CBP STUDY GUIDE FINAL PAPER 2026 EXAM Q
AND A FULL SOLUTION
● The healthcare carrier refused to accept MOD-RT and MOD-LT and
only accepts MOD-50. What does this mean?
A. This is an example of a carrier-specific rule for a bilateral procedure (
performed on both sides of the body, right and left.)
B. This is considered an error on the carrier's part.
C. This would never happen
D. Without additional information this means nothing. Answer: A. This
is an example of a carrier-specific rule for a bilateral procedure (
performed on both sides of the body, right and left.)
In other words a carrier can require MOD-50 over MOD-RT MOD-LT
even though technically they are the same.
● What is not in the Medicare PFSRVU database?
A. Global Days
B. Bilateral Surgery Modifier
C. RVU's
D. Medical Necessity Answer: D. Medical Necessity
● What are the characteristics of the emergency room visit?
, A. It applies equally to new and established patients
B. The Emergency Department must be available 24 hours a day
C. Both answers are correct.
D. None of the answers are correct. Answer: C. Both answers are
correct. These codes are used only for the emergency room encounters.
● Which would mostly not be covered under corporate Family Medical
Leave Act (FMLA) ?
A. Birth of a Child
B. Provide care for a sick spouse
C. An employees with serious health conditon
D. Vacations Answer: D. Vacations
● A PPO is a:
A. Preferred Provider Organization, there is no gatekeeper
B. Provider Patient Organization , there is a gaterkeeper
C. Prospective Payment Option System where charges are diagnosis-
based
D. Provider Payment Option System where charges are diagnosis-based
Answer: A. Preferred Provider Organization, there is no gatekeeper like
an HMO
● To report co-management, which below must be true?
AND A FULL SOLUTION
● The healthcare carrier refused to accept MOD-RT and MOD-LT and
only accepts MOD-50. What does this mean?
A. This is an example of a carrier-specific rule for a bilateral procedure (
performed on both sides of the body, right and left.)
B. This is considered an error on the carrier's part.
C. This would never happen
D. Without additional information this means nothing. Answer: A. This
is an example of a carrier-specific rule for a bilateral procedure (
performed on both sides of the body, right and left.)
In other words a carrier can require MOD-50 over MOD-RT MOD-LT
even though technically they are the same.
● What is not in the Medicare PFSRVU database?
A. Global Days
B. Bilateral Surgery Modifier
C. RVU's
D. Medical Necessity Answer: D. Medical Necessity
● What are the characteristics of the emergency room visit?
, A. It applies equally to new and established patients
B. The Emergency Department must be available 24 hours a day
C. Both answers are correct.
D. None of the answers are correct. Answer: C. Both answers are
correct. These codes are used only for the emergency room encounters.
● Which would mostly not be covered under corporate Family Medical
Leave Act (FMLA) ?
A. Birth of a Child
B. Provide care for a sick spouse
C. An employees with serious health conditon
D. Vacations Answer: D. Vacations
● A PPO is a:
A. Preferred Provider Organization, there is no gatekeeper
B. Provider Patient Organization , there is a gaterkeeper
C. Prospective Payment Option System where charges are diagnosis-
based
D. Provider Payment Option System where charges are diagnosis-based
Answer: A. Preferred Provider Organization, there is no gatekeeper like
an HMO
● To report co-management, which below must be true?
