MO136 FINAL EXAM STUDY GUIDE (2025) ACTUAL EXAM
TEST|COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS| GET IT 100% ACCURATE!
Question 1
What are the three key components considered for Evaluation and
Management (E/M) codes?
A) Diagnosis, treatment plan, and patient age.
B) Patient symptoms, past medical history, and prescribed medications.
C) Extent of history, extent of examination, and extent of Medical
Decision Making (MDM).
D) Time spent with patient, complexity of the case, and patient
comorbidities.
E) Number of procedures performed, lab tests ordered, and referrals given.
Correct Answer: C) Extent of history, extent of examination, and
extent of Medical Decision Making (MDM).
Rationale: The 3 key components for E/M codes are "1. extent of
history 2. extent of examination 3. extent of MDM."
Question 2
What is the process followed by health plans to examine claims and
determine benefits?
A) Arbitration
B) Negotiation
C) Mediation
D) Litigation
E) Adjudication
,Correct Answer: E) Adjudication
Rationale: Adjudication is defined as "The process followed by health
plans to examine claims and determine benefits."
Question 3
A condition described as having severe symptoms and a short duration is
known as a(n):
A) Chronic illness
B) Remitting illness
C) Recurrent illness
D) Terminal illness
E) Acute illness
Correct Answer: E) Acute illness
Rationale: Acute illness is defined as "having severe symptoms and
short duration."
Question 4
What is the authorization by a policy holder that allows a health plan to pay
benefits directly to a provider?
A) Coordination of benefits
B) Pre-authorization
C) Referral
D) Assignment of benefits
E) Schedule of benefits
Correct Answer: D) Assignment of benefits
, Rationale: Assignment of benefits is defined as "authorization by a
policy holder that allows a health plan to pay benefits directly to a
provider."
Question 5
What is a methodical review or formal examination of a physician's
accounting?
A) Compliance check
B) Adjudication
C) Audit
D) Reconciliation
E) Billing cycle
Correct Answer: C) Audit
Rationale: Audit is defined as "methodical review, formal examination
of physicians accounting."
Question 6
The activity of copying files from one medium to another so the original will
be preserved is called:
A) Archiving
B) Restoring
C) Duplicating
D) Saving
E) Backing up
Correct Answer: E) Backing up
TEST|COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS| GET IT 100% ACCURATE!
Question 1
What are the three key components considered for Evaluation and
Management (E/M) codes?
A) Diagnosis, treatment plan, and patient age.
B) Patient symptoms, past medical history, and prescribed medications.
C) Extent of history, extent of examination, and extent of Medical
Decision Making (MDM).
D) Time spent with patient, complexity of the case, and patient
comorbidities.
E) Number of procedures performed, lab tests ordered, and referrals given.
Correct Answer: C) Extent of history, extent of examination, and
extent of Medical Decision Making (MDM).
Rationale: The 3 key components for E/M codes are "1. extent of
history 2. extent of examination 3. extent of MDM."
Question 2
What is the process followed by health plans to examine claims and
determine benefits?
A) Arbitration
B) Negotiation
C) Mediation
D) Litigation
E) Adjudication
,Correct Answer: E) Adjudication
Rationale: Adjudication is defined as "The process followed by health
plans to examine claims and determine benefits."
Question 3
A condition described as having severe symptoms and a short duration is
known as a(n):
A) Chronic illness
B) Remitting illness
C) Recurrent illness
D) Terminal illness
E) Acute illness
Correct Answer: E) Acute illness
Rationale: Acute illness is defined as "having severe symptoms and
short duration."
Question 4
What is the authorization by a policy holder that allows a health plan to pay
benefits directly to a provider?
A) Coordination of benefits
B) Pre-authorization
C) Referral
D) Assignment of benefits
E) Schedule of benefits
Correct Answer: D) Assignment of benefits
, Rationale: Assignment of benefits is defined as "authorization by a
policy holder that allows a health plan to pay benefits directly to a
provider."
Question 5
What is a methodical review or formal examination of a physician's
accounting?
A) Compliance check
B) Adjudication
C) Audit
D) Reconciliation
E) Billing cycle
Correct Answer: C) Audit
Rationale: Audit is defined as "methodical review, formal examination
of physicians accounting."
Question 6
The activity of copying files from one medium to another so the original will
be preserved is called:
A) Archiving
B) Restoring
C) Duplicating
D) Saving
E) Backing up
Correct Answer: E) Backing up
