Exam (elaborations)
AMCA medical coding/billing certification questions and answers rated A+ 2024/2025
- Course
- Institution
AMCA medical coding/billing certification questions and answers rated A+ 2024/2025
[Show more]
Content preview
AMCA medical coding/billingcertification
What type of coverage permits remedy absolutely anywhere with a high deductible that policy
holders are inclined to pay? - ANSPPO
Veterans with provider associated disabilities are eligible for case beneath which program? -
ANSCHAMPVA
__________ is commonly subsidized and in part paid via an organisation - ANSGroup Health
Insurance
__________ are used to record encounters for occasions apart from a ailment or injury within
the ICD-10-CM - ANSE codes
The abbreviation PMPM stands for - ANSPer Member Per Month
Schedule of benefits manner - ANSmedical carrier blanketed below the insured's policy
Medicare is funded via - ANSFederal price range
physicians establish a listing in their normal costs for: - ANSthe approaches and services they
frequently perform
the insurance carrier is authorized to apply nay method to decide the quantity for a carrier, also
referred to as the: - ANSallowed quantity
Which of the subsequent statements is real beneath the doctrine of respondeat advanced? -
ANSThe medical doctor is responsible for any mistakes made via the medical staff
HIPAA stands for which of the subsequent? - ANSHealth Insurance Portability and
Accountability Act
Information given via a affected person to medical employees that can not be disclosed with out
consent constitutes: - ANSprivileged verbal exchange
Why is a excellent bill/stumble upon form an essential document inside the workplace? - ANSit's
guarantees an appropriate affected person statistics statistics and procedures
Which of the subsequent centers does NOT use CMS-1500 bureaucracy? - ANSNursing home
, Physicians usually publish claims for patients and acquire payments without delay for the
payers. The coverage holder authorizes this through signing and courting a: - ANSAssignment
of blessings
Under the HIPAA Privacy Rule, carriers do no longer need precise authorization as a way to
release a patients PHI for TPO purposes. What does TPO stand for? - ANSTreatment,
Payment, and Health Care operations
If both parents cowl dependents on their plan, the kid's primary insurance is generally
determined through the birthday rule. What is meant by the birthday rule? - ANSThe parent
whose birthday is in advance inside the calendar 12 months is the primary
There are three members in the medical insurance relationship: the first birthday celebration,
the second one birthday party and the third party. Who is referred to as the second celebration?
- ANSphysician
Co-coverage is calculated based totally on: - ANSA percentage of a charge
If a fitness plan member gets clinical offerings from a issuer who does not take part inside the
plan, the price for the member is typically: - ANSHigher
the tertiary payer pays - ANSAfter the first and 2d payer
A certification wide variety for a system is the end result of which transaction and manner? -
ANSreferral and authorization
Which of the subsequent is one of the sections in the CPT Coding Manual? - ANSPathology
and Laboratory
A overdue impact can be indicated in documentation by means of the use of the expression (s):
- ANSdue to an old-due to a previous
Multigravida is a term related to: - ANSpregnancy
What coverage employer is the payer of last lodge? - ANSMedicaid
An unintentional, harmful response to the precise dosage of a drug is known as: - ANSAn
unfavorable effect
Which of the following CPT conventions suggests the code description is revised? - ANSBlue
triangle
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QualityPDF. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now