2026 CBCS FINALS CORRECT QUESTIONS AND
ANSWERS SURE A+
✔✔Which of the following is an example of a violation of an adult patient's
confidentiality?
-While reviewing a claim, the CBCS reads the diagnosis before realizing that the patient
is a neighbor
-A CBCS queries the physician about a diagnosis in a patient's medical record
-The physician uses his home phone to discuss patient care with the nursing staff
-Patient information was disclosed to the patient's parents without consent - ✔✔Patient
information was disclosed to the patient's parents without consent
✔✔Which of the following is the purpose of running an aging report each month?
-If indicates the balances the patients owe the provider
-It indicates which patients have upcoming or missed appointment
-It indicates which claims are outstanding
-It indicates what the insurance company has paid for the provider's services to a
patient. - ✔✔It indicates which claims are outstanding
✔✔Which of the following describes the status of a claim that does not include the
required preauthorization for a service?
-Delinquent (overdue)
-Denied
-Suspended
-Adjudicated (claim still being processed) - ✔✔Denied
-Delinquent (overdue)
-Adjudicated (claim still being processed)
✔✔Which of the following actions should the CBCS take to prevent fraud and abuse in
the medical office?
-Serviced procedure preauthorization
-Internal monitoring and auditing
-Utilization review
,-Correct coding initiative - ✔✔Internal monitoring and auditing
✔✔In an outpatient setting, which of the following forms is used as a financial report of
all services provided to patients?
-Encounter form
-Patient account record
-CMS-1500 claim form
-Accounts receivable journal - ✔✔Patient account record (patient ledger, all transactions
between patient and the practice)
-Accounts receivable journal (Day sheet = chronological summary of all transaction on a
specific day)
✔✔Patient charges that have not been paid will appear in which of the following?
-Accounts receivable
-Accounts payable
-Tracer
-Rejected claim - ✔✔Accounts receivable
✔✔Which of the following is considered the final determination of the issues involving
settlement of an insurance claim?
-Processing
-Translation
-Adjudication
-Transmission - ✔✔Adjudication (process of putting a claim through a series of edits for
final determination)
-Processing ( handling a claim from the first encounter to claim submission)
-Translation (claim is send from the host system to the clearing house)
-Transmission (how the claim was sent)
✔✔Which of the following information should the CBCS input into block 33a on the
CMS-1500 claim form
-Provider social security number (no Social security number on CMS1500)
-Federal tax id number (entered in block 25)
-Patient id number (on block 1a)
-National provider identification number - ✔✔National provider identification number
✔✔A prospective billing account audit prevents fraud by reviewing and comparing a
completed claim form with which of the following documents?
-A billing worksheet from the patient account
-A superbill
-A day sheet
-Am accounts receivable report of the patient account - ✔✔A billing worksheet from the
patient account
,✔✔When a patient has a condition that is both acute and chronic, how should it be
reported?
-Code only the acute code
-Code both acute and chronic, sequencing the acute first
-Code only the chronic code
-Code both acute and chronic, sequencing the chronic first - ✔✔Code both acute and
chronic, sequencing the acute first
✔✔Which of the following types of health insurance plan best describes a government
sponsored benefit program?
-Unemployment compensation disability
-TRICARE prime
-Foundation for Medicare
-Worker's compensation - ✔✔TRICARE prime
-Unemployment compensation disability (state insurance covering non work related
illness and injury)
✔✔Accepting assignment on the CMS-1500 claim form indicates which of the following?
-The patient agrees to accept payment and forward the payment to the physician
-The physician agrees to accept payment under the terms of the payer's program.
-The physician agrees to bill according the third payer's fee schedule
-The patient agrees to pay the difference between the billed amount and the allowed
amount - ✔✔The physician agrees to accept payment under the terms of the payer's
program.
✔✔Which of the following parts of the body system regulates immunity?
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
-Lymphatic system - ✔✔Lymphatic system
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
✔✔Which of the following sections of the medical record is used to determine the
correct evaluation and management code to use for billing and coding?
-Codes used during prior patient visits
-Patient's insurance plan
-Plan of care
-History and physical - ✔✔History and physical
✔✔A patient has met a Medicare deductible of $150. The patient's coinsurance is 20%,
and the allowed amount is $600. Which of the following is the patient's out of pocket
expense?
-$450
, -$300
-$120
-$150 - ✔✔$120
✔✔Which of the following is allowed when billing procedure codes?
-Unbundling codes to ensure that all medical services were received and billed for
-Billing using two digit CPT modifiers to indicate a procedure as performed differs from
its usual five digit code
-Billing for a surgical package with itemized codes
-Referring to the ICD book for the accurate description of the procedural code. -
✔✔Billing using two digit CPT modifiers to indicate a procedure as performed differs
from its usual five digit code
✔✔Which of the following describes the content of a medical practice aging report?
-An overview of the practice's net worth
-An overview of the practice deposits.
-An overview of the practice's debts
-An overview of the practice's outstanding claims - ✔✔An overview of the practice's
outstanding claims
✔✔Which of the following is the correct term for an amount that has been determined to
be uncollectible?
-Discounted fee
-Bad debt
-Financial hardship
-Professional courtesy - ✔✔bad debt
✔✔Which of the following is the function of the respiratory system?
-Deoxygenating blood cells
-Oxygenating blood cells
-Generating red blood cells
-Generating white blood cells - ✔✔Oxygenating blood cells
✔✔A CBCS needs to know how much Medicare paid on a claim before billing the
secondary insurance. To which of the following should the specialist refer?
-Assignment of benefits
-Medicare summary notice (how much the provider was billed and how much the patient
has to pay)
-Remittance advice
-Coordination of benefits - ✔✔remittance advice
✔✔The standard medical abbreviation "ECG" refers to a test used to assess which of
the following body systems?
-Endocrine system
-Cardiovascular system
ANSWERS SURE A+
✔✔Which of the following is an example of a violation of an adult patient's
confidentiality?
-While reviewing a claim, the CBCS reads the diagnosis before realizing that the patient
is a neighbor
-A CBCS queries the physician about a diagnosis in a patient's medical record
-The physician uses his home phone to discuss patient care with the nursing staff
-Patient information was disclosed to the patient's parents without consent - ✔✔Patient
information was disclosed to the patient's parents without consent
✔✔Which of the following is the purpose of running an aging report each month?
-If indicates the balances the patients owe the provider
-It indicates which patients have upcoming or missed appointment
-It indicates which claims are outstanding
-It indicates what the insurance company has paid for the provider's services to a
patient. - ✔✔It indicates which claims are outstanding
✔✔Which of the following describes the status of a claim that does not include the
required preauthorization for a service?
-Delinquent (overdue)
-Denied
-Suspended
-Adjudicated (claim still being processed) - ✔✔Denied
-Delinquent (overdue)
-Adjudicated (claim still being processed)
✔✔Which of the following actions should the CBCS take to prevent fraud and abuse in
the medical office?
-Serviced procedure preauthorization
-Internal monitoring and auditing
-Utilization review
,-Correct coding initiative - ✔✔Internal monitoring and auditing
✔✔In an outpatient setting, which of the following forms is used as a financial report of
all services provided to patients?
-Encounter form
-Patient account record
-CMS-1500 claim form
-Accounts receivable journal - ✔✔Patient account record (patient ledger, all transactions
between patient and the practice)
-Accounts receivable journal (Day sheet = chronological summary of all transaction on a
specific day)
✔✔Patient charges that have not been paid will appear in which of the following?
-Accounts receivable
-Accounts payable
-Tracer
-Rejected claim - ✔✔Accounts receivable
✔✔Which of the following is considered the final determination of the issues involving
settlement of an insurance claim?
-Processing
-Translation
-Adjudication
-Transmission - ✔✔Adjudication (process of putting a claim through a series of edits for
final determination)
-Processing ( handling a claim from the first encounter to claim submission)
-Translation (claim is send from the host system to the clearing house)
-Transmission (how the claim was sent)
✔✔Which of the following information should the CBCS input into block 33a on the
CMS-1500 claim form
-Provider social security number (no Social security number on CMS1500)
-Federal tax id number (entered in block 25)
-Patient id number (on block 1a)
-National provider identification number - ✔✔National provider identification number
✔✔A prospective billing account audit prevents fraud by reviewing and comparing a
completed claim form with which of the following documents?
-A billing worksheet from the patient account
-A superbill
-A day sheet
-Am accounts receivable report of the patient account - ✔✔A billing worksheet from the
patient account
,✔✔When a patient has a condition that is both acute and chronic, how should it be
reported?
-Code only the acute code
-Code both acute and chronic, sequencing the acute first
-Code only the chronic code
-Code both acute and chronic, sequencing the chronic first - ✔✔Code both acute and
chronic, sequencing the acute first
✔✔Which of the following types of health insurance plan best describes a government
sponsored benefit program?
-Unemployment compensation disability
-TRICARE prime
-Foundation for Medicare
-Worker's compensation - ✔✔TRICARE prime
-Unemployment compensation disability (state insurance covering non work related
illness and injury)
✔✔Accepting assignment on the CMS-1500 claim form indicates which of the following?
-The patient agrees to accept payment and forward the payment to the physician
-The physician agrees to accept payment under the terms of the payer's program.
-The physician agrees to bill according the third payer's fee schedule
-The patient agrees to pay the difference between the billed amount and the allowed
amount - ✔✔The physician agrees to accept payment under the terms of the payer's
program.
✔✔Which of the following parts of the body system regulates immunity?
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
-Lymphatic system - ✔✔Lymphatic system
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
✔✔Which of the following sections of the medical record is used to determine the
correct evaluation and management code to use for billing and coding?
-Codes used during prior patient visits
-Patient's insurance plan
-Plan of care
-History and physical - ✔✔History and physical
✔✔A patient has met a Medicare deductible of $150. The patient's coinsurance is 20%,
and the allowed amount is $600. Which of the following is the patient's out of pocket
expense?
-$450
, -$300
-$120
-$150 - ✔✔$120
✔✔Which of the following is allowed when billing procedure codes?
-Unbundling codes to ensure that all medical services were received and billed for
-Billing using two digit CPT modifiers to indicate a procedure as performed differs from
its usual five digit code
-Billing for a surgical package with itemized codes
-Referring to the ICD book for the accurate description of the procedural code. -
✔✔Billing using two digit CPT modifiers to indicate a procedure as performed differs
from its usual five digit code
✔✔Which of the following describes the content of a medical practice aging report?
-An overview of the practice's net worth
-An overview of the practice deposits.
-An overview of the practice's debts
-An overview of the practice's outstanding claims - ✔✔An overview of the practice's
outstanding claims
✔✔Which of the following is the correct term for an amount that has been determined to
be uncollectible?
-Discounted fee
-Bad debt
-Financial hardship
-Professional courtesy - ✔✔bad debt
✔✔Which of the following is the function of the respiratory system?
-Deoxygenating blood cells
-Oxygenating blood cells
-Generating red blood cells
-Generating white blood cells - ✔✔Oxygenating blood cells
✔✔A CBCS needs to know how much Medicare paid on a claim before billing the
secondary insurance. To which of the following should the specialist refer?
-Assignment of benefits
-Medicare summary notice (how much the provider was billed and how much the patient
has to pay)
-Remittance advice
-Coordination of benefits - ✔✔remittance advice
✔✔The standard medical abbreviation "ECG" refers to a test used to assess which of
the following body systems?
-Endocrine system
-Cardiovascular system
