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Medicare Reimbursement University

Foundation Competency Assessment

Test payer, revenue-cycle, code-system, and role-boundary fundamentals.

Passing score: 80%

Questions: 5

Attempts: 5

1. Which activity occurs before claim submission?
2. Which code set reports diagnoses?
3. What must be resolved before applying payer-specific rules?
4. A valid code guarantees that the payer covers the service.
5. Who may create or clarify clinical facts for medical necessity?

Question order may vary. Correct answers and explanations are not delivered before submission. Attempts require an authenticated university account.