CBCS Final Exam 2023 with 100% correct answers

When a billing and coding specialist is completing the CMS-1500 claim form, which of the following information is required to process a medical claim? CPT, ICD The allowed amount for a patient's office visit is $175. The copayment is $15 and the amount the insurance paid is $85. Which of the following is the amount of the adjustment? $75 Which of the following suffixes refers to an abnormal condition? -osis Which of the following entities contracts with Medicare to recoup money form inappropriately paid claims? Recovery Audit Contractor Which of the following abbreviations is used to describe the reason a patient presents for an encounter at the office visit? CC A patient comes in the office with an injury form work. Which box on line 1 of the CMS-1500 claim from should the billing and coding specialist check off to transmit the calm for payment? FECA Which of the following physical status modifiers should the billing and coding specialist use to indicate a healthy patient who has no evidence of disease at the time of anesthesia administration? P1 Which of the following practices does HIPPA Title II define as fraud? Altering codes to increase payment A provider charges $30 for a treatment that has an allowed of $25. Which of the following statements regarding this $5 difference between the two amounts is correct? The insurance payer pays the $5 if the provider is a participating provider. A patient who has coinsurance and has met their deductible has which of the following third-party payers? Preferred provider organization(PPO) If a patient does not sign box 13 on the CMS-1500 form. Which of the following will receive payment? Provider Which is the correct form? Thomas Jr. Martin F A patient has a diagnosis of chest pain. The billing and coding specialist should link the diagnosis to the procedure in which of the following blocks on the CMS- 1500 form? 24D