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Exam (elaborations)

CBCS practice test Questions and Answers

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  • August 15, 2024
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CBCS practice test Questions and
Answers
A patient's health plan is referred to as the payer of last resort. The patient is

covered by which of the following health plans?

Medicaid

CHAMPA

Medicare

TRICARE

✓ ~~~ Medicaid



A provider charged $500 to a claim that had an allowable amount of $400. In which

of the following columns should the CBCS apply the non allowed charge?

-Reference column (For notations)

-Description column

-Payment column

-Adjustment column of the credits

✓ ~~~ Adjustment column of the credits



Which of the following statements is correct regarding a deductible?

-Coinsurance is a type of deductible

-The physician should write off the deductible

-The insurance company pays for the deductible

,-The deductible is the patient's responsibility

✓ ~~~ The deductible is the patient's responsibility



Which of the following color formats allows optical scanning of the CMS-1500 claim

form?

-Red

-Blue

-Green

-black

✓ ~~~ red



Ambulatory surgery centers, home health and hospice organizations use the

______.

-CMS-1500 claim form

-UB-04 claim form

-Advance Beneficiary notice

-First report of injury form

✓ ~~~ UB-04



Claims that are submitted without an NPI number will delay payment to the provider

because ______.

-The number is the patient' id number

,-The number is needed to identify the provider

-Is is used as a claim number

-It is used as a pre authorization number

✓ ~~~ The number is needed to identify the provider



Which of the following terms describes when a plan pays 70% of the allowed amount

and the patient pays 30%?

-Coinsurance

-Deductible

-Premium

-copayment

✓ ~~~ coinsurance



Which of the following indicates a claim should be submitted on paper instead of

electronically?

-The software claims review process indicates the claim is not complete

-The claim needs authorization

-The claim requires an attachment

-The practice management software is non functional.

✓ ~~~ the claim requires an attachment

, On a remittance advice form, which of the following is responsible for writing off the

difference between the amount billed and the amount allowed by the agreement?

-Provider

-Insurance company

-Patient

-Third party payer

✓ ~~~ provider



A physician is contracted with an insurance company to accept the 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 account?

-$40

-$15

-$0

-$50

✓ ~~~ $40



The unlisted codes can be found in which of the following locations in the CPT

manual?

-Appendix L

-Guidelines prior to each section

-End of each body system

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