is a
a. subscriber.
, b. rider.
c. dependent.
d. medical indigent.. Answer: a. subscriber.
◉Medicare patients treated by a non-participating physician
a. are responsible for billing Medicare.
b. are covered at 100% of the physician's charge.
c. pay a higher deductible.
d. are responsible for a portion of the fee.. Answer: d. are responsible
for a portion of the fee.
◉Claims with a signed assignment of benefits are paid to the
a. physician.
b. patient.
c. employer.
d. billing agency.. Answer: a. physician.
◉Medicare Part B pays physicians on a fee scale consisting of three
parts: 1. Physician's work. 2. Charge-based professional liability
expenses. 3. Charge-based overhead. This fee scale is known as
QUESTIONS WITH DETAILED SOLUTIONS
◉An organization that contracts with the government to handle and
mediate insurance claims from the medical facilities, home health
agencies, or providers of medical services or supplies.
a. Guarantor
b. Service benefit plan
c. Fiscal intermediary
d. Carrier. Answer: c. Fiscal intermediary
◉Which one of the following is an insurance claim processing error?
a. Entering all diagnoses on the claim
b. Using "rule out" diagnosis
c. Recording one item per line
d. Using both ICD-10 and CPT codes. Answer: b. Using "rule out"
diagnosis
,◉Traditional health insurance plans that pay for all or a share of the
cost of covered services, regardless of which physician, hospital, or
other licensed healthcare provider is used. Policyholders and their
dependents choose when and where to get healthcare services.
a. Indemnity plan
b. Health maintenance organization plan
c. Self-insured plan
d. Managed care plan. Answer: a. Indemnity plan
◉The term "total permanent impairment" means that the patient
a. is unable to work for one year.
b. is unable to perfor duties for 30 days.
c. may return to full occupational duty.
d. is unable to perform previous occupational duties.. Answer: d. is
unable to perform previous occupational duties.
◉An example of a Medicare HCPCS code number is
a. 934.6
b. 99211
c. J0540
,d. V72.3. Answer: c. J0540
◉Claims for Medicaid patients enrolled in a managed care plan are
paid according to what fee schedule?
a. PPO
b. Medicaid
c. Medicare
d. Capitated. Answer: d. Capitated
◉A written authorization by the patient giving the insurance
company the right to pay the physician directly for billed services is
known as the
a. copayment.
b. deductible.
c. Assigment of Benefits.
d. premium. Incorrect. Answer: c. Assigment of Benefits.
◉A person who holds a health benefit plan is a
a. subscriber.
, b. rider.
c. dependent.
d. medical indigent.. Answer: a. subscriber.
◉Medicare patients treated by a non-participating physician
a. are responsible for billing Medicare.
b. are covered at 100% of the physician's charge.
c. pay a higher deductible.
d. are responsible for a portion of the fee.. Answer: d. are responsible
for a portion of the fee.
◉Claims with a signed assignment of benefits are paid to the
a. physician.
b. patient.
c. employer.
d. billing agency.. Answer: a. physician.
◉Medicare Part B pays physicians on a fee scale consisting of three
parts: 1. Physician's work. 2. Charge-based professional liability
expenses. 3. Charge-based overhead. This fee scale is known as
