1|Page
AMCA BILLING & CODING TEST 2026 Questions with
100% Correct Answers | Verified | Latest
Update||Newest Exam!!!
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 - Answer-C
Veterans with service related disabilities are eligible for
case under which of the following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - Answer-C
_______________________ is usually sponsored and
partially paid by an employer.
a. TRICARE
,2|Page
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - Answer-C
______________________ 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 - Answer-D
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 - Answer-A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
,3|Page
c. Medical service covered under the insured's policy
d. Managed care organization - Answer-C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient - Answer-B
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 - Answer-B
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
, 4|Page
d. Insurance premium - Answer-B
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 - Answer-C
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 - Answer-A
Information given by a patient to medical personnel that
cannot be disclosed without consent constitutes:
AMCA BILLING & CODING TEST 2026 Questions with
100% Correct Answers | Verified | Latest
Update||Newest Exam!!!
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 - Answer-C
Veterans with service related disabilities are eligible for
case under which of the following programs:
a. CHAMPUS
b. Medicare
c. CHAMPVA
d. TRICARE - Answer-C
_______________________ is usually sponsored and
partially paid by an employer.
a. TRICARE
,2|Page
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide - Answer-C
______________________ 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 - Answer-D
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 - Answer-A
Schedule of benefits means:
a. Coordination of benefits
b. HMO
,3|Page
c. Medical service covered under the insured's policy
d. Managed care organization - Answer-C
Medicare is funded by:
a. State Funds
b. Federal Funds
c. Employers
d. The patient - Answer-B
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 - Answer-B
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
, 4|Page
d. Insurance premium - Answer-B
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 - Answer-C
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 - Answer-A
Information given by a patient to medical personnel that
cannot be disclosed without consent constitutes:
