AMCA BILLING & CODING TEST Questions and Answers Solved Correctly

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 - C Veterans with service related disabilities are eligible for case under which of the following programs: a. CHAMPUS b. Medicare c. CHAMPVA d. TRICARE - C _______________________ is usually sponsored and partially paid by an employer. a. TRICARE b. Private Insurance c. Group Health Insurance d. Worker's Aide - 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 - 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 - A Schedule of benefits means: a. Coordination of benefits b. HMO c. Medical service covered under the insured's policy d. Managed care organization - C Medicare is funded by: a. State Funds b. Federal Funds c. Employers d. The patient - 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 - 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 d. Insurance premium - B