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AMCA FINAL EXAM PRACTICE EXAM QUESTIONS

Class notes Jan 10, 2026
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AMCA FINAL EXAM PRACTICE EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -49 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: What are the major topic headings in the Tabular List of ICD-10-CM known as?

Answer:

Code blocks Question 2: Which of the following best describes the first character of ICD-10-CM codes?

Answer:

Is always a letter (ICD-10 codes range from three to seven characters Question 3: What is the term for insurance that is offered to an employee and is partially paid by the employer?

Answer:

Group Insurance (or employer-sponsored insurance)

Question 4: What information is needed to fill out a CMS-1500 claim form?

Answer:

Diagnostic codes from encounter form

Question 5: When a non-member physician treats an HMO patient, how is the service that's been rendered termed?

Answer:

Out of Plan / Out of Network

Question 6: With alphabetic filing, which name is filed first?

Answer:

  • Manning

Question 7: What does the suffix -gravida refer to?

Answer:

A pregnancy Question 8: A deviated septum due to a nasal fracture could be considered which of the following?

Answer:

Late effect Question 9: Which of the following reimburses providers according to predetermined rates assigned to services and is revised by CMS each year?

Answer:

Medicare physician fee schedule (MPFS) Question 10: What is the term for the flat fee determined by an insurance provider as the responsibility of the insured for each visit and services rendered?

Answer:

Co-payment

Question 11: Which of the following is true about E/M service codes?

Answer:

Reported in addition to the appropriate casting code when a cast or splint is intended to be the definitive treatment of a fracture

Question 12: If a combination code is available, what should a coder do?

Answer:

Use the combination code rather than single codes Question 13: Which of the following terms describes the study and science of the ear and its diseases?

Answer:

Otology Question 14: Any fracture that occurs as the result of a disease is known as which of the following terms?

Answer:

Pathologic fracture Question 15: Janice has breast cancer and is coming into the office today for chemotherapy. In which chapter would you find the code for chemotherapy?

Answer:

Chapter XXI - Factors influencing health status and contact with health services

Question 16: What does coding to the highest level of specificity mean?

Answer:

Using a fourth, fifth, sixth or seventh digit when required

Question 17: what does the suffix -rrhexis mean?

Answer:

Rupture Question 18: Patients who want to talk about abnormal test results should speak with which of the following medical personnel?

Answer:

Physicians Question 19: When should a coder use an "unlisted" radiology CPT code?

Answer:

A particular radiology service provided is not described by a specific CPT code

Question 20: When a code has less than six characters and a seventh character applies, is it appropriate to leave a space in the code?

Answer:

False Question 21: Who is responsible for paying any non-covered charges on a patient balance?

Answer:

Guarantor Question 22: What is the term for the way a condition due to an underlying disease or condition presents itself?

Answer:

Manifestation Question 23: Which of the following entities is responsible for implementing the various provisions of HIPPA in health care?

Answer:

Centers for Medicare and Medicaid Services (CMS) Question 24: According to the ICD-10-CM conventions, if the documentation is unclear or does not state that the complication or comorbidity listed in the code description is present with the condition, what is the default?

Answer:

Without Question 25: when typing a physician's name as part of the inside address in a letter, which of the following would be the correct format?

Answer:

Jeffery L. Daigle, MD Question 26: How is avoiding the duplication of benefits paid by the primary and secondary insurance achieved?

Answer:

Correctly identifying primary and secondary insurance policies in order to preserve coordination of benefits

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PDF Download AMCA FINAL EXAM PRACTICE EXAM QUESTIONS Actual Qs and Ans Expert-Verified Explanation This Exam contains: -Guarantee passing score -49 Questions and Answers -format set of multiple-cho...

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