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AMCA MCBC EXAM PREP
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation
Question 1: The physician who first treats the injured or ill employee
Answer:
physician of record Question 2: Medicaid beneficiaries are often referred to as which of the following?
Answer:
recipients
Question 3: Employer is legally responsible for employee's actions
Answer:
respondent superior Question 4: when a diagnosis supports the billed services necessary to treat or investigate a patient's condition
Answer:
code linkage
Question 5: alphabetic filing
Answer:
first name initial and last name Question 6: all the activities that are related to patient accounts and follow-up
Answer:
collections Question 7: What kind of vendors are responsible for keeping their software products up to date?
Answer:
pmp Question 8: What data set is the basis for sequencing diagnoses and reporting procedures for inpatient coding?
Answer:
UHDDS
Question 9: check in patients
Answer:
Step 3 of the revenue cycle Question 10: determines whether Medicare will cover the cost of a service based on local region or national level
Answer:
LCD and NCD Question 11: Injured worker is left with a residual disability; Sometimes patient can be rehabilitated in another line of work; no further improvement is expected
Answer:
permanent disability Question 12: not-for-profit, private health insurance organization; membership id numbers begin with three letters
Answer:
Blue Cross Blue Shield
Question 13: A computerized Medicare system that prevents overpayments to providers
Answer:
correct doing initiative (CCI)
Question 14: cholecystectomy
Answer:
removal of the gallbladder Question 15: a form of insurance providing wage replacement and medical benefits to employees injured during employment; administered on a state-by state basis; no deductible or copayments; employer pays premium
Answer:
worker's compensation
Question 16: Review complete medical documentation
Answer:
What is the first step in outpatient diagnosis coding?
Question 17: zero global period
Answer:
simple procedure Question 18: Check compliance with any applicable official guidelines and list codes in appropriate order
Answer:
What is the sixth step in outpatient diagnosis coding?Question 19: Health maintenance organizations were originally designed to cover all basic services for an annual premium and visit copayments
Answer:
first dollar coverage Question 20: partners with the Medicare program provide health coverage for TRICARE beneficiaries who are eligible for Medicare
Answer:
TRICARE for life
Question 21: Medicare Participating Physician or Supplier Agreement; paper form
suppliers/providers complete to participate in Medicare
Answer:
cms 460 Question 22: private electronic files that are created, maintained, and controlled by patients
Answer:
personal health records (phr) Question 23: groups of doctors, hospitals, and other health care providers working to better coordinate patient care for Medicare enrollees
Answer:
accountable care organizations (ACO) Question 24: 10 digit number used on HIPAA transactions by providers; used to identify providers/professionals
Answer:
national provider identifier (npi) Question 25: What are claims called that are accepted for adjudication by payers?
Answer:
clean claims
Question 26: Actions that satisfy official requirements
Answer:
compliance Question 27: The government program for disability benefits for federal employees
Answer:
FERS Question 28: provides coverage to veterans and dependents in situations where the veteran is 100% disabled, has service-connected injuries, or has passed away while on duty
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