2026 CBCS QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following national provider identification is required in Block 33a of a
CMS-1500 claim form?
- Referring provider
- Insurance provider
- Service facility provider
- Billing provider - ✔✔Billing provider
- Referring provider (17b)
- Insurance provider (not required)
- Service facility provider (32a)
✔✔Which of the following is true regarding Medicaid eligibility?
- Eligibility of dependents is automatic
- Providers who accept Medicare must also accept Medicaid
- Patient eligibility is determined monthly
- Patient eligibility begins at 65 - ✔✔Patient eligibility is determined monthly
✔✔Which of the following is the purpose of coordination of benefits?
- Collect and verify information about the patient and provider by sorting claims upon
submission
- Compare payer edits and patient's health plan
- Prevent multiple insurers from paying benefits covered by other policies
- Reduce the number of paper claim submitted - ✔✔Prevent multiple insurers from
paying benefits covered by other policies
✔✔When the remittance advice is sent from the third-party payer to the provider, which
of the following actions should the CBCS perform first?
- Generate a patient statement of responsibility
- Post necessary contractual adjustment
- Ensure proper payment has been made
- Evaluate the claim for collection activity - ✔✔ensure proper payment has been made
, ✔✔Which of the following pieces of guarantor information is required when establishing
a patient's financial record?
- Procedural codes used
- Providers name
- Phone number
- diagnosis - ✔✔phone number
✔✔The "<>" symbol is used to indicate new and revised text other than which of the
following?
- Diagnostic nonessential modifier
- Procedure descriptors
- HCPCS description
- Diagnostic specificity - ✔✔procedure descriptors
✔✔A provider surgically punctures through the space between ribs using an aspirating
needle to withdraw fluids from the chest cavity?
- Thoracotomy (incision)
- Pleurocentesis
- Thoracoscope (visual exam)
- Pleurodesis (pleural space is obliterated) - ✔✔Pleurocentesis
- Thoracotomy (incision)
- Thoracoscope (visual exam)
- Pleurodesis (pleural space is obliterated)
✔✔Which of the following formats are used to submit electronic claims to a third-party
payer?
-835 (claims payment and remittance advice)
- 270 (transaction for an eligibility inquiry to centers for Medicare and -Medicaid or
Medicare administrative contractor)
- 837
- 271 (response from Medicare and Medicaid to 270) - ✔✔837
- 835 (claims payment and remittance advice)
- 270 (transaction for an eligibility inquiry to centers for Medicare and -Medicaid or
Medicare administrative contractor)
- 271 (response from Medicare and Medicaid to 270)
✔✔Which of the following actions by the CBCS prevents fraud?
- Writing of a deductible
- Performing periodic audits
- Unbundling codes
- Upcoding claims - ✔✔performing periodic audits
✔✔Which of the following describes an insurance carrier that pays the provider who
rendered services to a patient?
✔✔Which of the following national provider identification is required in Block 33a of a
CMS-1500 claim form?
- Referring provider
- Insurance provider
- Service facility provider
- Billing provider - ✔✔Billing provider
- Referring provider (17b)
- Insurance provider (not required)
- Service facility provider (32a)
✔✔Which of the following is true regarding Medicaid eligibility?
- Eligibility of dependents is automatic
- Providers who accept Medicare must also accept Medicaid
- Patient eligibility is determined monthly
- Patient eligibility begins at 65 - ✔✔Patient eligibility is determined monthly
✔✔Which of the following is the purpose of coordination of benefits?
- Collect and verify information about the patient and provider by sorting claims upon
submission
- Compare payer edits and patient's health plan
- Prevent multiple insurers from paying benefits covered by other policies
- Reduce the number of paper claim submitted - ✔✔Prevent multiple insurers from
paying benefits covered by other policies
✔✔When the remittance advice is sent from the third-party payer to the provider, which
of the following actions should the CBCS perform first?
- Generate a patient statement of responsibility
- Post necessary contractual adjustment
- Ensure proper payment has been made
- Evaluate the claim for collection activity - ✔✔ensure proper payment has been made
, ✔✔Which of the following pieces of guarantor information is required when establishing
a patient's financial record?
- Procedural codes used
- Providers name
- Phone number
- diagnosis - ✔✔phone number
✔✔The "<>" symbol is used to indicate new and revised text other than which of the
following?
- Diagnostic nonessential modifier
- Procedure descriptors
- HCPCS description
- Diagnostic specificity - ✔✔procedure descriptors
✔✔A provider surgically punctures through the space between ribs using an aspirating
needle to withdraw fluids from the chest cavity?
- Thoracotomy (incision)
- Pleurocentesis
- Thoracoscope (visual exam)
- Pleurodesis (pleural space is obliterated) - ✔✔Pleurocentesis
- Thoracotomy (incision)
- Thoracoscope (visual exam)
- Pleurodesis (pleural space is obliterated)
✔✔Which of the following formats are used to submit electronic claims to a third-party
payer?
-835 (claims payment and remittance advice)
- 270 (transaction for an eligibility inquiry to centers for Medicare and -Medicaid or
Medicare administrative contractor)
- 837
- 271 (response from Medicare and Medicaid to 270) - ✔✔837
- 835 (claims payment and remittance advice)
- 270 (transaction for an eligibility inquiry to centers for Medicare and -Medicaid or
Medicare administrative contractor)
- 271 (response from Medicare and Medicaid to 270)
✔✔Which of the following actions by the CBCS prevents fraud?
- Writing of a deductible
- Performing periodic audits
- Unbundling codes
- Upcoding claims - ✔✔performing periodic audits
✔✔Which of the following describes an insurance carrier that pays the provider who
rendered services to a patient?
