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AMCA medical coding/billing certification questions and answers rated A+ 2024/2025
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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
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