2026 CBCS PAPER NEWEST QUESTIONS AND
ANSWERS SURE A+
✔✔A provider documents a patient's response to questions about various parts of the
body, A billing and coding specialist should identify that this information is included in
which of the following sections of the note? - ✔✔Review of systems
✔✔Which of the following documents should a billing and coding specialist use to
ensure that all payers are sending reimbursement within 45 days of claim submission? -
✔✔Aging report
✔✔Which of the following processes is used to verify patient benefits and insurance
coverage for an outpatient procedure? - ✔✔Precertification
✔✔Which of the following security features is required during transmission of protected
health information and medical claims to third party payers? - ✔✔Encryption
✔✔A billing and coding specialist is reviewing a remittance advice that has a deductible
of $100 indicated for one of the claims. The provider asks the specialist to write it off.
Which of the following describes this scenario? - ✔✔Fraud
✔✔Which of the following is a covered entity affected by HIPAA security rules? -
✔✔Health care clearinghouses
✔✔Based on coding guidelines, which character in an ICD-10-CM diagnosis code
provides information about the encounter for care? - ✔✔Seventh character
✔✔A billing and coding specialist is verifying coverage for a Medicare beneficiary.
Which of the following determines Medicare coverage of services on a national level? -
✔✔NCD
, ✔✔Which of the following describes the term "crossover" as it relates to Medicare? -
✔✔When a third-party payer transfers data to allow coordination of benefits for a claim
✔✔A patient has a new diagnosis of hypothyroidism. In which of the following body
systems in the thyroid gland located? - ✔✔Endocrine system
✔✔A billing and coding specialist is processing a claim for a patient who has Medicare
and Medicaid coverage. Which of the following is the type of claim that is automatically
adjudicated by Medicare and forwarded to Medicaid? - ✔✔Crossover
✔✔Claims that are submitted without an NPI number will delay payment to the provider
due to which of the following? - ✔✔The number is needed to identify the provider
✔✔Which of the following introduced documentation guidelines to Medicare carriers to
ensure that services paid for have been provided and were medically necessary? -
✔✔CMS
✔✔Which of the following is issued to active-duty uniformed service personnel for
access to TRICARE benefits? - ✔✔Common access card
✔✔A surgeon performed a cholecystectomy for a patient. The billing and coding
specialist does not know whether to code for an open or laparoscopic cholecystectomy.
The specialist should query the provider to prevent which of the following types of fraud
or abuse? - ✔✔Upcoding
✔✔Time reporting is a guideline for which of the following sections of the CPT manual?
- ✔✔Anesthesia
✔✔A billing and coding specialist is preparing a claim for a patient encounter. The
patient was last seen in the office 2 years ago. Which of the following evaluation and
management (E/M) codes should the specialist use? - ✔✔99213
✔✔A billing and coding specialist is posting a payment received from Medicare. The
specialist should identify that which part of Medicare covers prescription costs? -
✔✔Part D
✔✔billing and coding specialist is reviewing an electronic remittance advice (ERA).
Which of the following gives additional information about the denial of reimbursement? -
✔✔Remark code
✔✔A billing and coding specialist is evaluating code assignments for a batch of claims.
Which of the following should the specialist consult as a resource to check for proper
ANSWERS SURE A+
✔✔A provider documents a patient's response to questions about various parts of the
body, A billing and coding specialist should identify that this information is included in
which of the following sections of the note? - ✔✔Review of systems
✔✔Which of the following documents should a billing and coding specialist use to
ensure that all payers are sending reimbursement within 45 days of claim submission? -
✔✔Aging report
✔✔Which of the following processes is used to verify patient benefits and insurance
coverage for an outpatient procedure? - ✔✔Precertification
✔✔Which of the following security features is required during transmission of protected
health information and medical claims to third party payers? - ✔✔Encryption
✔✔A billing and coding specialist is reviewing a remittance advice that has a deductible
of $100 indicated for one of the claims. The provider asks the specialist to write it off.
Which of the following describes this scenario? - ✔✔Fraud
✔✔Which of the following is a covered entity affected by HIPAA security rules? -
✔✔Health care clearinghouses
✔✔Based on coding guidelines, which character in an ICD-10-CM diagnosis code
provides information about the encounter for care? - ✔✔Seventh character
✔✔A billing and coding specialist is verifying coverage for a Medicare beneficiary.
Which of the following determines Medicare coverage of services on a national level? -
✔✔NCD
, ✔✔Which of the following describes the term "crossover" as it relates to Medicare? -
✔✔When a third-party payer transfers data to allow coordination of benefits for a claim
✔✔A patient has a new diagnosis of hypothyroidism. In which of the following body
systems in the thyroid gland located? - ✔✔Endocrine system
✔✔A billing and coding specialist is processing a claim for a patient who has Medicare
and Medicaid coverage. Which of the following is the type of claim that is automatically
adjudicated by Medicare and forwarded to Medicaid? - ✔✔Crossover
✔✔Claims that are submitted without an NPI number will delay payment to the provider
due to which of the following? - ✔✔The number is needed to identify the provider
✔✔Which of the following introduced documentation guidelines to Medicare carriers to
ensure that services paid for have been provided and were medically necessary? -
✔✔CMS
✔✔Which of the following is issued to active-duty uniformed service personnel for
access to TRICARE benefits? - ✔✔Common access card
✔✔A surgeon performed a cholecystectomy for a patient. The billing and coding
specialist does not know whether to code for an open or laparoscopic cholecystectomy.
The specialist should query the provider to prevent which of the following types of fraud
or abuse? - ✔✔Upcoding
✔✔Time reporting is a guideline for which of the following sections of the CPT manual?
- ✔✔Anesthesia
✔✔A billing and coding specialist is preparing a claim for a patient encounter. The
patient was last seen in the office 2 years ago. Which of the following evaluation and
management (E/M) codes should the specialist use? - ✔✔99213
✔✔A billing and coding specialist is posting a payment received from Medicare. The
specialist should identify that which part of Medicare covers prescription costs? -
✔✔Part D
✔✔billing and coding specialist is reviewing an electronic remittance advice (ERA).
Which of the following gives additional information about the denial of reimbursement? -
✔✔Remark code
✔✔A billing and coding specialist is evaluating code assignments for a batch of claims.
Which of the following should the specialist consult as a resource to check for proper
