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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. Who may create or clarify clinical facts for medical necessity?
4. A valid code guarantees that the payer covers the service.
5. What must be resolved before applying payer-specific rules?

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