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AMCA Prep questions and answers rated A+ 2024/2025
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AMCA PrepGroup Insurance - ANSInsurance this is offered to an employee and is partly paid by the
company is called:
Insurance Claim - ANSThe improvement of a(n) ____ begins whilst the affected person contacts
a healthcare provider's workplace and schedules an appointment.
Guarantor - ANSThe ____ is the individual liable for paying any non-protected prices on a
affected person stability.
Participating Provider - ANSA ____ contracts with a third-birthday party payer and accepts
whatever the plan pays for tactics or services accomplished.
Code Blocks - ANSMajor topic headings within the Tabular List of ICD-10-CM are referred to as:
Manifestation - ANSThe way the condition due to the underlying disorder or condition presents
itself is:
Also knowns because the underlying sickness, not the sickness itself.
RT - ANSPatient got here in for removal of a single corn of the right large toe, what modifier
would you operate on the case?
24J - ANSWhat block on CMS-1500 would the NPI wide variety cross?
24D - ANSWhat block on CMS-1500 would the CPT codes cross?
13 - ANSWhat block on the CMS 1500 declare shape could you placed SOF?
True - ANSLike paper claims digital claims require the preforming physician's signature. T or F?
True - ANSCan claims be submitted to numerous unmarried-batch transmission? T or F?
False - ANSAs ICD10 and CPT codes are deleted and turn out to be obsolete, they ought to
without delay be eliminated from the exercise's laptop gadget. T or F?
False - ANSHIPAA has brought forth electronic formats for dedication of eligibility for a medical
insurance plan. T or F?
True - ANSPhysicians who revel in downtimes of net offerings which might be out in their control
for more than 2 days may additionally publish claims to Medicare paper. T or F?
,True - ANSUse of standardized CM 1500 claim form has simplified processing paper claims. T
or F?
True - ANSUse of standardized CM 1500 declare shape has simplified processing paper claims.
T or F?
Will be archived unless there may be proof that a temporary code remains wished - ANSAfter
five years, all Category III codes:
d. All of the above. - ANSWhich of the subsequent circumstances may be defined the usage of
a HCPCS Modifier?
A. A service has been elevated or reduced.
B. Only part of a service turned into carried out.
C. A carrier become supplied extra than as soon as.
D. All of the above.
1. Review whole scientific documentation
2. Abstract the clinical situations from the visit documentation
three. Identify the main time period for each situation
four. Locate the principle term within the alphabetic index
5. Verify the code within the tabular listing
6. Check compliance with any relevant Official Guidelines and listing codes in suitable order -
ANSThe correct process for assigning accurate analysis codes has six steps. What are they?
HIV sufferers on antiretroviral therapy - ANSCode 87900, infectious agent drug susceptibility
phenotype prediction the usage of often up to date genotypic bioinformatics, is used in the
management of patient with what disorder?
Cancer patients on poisonous chemotherapy agents
HIV sufferers on antiretroviral remedy
Tuberculosis patients on rifampin therapy
b. Age of the affected person - ANSPreventive remedy offerings are primarily based on which of
the subsequent standards?
A. Documentation of records, bodily exam, and scientific choice making.
B.. Age of the affected person
c. Amount of time spent with the patient
d. The final analysis for the visit
One code for the final vessel entered - ANSWhen coding a selective catheterization, how are
codes assigned?
One code for every vessel entered
One code for the point of entry vessel
One code for the very last vessel entered
, One code for the vessel of access and one for the final vessel, with intervening vessels no
longer code.
All the above - ANSHCPCS Level II consists of codes for drugs that are administered:
Subcutaneously
Intramuscularly
Intravenously
All of the above
all the above - ANSCasting is one by one pronounced:
a. When a solid is replaced for stabilization or for patient consolation, by a separate
physician
b. For initial utility through a medical doctor who does now not perform the fracture care
c. When recasting is accomplished throughout fracture, comply with-up
d. All of the above
b. Office or other outpatient provider codes - ANSAHIMA Hospital has a "rapid track"
department connected to the emergency department. This location is staffed via emergency
department physicians on a rotating basis, treats minor problems, and is open from five:00 a.M.
Till eight:00 p.M. What codes should be used to file services rendered inside the department?
A. Emergency branch service codes
b. Office or different outpatient carrier codes
c. These aren't codable services because the branch isn't open 24 hours in step with day.
D. Either office or emergency branch codes can be used.
Per mile - ANSGround ambulance delivery offerings are stated:
Per experience
Per mile
Per minute of journey time
Per hour of tour time
d. Both (a) and (b) - ANSHCPCS Level II modifiers may be used with which of the following
code units?
A. CPT codes
b. HCPCS Level II codes
c. ICD-9-CM Volume III codes
d. Both a and b
half hours - ANSAmbulance ready time is measured in:
Minutes
Hours
Half hours
10-minute increments
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