AMCA BILLING & CODING TEST with
verified answers already passed
C - correct answer ✔✔What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO
C - correct answer ✔✔Veterans with service related disabilities are eligible for case under which
of the following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE
C - correct answer ✔✔_______________________ is usually sponsored and partially paid by an
employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide
D - correct answer ✔✔______________________ are used to report encounters for
circumstances other than a disease or injury in the ICD-10-CM.
,a. A codes
b. V codes
c. Z codes
d. E codes
A - correct answer ✔✔The abbreviation PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual after midnight
C - correct answer ✔✔Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization
B - correct answer ✔✔Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient
B - correct answer ✔✔Physicians establish a list of their usual fees for:
a. The charges they have written off
b. The procedures and services they frequently perform
, c. Workers' Compensation patients
d. Their Medicare patients
B - correct answer ✔✔The insurance carrier is allowed to use nay method to determine the
amount for a service, also known as the:
a. Allowed amount
b. Fee schedule
c. Deductible
d. Insurance premium
C - correct answer ✔✔Which of the following statements is true under the doctrine of
respondeat superior?
a. The billing and coding specialist is superior to other members of the medical staff
b. The billing and coding specialist is responsible for any errors made by the medical staff
c. The physician is responsible for any errors made by the medical staff
d. The person who has been employed for the longest period of time is responsible for any
errors made by the medical staff
A - correct answer ✔✔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
C - correct answer ✔✔Information given by a patient to medical personnel that cannot be
disclosed without consent constitutes:
a. Judgment
verified answers already passed
C - correct answer ✔✔What type of insurance allows treatment virtually anywhere with a high
deductible that policy holders are willing to pay?
a. COBRA
b. EPO
c. PPO
d. HMO
C - correct answer ✔✔Veterans with service related disabilities are eligible for case under which
of the following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE
C - correct answer ✔✔_______________________ is usually sponsored and partially paid by an
employer.
a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide
D - correct answer ✔✔______________________ are used to report encounters for
circumstances other than a disease or injury in the ICD-10-CM.
,a. A codes
b. V codes
c. Z codes
d. E codes
A - correct answer ✔✔The abbreviation PMPM stands for:
a. Per member per month
b. Provider membership per management
c. Provider management provider manual
d. Pre menstrual after midnight
C - correct answer ✔✔Schedule of benefits means:
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization
B - correct answer ✔✔Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient
B - correct answer ✔✔Physicians establish a list of their usual fees for:
a. The charges they have written off
b. The procedures and services they frequently perform
, c. Workers' Compensation patients
d. Their Medicare patients
B - correct answer ✔✔The insurance carrier is allowed to use nay method to determine the
amount for a service, also known as the:
a. Allowed amount
b. Fee schedule
c. Deductible
d. Insurance premium
C - correct answer ✔✔Which of the following statements is true under the doctrine of
respondeat superior?
a. The billing and coding specialist is superior to other members of the medical staff
b. The billing and coding specialist is responsible for any errors made by the medical staff
c. The physician is responsible for any errors made by the medical staff
d. The person who has been employed for the longest period of time is responsible for any
errors made by the medical staff
A - correct answer ✔✔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
C - correct answer ✔✔Information given by a patient to medical personnel that cannot be
disclosed without consent constitutes:
a. Judgment
