Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
A patient presents to the provider with chest pain and shortness of breath.
After an unexpected ECG result, the provider calls a cardiologist and
summarizes the patient's symptoms. What portion of HIPAA allows the
provider to speak to the cardiologist prior to obtaining the patient's consent? -
Answer✔✔-Title II
A physician is contracted with an insurance company to accept the allowed
amount. The insurance company allows $80 of a $120 billed amount, and $50
of the deductible has not been met. How much should the physician write off
the patient's account? - Answer✔✔-$40
Which of the following sections of the medical record is used to determine the
correct Evaluation and Management code used for billing and coding? -
Answer✔✔-History and physical
, A billing and coding specialist is reviewing a CMS-1500 claim form. The
assignment of benefits box has been checked yes. The checked box indicates
which of the following? - Answer✔✔-The provider receives payment directly
from the payer.
Which of the following do physicians use to electronically submit claims? -
Answer✔✔-Clearinghouse
Which of the following should the billing and coding specialist include in an
authorization to release information? - Answer✔✔-The entity to whom the
information is to be released
Which of the following describes the content of a medical practice aging
report? - Answer✔✔-An overview of the practice's outstanding claims
HIPAA transaction standards apply to which of the following entities? -
Answer✔✔-Health care clearinghouses
When a physician documents a patient's response to symptoms and various
body systems, the results are documented as which of the following? -
Answer✔✔-Review of systems
Which part of Medicare covers prescriptions? - Answer✔✔-Part D
Which of the following indicates a claim should be submitted on paper instead
of electronically? - Answer✔✔-The claim requires an attachment.