CBCS PRACTICE TEST with 100% Correct Answers 2023

CBCS PRACTICE TEST with 100% Correct Answers 2023. A claim is submitted with a transposed insurance member ID number & returned to the provider. This describes the status that should be assigned to the claim by the carrier? - Correct answer-INVALID 3. Medigap coverage is offered to Medicare beneficiaries by? - Correct answerPRIVATE THIRD-PARTY PAYER 4. This provision ensures that an insured's benefits from all insurance companies does not exceed 100% of allowable medical - Correct answer-Coordination of benefits 5. A coroner's autopsy is comprised of which examination? - Correct answer-Gross examination. 6. This statement is true regarding the release of patient records? - Correct answerPatient access to psychotherapy notes may be restricted. 7. Actions by a billing & coding specialist would be considered fraud? - Correct answerBilling for services not provided. 8. The components of an explanation of benefits expedites the process of a phone appeal? - Correct answer-Claim control number. 9. On the CMS-1500 claim form, blocks 14 through 33 contain information of?. - Correct answer-The patient's condition & the provider's information 10. A billing & coding specialist should understand that the financial record source that is generated by a provider's office is called a? - Correct answer-Patient Ledger Account. 11. The medical terms refer to the sac that endoses the heart? - Correct answerPericardium. 12. HIPAA transaction standards apply to? - Correct answer-Health care clearinghouse. 13. All dependents 10 years of age or older are required to have which of the following for TRICARE? - Correct answer-Military identification. 14. The standard medical abbreviation "ECG" refers to a test used to assess? - Correct answer-Cardiovascular system. 15. An example of a violation of an adult patient's confidentiality? - Correct answerPatient information was disclosed to the patient's parent without consent. 16. Claims that are submitted without an NPI number will delay payment to the provider because? - Correct answer-the number is needed to identify the provider 17. Sections of the medical record is used to determine the correct Evaluation & Management code used for billing & coding? - Correct answer-History & physical 18. Actions should be taken if an insurance company denies a service as not medically necessary? - Correct answer-Appeal the decision with a provider's report. 19. Missing #19 - Correct answer-misssing 20. The function of the respiratory system? - Correct answer-Oxygenating blood cells 21. This describes a delinquent claim? - Correct answer-The claim is overdue for payment. 22. What actions should the billing & coding specialist take if he observes a colleague in an unethical situation? - Correct answer-Report the incident to a supervisor. 23. A participating Blue Cross/Blue Shield (BC/BS) provider receives an explanation of benefits for a patient account. The charged amount was $100. BC/BS allowed $80 & applied $40 to the patient's annual deductible. BC/BS paid the balance at 80%. How much should the patient expect to pay? - Correct answer-$48. 24. This statement is correct regarding a deductible? - Correct answer-The deductible is the patient's responsibility.