QUESTIONS AND ANSWERS|| GUARANTEED
PASS|| LATEST UPDATE 2026
When a physician documents a patient's response to symptoms and various
body systems. The results are documented as which of the following?
- Past medical history
- Family history
- Review of systems
- Comprehensive examination - ANSWER-Review of systems
Which of the following statements is true regarding the release of patient
records?
- Verbal requests for records from life insurance companies are appropriate
- Identification is not required when requesting access to patient records
- Providers cannot share a patient' medical information with other health care
professionals if the patient's mentally unstable
- Patient access to psychotherapy notes may be restricted - ANSWER-Patient
access to psychotherapy notes may be restricted
A claim is denied because the service was not covered by the insurance. Upon
confirmation of no errors on the claim, which of the following describes the
process that will follow the denial?
- The claim will be submitted with a new CPT code
- The claim will not be resubmitted and the patient will be sent a bill
- The claim will be resubmitted with a modifier on the CPT code
,- The claim will not be resubmitted, but the claim will be appealed. -
ANSWER-The claim will not be resubmitted and the patient will be sent a bill
When an electronic claim is rejected due to incomplete information, which of
the following action should the CBCS take?
- Process the claim as an adjustment
- Complete the information and retransmit according to the third party standards
- Reprocess the rejected claim within 30 days
- Send the claim back with the next batch of claims - ANSWER-Complete the
information and retransmit according to the third party standards
A CBCS submitted a claim to Medicare electronically. No errors were found by
the billing software or clearinghouse. Which of the following describes this
claim?
- Pending claim
- Clean claim
- Tertiary claim (processed by both primary and secondary insurance)
- Physically clean claim (no staples, no highlighters) - ANSWER-clean
The explanation of benefits states the amount billed was $80. The allowed
amount is $60, and the patient is required to pay a $20 copayment. Which of the
following describes the insurance check amount to be posted?
$40
$80
$60
$20 - ANSWER-$80
Urine moves from the kidney to the bladder through which of the following
parts of the body?
- Ureters
,- Renal pelvis (hollow chamber that passes waste material)
- Urethra (discharges urine from the bladder
- Adrenal gland (above the kidney, part of endocrine system - ANSWER-Ureter
- Renal pelvis (hollow chamber that passes waste material)
- Urethra (discharges urine from the bladder
- Adrenal gland (above the kidney, part of endocrine system
Which of the following blocks should the CBCS complete on the CMS-1500
form for procedure, services, and supplies?
12 (patient authorization)
2 (patient name)
24D
24J (rendering provider) - ANSWER-24D
- 12 (patient authorization)
- 2 (patient name)
- 24J (rendering provider)
Which of the following describes the organization of an aging report?
- By date
- By amount
- By patient name
- By insurance carrier - ANSWER-by date
Which of the following planes divides the body into left and right?
- Sagittal
- Coronal (anterior and posterior0
- Transverse (superior and inferior)
- Distal (farthest away from body) - ANSWER-sagittal
, A CBCS is preparing a claim from a provider from a group practice.. The CBCS
should enter the rendering provider's NPI into which of the following blocks on
the CMS-1500?
- 17b (referring provider NPI)
- 24J
- 31 (providers signature)
- 25 (federal tax id number) - ANSWER-24J
- 17b (referring provider NPI)
- 31 (providers signature)
- 25 (federal tax id number)
Which of the following organizations fights waste, fraud, and abuse in Medicare
and Medicaid?
- Department of health and Human services
- Centers for Medicare and Medicaid services
- Office of inspector general
- Health resources and services administration - ANSWER-Office of inspector
genereal
- Department of health and Human services (protecting the health of
Americans)
- Centers for Medicare and Medicaid services
- Health resources and services administration (improving access to services for
people who are uninsured, isolated or medically vulnerable)
Provider performs an examination of a patient's knee joint and an optical device.
Which of the following terms describes this procedure?
- Arthroscopy
- Arthrography
- Meniscectomy