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Last Updated: Jul 18, 2026
No. of Questions: 245 Questions & Answers with Testing Engine
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| Section | Weight | Objectives |
|---|---|---|
| Practice Management | 10-15% | - Accounts receivable management - Patient responsibility calculations - Insurance verification processes - Patient registration and demographics - Collections and payment posting |
| Billing Compliance and Regulations | 10-15% | - Stark Law and Anti-Kickback Statute basics - HIPAA privacy and security requirements - Documentation compliance - Fraud, waste, and abuse prevention - Appeal and denial management |
| Insurance and Reimbursement | 20-25% | - Fee schedules and reimbursement methodologies - Claims submission and processing - Workers' compensation and no-fault billing - Commercial insurance policies - Coordination of benefits - Government payers (Medicare, Medicaid, TRICARE) |
| ICD-10-CM Diagnosis Coding | 15-20% | - Code accuracy and specificity - ICD-10-CM structure and conventions - Secondary diagnosis coding - Chapter-specific guidelines - Principal diagnosis selection |
| CPT Coding | 20-25% | - Evaluation and Management (E/M) codes - CPT code categories and structure - Modifiers and their appropriate use - Category II and III codes - Surgical procedure codes |
| Healthcare Billing Fundamentals | 15-20% | - Medical terminology basics - Healthcare documentation principles - Anatomy and physiology for billers - Revenue cycle overview |
1. What document is used to transfer patient financial responsibility after insurance adjudication?
A) CMS-1500
B) Prior Authorization
C) Patient Statement
D) UB-04
2. CMS
A) UB04 Claim used by institutional and other selected providers to bill payers
B) Insurance claim used by noninstitutional providers and supplier to bill payers
C) Centers of Medicare and Medicaid Services
D) Clinical nurse specialist
3. The medical word root "hyster" or "hyster/o" refers to the:
A) pertaining to
B) uterus, womb
C) condition
4. What does it mean by brachy?
A) tall
B) short
5. American Academy of Processional Coders (AAPC) is professional association established to provide a national certification and credentialing process, to support the national and local membership by providing educational products and opportunities to network, and to increase and promote national recognition and awareness of professional coding.
A) TRUE
B) FALSE
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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