STUDY GUIDE (CERTIFIED MEDICAL CODING AND BILLING SPECIALIST UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

STUDY GUIDE (CERTIFIED MEDICAL CODING AND
BILLING SPECIALIST UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS

Question:
1. UB04 form is used for
Answer:
Hospice, Ambulatory Surgery Centers, Home Health Care

Question:
2. patient confidentiality
Answer:
treating patient's medical information as private and not for publication

Question:
3. signing an Acknowledgement of Notice of Privacy Practice is accepting what
Answer:
HIPAA

Question:
4. form to authorize sharing of medical information
Answer:
medical release form

Question:
5. standard form used for medical billing
Answer:
CMS-1500

Question:
6. must appear on CMS 1500 form prior to submission
Answer:
birth date in 8 digit format, all caps

Question:
7. encounter form
Answer:
financial record source document to record treated diagnosis and services rendered to the patient during the
current encounter. also called the superbill

Question:
8. where non allowed charges are recorded
Answer:
adjustment column

, Question:
9. 10 digit numeric identifier required in box 33A of CMS 1500
Answer:
National Provider Identifier (NPI)

Question:
10. CLIA - Clinical Laboratory Improvement Act
Answer:
quality standards for lab tests

Question:
11. most common reason for claim rejection
Answer:
incorrect or incomplete information

Question:
12. PICA pitch 10
Answer:
written CMS 1500 form

Question:
13. PICA pitch 12
Answer:
electronic CMS 1500 form

Question:
14. delinquent claim
Answer:
not paid within a certain amount of time

Question:
15. implied contract
Answer:
patient scheduling an appointment with a new provider

Question:
16. bullet/solid circle
Answer:
symbol used to indicate a new CPT code

Question:
17. plus sign (+)
Answer:
add on CPT code symbol