AMCA BILLING & CODING TEST
1. 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
2. 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
3. is usually sponsored and partially paid by
an employer.
,a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide
Answer C
4. 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
5. 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
,6. Schedule of benefits means
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization
Answer C
7. Medicare is funded by
a. State Funds
b. Federal Funds
c. Employers
d. The patient
Answer B
, 8. 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
9. 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
Answer B
10. 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
1. 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
2. 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
3. is usually sponsored and partially paid by
an employer.
,a. TRICARE
b. Private Insurance
c. Group Health Insurance
d. Worker's Aide
Answer C
4. 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
5. 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
,6. Schedule of benefits means
a. Coordination of benefits
b. HMO
c. Medical service covered under the insured's policy
d. Managed care organization
Answer C
7. Medicare is funded by
a. State Funds
b. Federal Funds
c. Employers
d. The patient
Answer B
, 8. 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
9. 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
Answer B
10. 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
