Medical Billing and Coding
Practice EXAM| MOSTLY TESTED
COMPLETE QUESTIONS AND
ANSWERS | 2025 LATEST
UPDATED | GET IT CORRECT!!
What type of insurance allows treatment virtually anywhere with a
high deductible that policyholder are willing to pay? - answer PPO
Veterans with service related disabilities are eligible for care
under which of the following programs: - answer CHAMPVA
______________________ is usually sponsored and partially paid by
an employer - answer Group Health Insurance
______________________ are used to report encounter for
circumstances other than a disease or injury in ICD-10-CM -
answer Z codes
The abbreviation PMPM stand for - answer Per member per month
Schedule of benefits means: - answer Medical service covered
under the insured's policy
Medicare is funded by - answer Federal funds
, Physician's establish a list of their usual fees for? - answer The
procedures and services they frequently perform
The insurance carrier is allowed to use any method to determine
the amount for a service, also known as th - answer Allowed
amount
Which of the following statements is true under the doctrine of
respondeat superior? - answer The physician is responsible for
any errors made by the medical staff
HIPAA stands for which of the following? - answer Health
Insurance Portability and Accountability Act
Information given by a patient to medical personnel that cannot
be disclosed without consent constitutes - answer Privileged
communication
Why is a superbill/encounter form an important document in the
office? - answer It ensures the correct patient data information
and procedure codes
Which of the following facilities does not use CMS-1500 forms? -
answer Acute care
Practice EXAM| MOSTLY TESTED
COMPLETE QUESTIONS AND
ANSWERS | 2025 LATEST
UPDATED | GET IT CORRECT!!
What type of insurance allows treatment virtually anywhere with a
high deductible that policyholder are willing to pay? - answer PPO
Veterans with service related disabilities are eligible for care
under which of the following programs: - answer CHAMPVA
______________________ is usually sponsored and partially paid by
an employer - answer Group Health Insurance
______________________ are used to report encounter for
circumstances other than a disease or injury in ICD-10-CM -
answer Z codes
The abbreviation PMPM stand for - answer Per member per month
Schedule of benefits means: - answer Medical service covered
under the insured's policy
Medicare is funded by - answer Federal funds
, Physician's establish a list of their usual fees for? - answer The
procedures and services they frequently perform
The insurance carrier is allowed to use any method to determine
the amount for a service, also known as th - answer Allowed
amount
Which of the following statements is true under the doctrine of
respondeat superior? - answer The physician is responsible for
any errors made by the medical staff
HIPAA stands for which of the following? - answer Health
Insurance Portability and Accountability Act
Information given by a patient to medical personnel that cannot
be disclosed without consent constitutes - answer Privileged
communication
Why is a superbill/encounter form an important document in the
office? - answer It ensures the correct patient data information
and procedure codes
Which of the following facilities does not use CMS-1500 forms? -
answer Acute care
