Free Medical Billing Specialist Practice Test

Free 25-question diagnostic, then $5 for 5 full attempts · no signup

Sample Medical Billing Specialist practice questions

These sample items mirror the domains in the timed Medical Billing Specialist mock. Correct answers and explanations unlock inside the practice session.

1. Sample 1

   Patient eligibility verification should occur

   • A. Before service when possible and at intervals for ongoing treatment
   • B. At the first visit only, since coverage rarely changes during the year
   • C. After claim denial, to confirm the reason for the payer's decision
   • D. At each annual plan renewal, unless the patient reports a change

2. Sample 2

   Balanced Billing (surprise billing) protections under No Surprises Act generally limit

   • A. In-network deductibles and copays at in-network hospitals
   • B. Out-of-network cost sharing in certain emergency and facility settings
   • C. Out-of-network charges for all elective care chosen by the patient
   • D. Ground ambulance charges from out-of-network providers

3. Sample 3

   Patient statement after insurance payment should show

   • A. Service detail, insurance payments/adjustments, patient responsibility
   • B. Total billed charges as the balance due, before any insurance adjustments
   • C. Service detail and the full allowed amount owed by the patient
   • D. Diagnosis codes and clinical notes justifying each service billed

4. Sample 4

   Evaluation and management leveling uses (2021+ office/outpatient rules emphasize)

   • A. Medical decision making and/or total time on date of encounter
   • B. History, exam, and medical decision making as the three key components
   • C. Total time including staff time spent on the days before the visit
   • D. Number of body systems examined and documented in the note

5. Sample 5

   Medicare secondary payer (MSP) rules may make Medicare secondary when

   • A. Group health plan due to active employment over certain size/age rules
   • B. Patient has a Medigap supplement policy purchased through a private insurer
   • C. Patient is 65+ and covered by a retiree group health plan
   • D. Patient is enrolled in Medicaid as well as Medicare Part B

What is the Medical Billing Specialist exam?

Who this exam is for

Medical billing students and entry-level RCM staff who need a national billing certification or a structured self-study path before an employer competency test. Always verify current candidate bulletins, fees, and testing vendor details before you register.

How to prepare

Practice claim scrubbing scenarios, learn common denial codes, and review HIPAA minimum necessary rules. Take the free UniPrep2Go billing readiness check on this page, then join the linked Anki deck waitlist. Always verify current candidate bulletins, fees, and testing vendor details before you register.

Confirm current fees, eligibility, and scheduling with National Healthcareer Association (NHA) before you book the real exam.

Topic outline

Core domains candidates usually study for Medical Billing Specialist: Claims process, Coding awareness, Payer rules, Compliance.

• Claims process

  Clean claims and denials. Review official outlines for current weighting and examples.

• Coding awareness

  ICD/CPT familiarity for billers. Review official outlines for current weighting and examples.

• Payer rules

  Medicare Medicaid commercial. Review official outlines for current weighting and examples.

• Compliance

  HIPAA and fraud awareness. Review official outlines for current weighting and examples.

About this free Medical Billing Specialist Practice Test

Medical Billing Specialist Practice Test — quick answers

More Medical coding & admin practice tests

Same exam path on UniPrep2Go — timed diagnostics with topic scoring.

• AAPC CPC60 Q · 75 min · AAPC
• AHIMA CCS-style Inpatient Coding60 Q · 75 min · AHIMA / inpatient coding themes
• SHIP Medicare Counseling60 Q · 75 min · State Health Insurance Assistance Programs

Browse all Medical coding & admin mocks →