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AMCA BILLING & CODING TEST Questions & Correct Answers Verified 1.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
2.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 1 / 4
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3.Information given by a patient to medical personnel that
cannot be dis- closed without consent constitutes:
a.Judgment b.Duty of care c.Privileged communication d.Negligence
Answer: C
4.Why is a superbill/encounter form an important document in the office?a.It is used when considering purchasing medical billing software b.It has information needed for vendors c.It ensures the correct spelling of the patient's name d.It ensures the correct patient data information and procedure codes
Answer: D
5.Which of the following facilities does not use CMS-1500 forms?a.ASC (Ambulatory Surgery Center) b.Nursing Home c.Acute care d.Dialysis clinic
Answer: D 2 / 4
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6.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
7.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 b.Private Insurance c.Group Health Insurance d.Worker's Aide
Answer: C 3 / 4
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- 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
10. 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
11. 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
12. Medicare is funded by:
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