2026 CBCS END OF COURSE QUESTIONS AND
ANSWERS SURE A+
✔✔Advanced Beneficiary Notice - ✔✔A physician ordered a comprehensive metabolic
panel for a 70-year old patient who has Medicare as her primary insurance. Which of
the following forms is required so the patient knows she may be responsible for
payment?
✔✔Claims are expedited - ✔✔Which of the following is the advantage of electronic
claim submission?
✔✔The reason Medicare may not pay - ✔✔Which of the following information is
required to include on an Advance Beneficiary Notice (ABN) form?
✔✔A signed released from the patient - ✔✔Which of the following documents is
required to disclose an adult patient's information?
✔✔-53 - ✔✔Which of the following modifiers should be used to indicate a professional
service has been discontinued prior to completion?
✔✔Adjudication - ✔✔Which of the following is considered the final determination of the
issues involving settlement of an insurance claim?
✔✔Deductible - ✔✔The physician bills $500 to a patient. After submitting the claim to
the insurance company, the claim is sent back with no payment. The patient still owes
$500 for the year. This amount is called which of the following
✔✔Lymphatic system - ✔✔Which of the following parts of the body system regulates
immunity?
✔✔Patient account record - ✔✔In an outpatient setting, which of the following forms is
used as a financial report of all services provided to patients?
, ✔✔Blue Cross/Blue Shield - ✔✔Which of the following is a private insurance carrier?
✔✔The patient's demographics - ✔✔On the CMS-1500 claim form, blocks 1 through 13
include which of the following?
✔✔$120 - ✔✔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?
✔✔Documenting the patient's chief complaint, history, exam, assessment, and plan for
care - ✔✔Which of the following billing patterns is a best-practice action?
✔✔Communicating with the front desk staff during a team meeting about missing
information in patient's files - ✔✔Behavior plays an important part of being a team
player in a medical practice. Which of the following is an appropriate action for billing
and coding specialist to take?
✔✔Block 23 - ✔✔A billing and coding specialist should enter the prior authorization
number on the CMS-1500 claim for in which of the following blocks?
✔✔The age of the account - ✔✔Which of the following is the primary information used
to determine the priority of collection letters to patients?
✔✔First report of injury - ✔✔Which of the following is the initial step in processing a
worker's compensation claim?
✔✔Referring physician's National Provider Identifier (NPI) number - ✔✔Block 17A on
the CMS-1500 claim form should list which of the following information?
✔✔Billing using two-digit CPT modifiers to indicate a procedure as performed differs
from its usual five-digit
code - ✔✔Which of the following is allowed when billing a procedural code?
✔✔The patient was out-of-town during the emergency - ✔✔A patient has an emergency
appendectomy while on vacation The claim is rejected due to the patient
obtaining services out-of-network. Which of the following information should be included
in the claim appeal?
✔✔A bilateral procedure - ✔✔A billing and coding specialist should add modifier -50 to
codes when reporting which of the following?
✔✔National Provider Identifier number - ✔✔Which of the following information should
the billing and coding specialist input into Block 33a on the CMS-1500 claim form?
ANSWERS SURE A+
✔✔Advanced Beneficiary Notice - ✔✔A physician ordered a comprehensive metabolic
panel for a 70-year old patient who has Medicare as her primary insurance. Which of
the following forms is required so the patient knows she may be responsible for
payment?
✔✔Claims are expedited - ✔✔Which of the following is the advantage of electronic
claim submission?
✔✔The reason Medicare may not pay - ✔✔Which of the following information is
required to include on an Advance Beneficiary Notice (ABN) form?
✔✔A signed released from the patient - ✔✔Which of the following documents is
required to disclose an adult patient's information?
✔✔-53 - ✔✔Which of the following modifiers should be used to indicate a professional
service has been discontinued prior to completion?
✔✔Adjudication - ✔✔Which of the following is considered the final determination of the
issues involving settlement of an insurance claim?
✔✔Deductible - ✔✔The physician bills $500 to a patient. After submitting the claim to
the insurance company, the claim is sent back with no payment. The patient still owes
$500 for the year. This amount is called which of the following
✔✔Lymphatic system - ✔✔Which of the following parts of the body system regulates
immunity?
✔✔Patient account record - ✔✔In an outpatient setting, which of the following forms is
used as a financial report of all services provided to patients?
, ✔✔Blue Cross/Blue Shield - ✔✔Which of the following is a private insurance carrier?
✔✔The patient's demographics - ✔✔On the CMS-1500 claim form, blocks 1 through 13
include which of the following?
✔✔$120 - ✔✔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?
✔✔Documenting the patient's chief complaint, history, exam, assessment, and plan for
care - ✔✔Which of the following billing patterns is a best-practice action?
✔✔Communicating with the front desk staff during a team meeting about missing
information in patient's files - ✔✔Behavior plays an important part of being a team
player in a medical practice. Which of the following is an appropriate action for billing
and coding specialist to take?
✔✔Block 23 - ✔✔A billing and coding specialist should enter the prior authorization
number on the CMS-1500 claim for in which of the following blocks?
✔✔The age of the account - ✔✔Which of the following is the primary information used
to determine the priority of collection letters to patients?
✔✔First report of injury - ✔✔Which of the following is the initial step in processing a
worker's compensation claim?
✔✔Referring physician's National Provider Identifier (NPI) number - ✔✔Block 17A on
the CMS-1500 claim form should list which of the following information?
✔✔Billing using two-digit CPT modifiers to indicate a procedure as performed differs
from its usual five-digit
code - ✔✔Which of the following is allowed when billing a procedural code?
✔✔The patient was out-of-town during the emergency - ✔✔A patient has an emergency
appendectomy while on vacation The claim is rejected due to the patient
obtaining services out-of-network. Which of the following information should be included
in the claim appeal?
✔✔A bilateral procedure - ✔✔A billing and coding specialist should add modifier -50 to
codes when reporting which of the following?
✔✔National Provider Identifier number - ✔✔Which of the following information should
the billing and coding specialist input into Block 33a on the CMS-1500 claim form?
