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Last Updated: Aug 23, 2026
No. of Questions: 245 Questions & Answers with Testing Engine
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| Section | Objectives |
|---|---|
| Medical Billing Fundamentals | - Healthcare reimbursement systems - Insurance types and payer structures - Medical billing workflow and revenue cycle |
| Revenue Cycle Management | - Payment posting and reconciliation - Accounts receivable follow-up - Claims denial and rejection management |
| Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Private insurance policies and contracts - Coordination of benefits (COB) |
| Coding and Claim Submission Basics | - Use of modifiers and coding compliance - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview |
| Compliance and Regulations | - HIPAA and patient privacy rules - Billing compliance standards - Fraud and abuse prevention |
1. Who is the person who prepares and reviews claims for accuracy to ensure prompt payment?
A) Healthcare Provider
B) Health Insurance Specialist
C) Independent Contractor
2. Ambulatory Surgical Center (ASC) includes State Licensed Medicare-certified supplier (not provider) of surgical healthcare services that must accept assignment on Medicare Claims.
A) TRUE
B) FALSE
3. CDAC stands for Clinical Data Abstracting Center.
A) TRUE
B) FALSE
4. blephar
A) eyelid
B) slow
C) condition
D) short
5. Which part of the body does gloss refer to?
A) teeth
B) tongue
C) lips
D) cheek
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: B |
Ward
Arlene
Dale
Florence
Jo
Margaret
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