UPDATED ACTUAL Questions and
CORRECT Answers
The Pathology and Laboratory section of procedure codes should fall within which range of
codes? - CORRECT ANSWER - 80047-89398
Which type of fee is determined by what physicians with similar training and experience in
certain geographic location typically charge for a procedure? - CORRECT ANSWER -
Customary
________ payment is made by the insurance carrier after the patient has received medical
services. - CORRECT ANSWER - Fee-for-services
Patient John Parks had a CBC and a PFT performed. Which type of insurance will cover the
services? - CORRECT ANSWER - Basic
Codes used for the diagnosis of external causes, such as poisonings and injuries, are known as: -
CORRECT ANSWER - E codes
Which type of fee is approved by the insurance carrier for a difficult or complicated service? -
CORRECT ANSWER - Reasonable
According to contract law, when a physician agrees to treat a patient who is seeking medical
services, there is a(n) ____________ contract between the two. - CORRECT ANSWER -
Unwritten
The oldest form of managed care is: - CORRECT ANSWER - HMO
A(n) __________________ is a stated amount an insured must pay for an insurance policy. -
CORRECT ANSWER - Premium
, How many coding systems are used to keep track of the many thousands of possible diagnoses
and of procedures and services by the physicians, and to simplify the process of verifying the
medical necessity of each procedure? - CORRECT ANSWER - Two
Which type of fee is a charge for a certain procedure? - CORRECT ANSWER - Usual
Which is the longest private-sector payer in the US? - CORRECT ANSWER - BCBS
The ICD-9-CM uses ________-digit codes for broad categories of diseases, injuries, and
symptoms. - CORRECT ANSWER - Three
Which type of code is for reporting each procedure and service that the physician has performed
in treating the patient? - CORRECT ANSWER - Procedural
The Evaluation and Management section of procedure codes should fall within which range of
codes? - CORRECT ANSWER - 99201-99499
Carol and her husband, Greg, just had a baby. Carol is laid off from her job and Greg works part-
time at a gas station. They are without insurance coverage. The administrative medical assistant
should supply Carol and Greg with information to contact: - CORRECT ANSWER -
Medicaid
Select the type of insurance plan that generally includes coverage of hospitalization, lab tests,
surgery, and x-rays. - CORRECT ANSWER - Basic
A(n) ______________________________ is the form used in the medical office to record the
patient's diagnosis (or diagnoses) and the procedures performed during a patient's visit. -
CORRECT ANSWER - Patient-encounter-form