CBCS SETS ANSWERS AND QUESTIONS SET A+
✔✔Which of the following types of claims is 120 days old?
- Clean
- Delinquent
- Open
- closed - ✔✔delinquent
✔✔Which of the following shows outstanding balances?
- Bad debt report
- Fee schedule
- Aging report
- Remittance advice - ✔✔aging report
✔✔Which part of Medicare covers prescription?
A
B
C
D - ✔✔D
✔✔Which of the following best describes medical ethics?
- Medical etiquette
- Medical standard of conduct
- Medical laws
- Medical principles and practices - ✔✔medical standard of conduct
✔✔A provider's office receives a subpoena requesting medical documentation from a
patient's medical record. After confirming the correct authorization, which of the
following actions should the billing and coding specialist take?
- Send the patient's demographic information from the dates of services
- Send the medical information pertaining to the dates of service requested
- Send the patient's financial record ledger from the dates of service requested
- Send the claim pertaining to the dates of service requested - ✔✔Send the medical
information pertaining to the dates of service requested
,✔✔Which of the following prohibits a provider from referring Medicare patients to a
clinical laboratory service in which the provider has a financial interest?
- Federal anti-kickback statute
- Health insurance portability and accountability act (HIPAA)
- Consolidated omnibus budget reconciliation act (COBRA)
- Stark Law - ✔✔Stark Law
- Federal anti-kickback statute (prohibits exchange or offer for exchange, anything of
value, in an effort to reward the business
- Health insurance portability and accountability act (HIPAA)
- Consolidated omnibus budget reconciliation act (COBRA)
✔✔Which of the following explains why Medicare will deny a particular service or
procedure?
- Local coverage determination (LCD)
- Advance beneficiary notice
- CMS-1500
- UB-04 - ✔✔advance beneficiary notice
✔✔Which of the following documentation is valid authorization to release medical
information to the judicial system?
- Consent for treatment form
- Deposition
- Signed release of information form
- Subpoena duces tecum - ✔✔Subpoena duces tecum
✔✔A physician's office fee is $100 and the Medicare Part B allowed amount is $85.
Assuming the beneficiary has not met his annual deductible, the office should bill the
patient for which of the following amounts?
$85
$15
$100
$0 - ✔✔$85
✔✔A CBCS has four past-due charges: $400 that is 10 weeks past due; $800 that is 6
weeks past due; $1000 that is 4 weeks past due; and $2000 that is 8 weeks past due.
Which of one should be sent to collection first?
-$400
-$800
-$1000
- $2000 - ✔✔$2000 (the largest amount first)
✔✔Threatening a catheter with a balloon into a coronary artery and expanding it to
repair arteries describes which of the following procedures?
- Valvuloplasty
- Atherectomy
, - Angioplasty
- Ablation - ✔✔Angioplasty
- Valvuloplasty (open a stenotic heart valve)
- Atherectomy (Non surgical procedure to open blocked coronary arteries or vein grafts
by using a device on the end of a catheter to cut or shave away atherosclerotic plaque.
It does not us a balloon.
- Ablation (radio frequency waves of the heart is used to cure a variety of cardiac
arrhythmia.)
✔✔Which of the following should a CBCS use to submit a claim with supporting
documents?
- Aging report
- claim s attachment
- Electronic explanation of benefits
- Electronic remittance advice details services billed and payment - ✔✔claims
attachment
✔✔If a clean claim is received on March 1 of this year, which of the following is the
allowable last day of payment in order to meet Medicare compliance requirements
March 15
April 2
March 30
April 10 - ✔✔March 30 (paid in 30 days)
✔✔Which of the following is a reason for a claim to be denied?
- Unpaid copayment
- incorrectly linked codes
- Missing attachment (suspended)
- Omission of patient gender (suspended) - ✔✔
✔✔A CBCS should routinely analyze which of the following to determine the number of
outstanding claims?
- Accounts payable report
- Aging report
- Remittance advice
- Explanation of benefits - ✔✔aging report
✔✔When reviewing an established patient's insurance card, the CBCS notices a minor
change from the existing card on file. Which of the following actions should the CBCS
take?
- Photocopy both sides of the new card
- Describe the change on the patient registration form
- Instruct the patient to contact the insurance company to verify coverage
- Confirm with the patient that the insurance coverage is the same - ✔✔Photocopy both
sides of the new card
✔✔Which of the following types of claims is 120 days old?
- Clean
- Delinquent
- Open
- closed - ✔✔delinquent
✔✔Which of the following shows outstanding balances?
- Bad debt report
- Fee schedule
- Aging report
- Remittance advice - ✔✔aging report
✔✔Which part of Medicare covers prescription?
A
B
C
D - ✔✔D
✔✔Which of the following best describes medical ethics?
- Medical etiquette
- Medical standard of conduct
- Medical laws
- Medical principles and practices - ✔✔medical standard of conduct
✔✔A provider's office receives a subpoena requesting medical documentation from a
patient's medical record. After confirming the correct authorization, which of the
following actions should the billing and coding specialist take?
- Send the patient's demographic information from the dates of services
- Send the medical information pertaining to the dates of service requested
- Send the patient's financial record ledger from the dates of service requested
- Send the claim pertaining to the dates of service requested - ✔✔Send the medical
information pertaining to the dates of service requested
,✔✔Which of the following prohibits a provider from referring Medicare patients to a
clinical laboratory service in which the provider has a financial interest?
- Federal anti-kickback statute
- Health insurance portability and accountability act (HIPAA)
- Consolidated omnibus budget reconciliation act (COBRA)
- Stark Law - ✔✔Stark Law
- Federal anti-kickback statute (prohibits exchange or offer for exchange, anything of
value, in an effort to reward the business
- Health insurance portability and accountability act (HIPAA)
- Consolidated omnibus budget reconciliation act (COBRA)
✔✔Which of the following explains why Medicare will deny a particular service or
procedure?
- Local coverage determination (LCD)
- Advance beneficiary notice
- CMS-1500
- UB-04 - ✔✔advance beneficiary notice
✔✔Which of the following documentation is valid authorization to release medical
information to the judicial system?
- Consent for treatment form
- Deposition
- Signed release of information form
- Subpoena duces tecum - ✔✔Subpoena duces tecum
✔✔A physician's office fee is $100 and the Medicare Part B allowed amount is $85.
Assuming the beneficiary has not met his annual deductible, the office should bill the
patient for which of the following amounts?
$85
$15
$100
$0 - ✔✔$85
✔✔A CBCS has four past-due charges: $400 that is 10 weeks past due; $800 that is 6
weeks past due; $1000 that is 4 weeks past due; and $2000 that is 8 weeks past due.
Which of one should be sent to collection first?
-$400
-$800
-$1000
- $2000 - ✔✔$2000 (the largest amount first)
✔✔Threatening a catheter with a balloon into a coronary artery and expanding it to
repair arteries describes which of the following procedures?
- Valvuloplasty
- Atherectomy
, - Angioplasty
- Ablation - ✔✔Angioplasty
- Valvuloplasty (open a stenotic heart valve)
- Atherectomy (Non surgical procedure to open blocked coronary arteries or vein grafts
by using a device on the end of a catheter to cut or shave away atherosclerotic plaque.
It does not us a balloon.
- Ablation (radio frequency waves of the heart is used to cure a variety of cardiac
arrhythmia.)
✔✔Which of the following should a CBCS use to submit a claim with supporting
documents?
- Aging report
- claim s attachment
- Electronic explanation of benefits
- Electronic remittance advice details services billed and payment - ✔✔claims
attachment
✔✔If a clean claim is received on March 1 of this year, which of the following is the
allowable last day of payment in order to meet Medicare compliance requirements
March 15
April 2
March 30
April 10 - ✔✔March 30 (paid in 30 days)
✔✔Which of the following is a reason for a claim to be denied?
- Unpaid copayment
- incorrectly linked codes
- Missing attachment (suspended)
- Omission of patient gender (suspended) - ✔✔
✔✔A CBCS should routinely analyze which of the following to determine the number of
outstanding claims?
- Accounts payable report
- Aging report
- Remittance advice
- Explanation of benefits - ✔✔aging report
✔✔When reviewing an established patient's insurance card, the CBCS notices a minor
change from the existing card on file. Which of the following actions should the CBCS
take?
- Photocopy both sides of the new card
- Describe the change on the patient registration form
- Instruct the patient to contact the insurance company to verify coverage
- Confirm with the patient that the insurance coverage is the same - ✔✔Photocopy both
sides of the new card
