2026 CBCS REVIEW EXAMINATION QUESTIONS
AND ANSWERS SURE A+
✔✔$40 - ✔✔A physician is contracted with an insurance company to accept the allowed
amount. The insurance company allows $80 of a $120 billed amount, and $50 of the
deductible has not been met. How much should the physician write off patient's
account?
✔✔Problem-focused examination - ✔✔A provider performs an examination of a
patient's sore throat during an office visit. Which of the following describes the level of
examination?
✔✔9a - ✔✔When billing a secondary insurance company, which block should the billing
and coding specialist fill out on the CMS-1500 claim form?
✔✔An authorization - ✔✔Which of the following forms must the patient or representative
sign to allow the release of protected health information?
✔✔12 - ✔✔What is the maximum number of ICD codes that can be entered on a CMS-
1500 claim form as of February
2012?
✔✔Claim adjudication - ✔✔After a third-party payer validates a claim, which of the
following takes place next?
✔✔Code both acute and chronic, sequencing the acute first - ✔✔When a patient has a
condition that is both acute and chronic, how should it be reported?
✔✔Health Insurance Portability and Accountability Act (HIPAA) - ✔✔Which of the
following acts applies to the Administrative Simplification guidelines?
, ✔✔Fraud - ✔✔After reading a provider's notes about a new patient, a coding specialist
decides to code for a longer length of time than the actual office visit. Which of the
following describes the specialist's action?
✔✔Direct data entry - ✔✔A biller will electronically submit a claim to the carrier via
which of the following?
✔✔It indicates which claims are outstanding - ✔✔Which of the following is the purpose
of running an aging report each month?
✔✔Incomplete claim - ✔✔Which of the following is a type of claim that will be denied by
the third-party payer?
✔✔Internal monitoring and auditing - ✔✔Which of the following actions should the
billing and coding specialist take to prevent fraud and abuse in the medical office?
✔✔Consent - ✔✔Which of the following is a verbal or written agreement that gives
approval to release protected health information (PHI)?
✔✔Preauthorization form - ✔✔Which of the following is a requirement of some third-
party payers before a procedure is performed?
✔✔Oxygenating blood cells - ✔✔Which of the following is the function of the respiratory
system?
✔✔Cold treatment - ✔✔The destruction of lesion using cryosurgery would use which of
the following treatments?
✔✔Immunizations - ✔✔Z codes are used to identify which of the following?
✔✔TRICARE Prime - ✔✔Which of the following types of health insurance plans best
describes a government-sponsored benefit program?
✔✔Reinstated or recycled code - ✔✔The symbol "O" in the Current Procedural
Terminology reference is used to indicate which of the following?
✔✔Medicaid - ✔✔Which of the following insurance carriers is considered the payer of
last resort?
✔✔0% - ✔✔A beneficiary of a Medicare/Medicaid crossover claim submitted by a
participating provider is responsible
for which of the following percentages?
AND ANSWERS SURE A+
✔✔$40 - ✔✔A physician is contracted with an insurance company to accept the allowed
amount. The insurance company allows $80 of a $120 billed amount, and $50 of the
deductible has not been met. How much should the physician write off patient's
account?
✔✔Problem-focused examination - ✔✔A provider performs an examination of a
patient's sore throat during an office visit. Which of the following describes the level of
examination?
✔✔9a - ✔✔When billing a secondary insurance company, which block should the billing
and coding specialist fill out on the CMS-1500 claim form?
✔✔An authorization - ✔✔Which of the following forms must the patient or representative
sign to allow the release of protected health information?
✔✔12 - ✔✔What is the maximum number of ICD codes that can be entered on a CMS-
1500 claim form as of February
2012?
✔✔Claim adjudication - ✔✔After a third-party payer validates a claim, which of the
following takes place next?
✔✔Code both acute and chronic, sequencing the acute first - ✔✔When a patient has a
condition that is both acute and chronic, how should it be reported?
✔✔Health Insurance Portability and Accountability Act (HIPAA) - ✔✔Which of the
following acts applies to the Administrative Simplification guidelines?
, ✔✔Fraud - ✔✔After reading a provider's notes about a new patient, a coding specialist
decides to code for a longer length of time than the actual office visit. Which of the
following describes the specialist's action?
✔✔Direct data entry - ✔✔A biller will electronically submit a claim to the carrier via
which of the following?
✔✔It indicates which claims are outstanding - ✔✔Which of the following is the purpose
of running an aging report each month?
✔✔Incomplete claim - ✔✔Which of the following is a type of claim that will be denied by
the third-party payer?
✔✔Internal monitoring and auditing - ✔✔Which of the following actions should the
billing and coding specialist take to prevent fraud and abuse in the medical office?
✔✔Consent - ✔✔Which of the following is a verbal or written agreement that gives
approval to release protected health information (PHI)?
✔✔Preauthorization form - ✔✔Which of the following is a requirement of some third-
party payers before a procedure is performed?
✔✔Oxygenating blood cells - ✔✔Which of the following is the function of the respiratory
system?
✔✔Cold treatment - ✔✔The destruction of lesion using cryosurgery would use which of
the following treatments?
✔✔Immunizations - ✔✔Z codes are used to identify which of the following?
✔✔TRICARE Prime - ✔✔Which of the following types of health insurance plans best
describes a government-sponsored benefit program?
✔✔Reinstated or recycled code - ✔✔The symbol "O" in the Current Procedural
Terminology reference is used to indicate which of the following?
✔✔Medicaid - ✔✔Which of the following insurance carriers is considered the payer of
last resort?
✔✔0% - ✔✔A beneficiary of a Medicare/Medicaid crossover claim submitted by a
participating provider is responsible
for which of the following percentages?
