CBCS Practice Test Questions And Answers
Which of the following sections of the medical record is used to determine the correct evaluation and management code used for billing and coding? - ANS history and physical
A billing and coding specialist is reviewing a CMS-1500 claim form. The "ass...
Which of the following sections of the medical record is used to determine the correct evaluation
and management code used for billing and coding? - ANS history and physical
A billing and coding specialist is reviewing a CMS-1500 claim form. The "assignment of
benefits" box has been checked "yes." The checked box indicates which of the following? -
ANS The provider receives payment directly from the payer
Which of the following do physicians use to electronically submit a claim? - ANS
Clearinghouse
Which of the following should the billing and coding specialist include in an authorization to
release information? - ANS The entity to whom the information is to be released
Which of the following describes the content of a medical practice aging report? - ANS An
overview of the practice's outstanding claims
HIPAA transaction standards apply to which of the following entities? - ANS Health care
clearinghouses
When a physician documents a patient's response to symptoms and various body systems, the
results are documented as which of the following? - ANS Review of systems
Which part of Medicare covers prescriptions? - ANS Part D
Which of the following indicates a claim should be submitted on paper instead of electronically?
- ANS The claim requires an attachment
Medicare enforces mandatory submission of electronic claims for most providers. Which of the
following providers is allowed to submit paper claims to Medicare? - ANS A provider's office
with fewer than 10 full-time employees
Which of the following is the correct term for an amount that has been determined to be
uncollectible? - ANS Bad debt
Which of the following statements are correct regarding a deductible? - ANS The deductible is
the patient's responsibility
Which of the following statements is true regarding the release of patient records? - ANS
Patient access to psychotherapy notes may be restricted
,Why does correct claim processing rely on accurately completed encounter forms? - ANS
They streamline patient billing by summarizing the services rendered for a given date of service
When posting payment accurately. Which of the following items should the billing and coding
specialist include? - ANS Patient's responsibility
A dependent child whose parents both have insurance coverage come to the clinic. The billing
and coding specialist uses the birthday rule determine which insurance policy is primary. Which
of the following describes the birthday rule? - ANS The patient whose birthday comes first in
the calendar year
Which of the following actions should the billing and coding specialist take to effectively manage
accounts receivable? - ANS Collect copayment from the patient at the time of service
If a patient has osteomyelitis, he has problems with which of the following areas? - ANS
bones, bone marrow
Which of the following are used by providers to remove errors from claims before they are
submitted to third-party payers? - ANS Clearinghouse
A provider receives a reimbursement from a third-party payer accompanied by which of the
following documents? - ANS explanation of benefits
Which of the following is the appropriate diagnosis for a patient who has an abnormal
accumulation of fluid in her lower leg that has resulted in swelling? - ANS Edema
Which of the following blocks on the CMS-1500 claim form is used to bill ICD codes? - ANS
Block 21
Patient charges that have not been paid to appear in which of the following? - ANS Accounts
receivable
A physician is contracted with an insurance company to accept the allowed amount. The
insurance company allows $80 of a $120 billed amount, And $50 of the deductible has not been
met. How much should the physician write off the patient's record? - ANS $40
This is the difference between the amount billed and allowed amount. The physician should
write off $40.
A provider performs an examination of a patient sore throat during an office visit. Which of the
following describes the level of the examination? - ANS Problem-focused examination
When building a secondary insurance company, which block should be billing and coding
specialist fill out on the CMS-1500 claim form? - ANS 9a
, Which of the following forms must be patient or representative sign to allow the release of
protected health information? - ANS An Authorization
What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as
of February 2012? - ANS 12
After a third-party payer validates a claim, which of the following takes place next? - ANS
Claim adjudication
When a patient has a condition that is both acute and chronic, how should I be reported? - ANS
Code both acute and chronic sequencing the acute first
Which of the following acts applies to the Administrative Simplification guidelines? - ANS
Health Insurance Portability and Accountability Act (HIPAA)
After reading a providers notes about a new patient, a coding specialist decides to code for a
longer length of time than the actual office visit. Which of the following describes the specialist's
action? - ANS Fraud
A biller will electronically submit a claim to the carrier via which of the following? - ANS Direct
Data Entry
Which of the following is the purpose of running an aging report each month? - ANS It
indicates which claims are outstanding
Which of the following is a type of claim that will be denied by the third-party payer? - ANS
incomplete claim
Which of the following actions should the billing and coding specialist take to prevent fraud and
abuse in the medical office? - ANS Internal monitoring and auditing
Which of the following is a verbal or written agreement that gives approval to release protected
health information (PHI)? - ANS consent
Which of the following is a requirement of some Third-party payers before a procedure is
performed? - ANS Preauthorization form
Which of the following is the function of the respiratory system? - ANS Oxygenating blood
cells
The destruction of lesions using cryosurgery would use which of the following treatments? -
ANS cold treatment
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