CBCS Practice Test With Correct Solutions
2024
Which hof hthe hfollowing hsections hof hthe hmedical hrecord his hused hto hdetermine hthe hcorrect
hevaluation hand hmanagement hcode hused hfor hbilling hand hcoding? h- hcorrect
hanswer.history hand hphysical
A hbilling hand hcoding hspecialist his hreviewing ha hCMS-1500 hclaim hform. hThe h"assignment
hof hbenefits" hbox hhas hbeen hchecked h"yes." hThe hchecked hbox hindicates hwhich hof hthe
hfollowing? h- hcorrect hanswer.The hprovider hreceives hpayment hdirectly hfrom hthe hpayer
Which hof hthe hfollowing hdo hphysicians huse hto helectronically hsubmit ha hclaim? h- hcorrect
hanswer.Clearinghouse
Which hof hthe hfollowing hshould hthe hbilling hand hcoding hspecialist hinclude hin han
hauthorization hto hrelease hinformation? h- hcorrect hanswer.The hentity hto hwhom hthe
hinformation his hto hbe hreleased
Which hof hthe hfollowing hdescribes hthe hcontent hof ha hmedical hpractice haging hreport? h-
hcorrect hanswer.An hoverview hof hthe hpractice's houtstanding hclaims
HIPAA htransaction hstandards happly hto hwhich hof hthe hfollowing hentities? h- hcorrect
hanswer.Health hcare hclearinghouses
When ha hphysician hdocuments ha hpatient's hresponse hto hsymptoms hand hvarious hbody
hsystems, hthe hresults hare hdocumented has hwhich hof hthe hfollowing? h- hcorrect
hanswer.Review hof hsystems
Which hpart hof hMedicare hcovers hprescriptions? h- hcorrect hanswer.Part hD
Which hof hthe hfollowing hindicates ha hclaim hshould hbe hsubmitted hon hpaper hinstead hof
helectronically? h- hcorrect hanswer.The hclaim hrequires han hattachment
Medicare henforces hmandatory hsubmission hof helectronic hclaims hfor hmost hproviders.
hWhich hof hthe hfollowing hproviders his hallowed hto hsubmit hpaper hclaims hto hMedicare? h-
hcorrect hanswer.A hprovider's hoffice hwith hfewer hthan h10 hfull-time hemployees
Which hof hthe hfollowing his hthe hcorrect hterm hfor han hamount hthat hhas hbeen hdetermined hto
hbe huncollectible? h- hcorrect hanswer.Bad hdebt
,Which hof hthe hfollowing hstatements hare hcorrect hregarding ha hdeductible? h- hcorrect
hanswer.The hdeductible his hthe hpatient's hresponsibility
Which hof hthe hfollowing hstatements his htrue hregarding hthe hrelease hof hpatient hrecords? h-
hcorrect hanswer.Patient haccess hto hpsychotherapy hnotes hmay hbe hrestricted
Why hdoes hcorrect hclaim hprocessing hrely hon haccurately hcompleted hencounter hforms? h-
hcorrect hanswer.They hstreamline hpatient hbilling hby hsummarizing hthe hservices hrendered
hfor ha hgiven hdate hof hservice
When hposting hpayment haccurately. hWhich hof hthe hfollowing hitems hshould hthe hbilling hand
hcoding hspecialist hinclude? h- hcorrect hanswer.Patient's hresponsibility
A hdependent hchild hwhose hparents hboth hhave hinsurance hcoverage hcome hto hthe hclinic.
hThe hbilling hand hcoding hspecialist huses hthe hbirthday hrule hdetermine hwhich hinsurance
hpolicy his hprimary. hWhich hof hthe hfollowing hdescribes hthe hbirthday hrule? h- hcorrect
hanswer.The hpatient hwhose hbirthday hcomes hfirst hin hthe hcalendar hyear
Which hof hthe hfollowing hactions hshould hthe hbilling hand hcoding hspecialist htake hto
heffectively hmanage haccounts hreceivable? h- hcorrect hanswer.Collect hcopayment hfrom hthe
hpatient hat hthe htime hof hservice
If ha hpatient hhas hosteomyelitis, hhe hhas hproblems hwith hwhich hof hthe hfollowing hareas? h-
hcorrect hanswer.bones, hbone hmarrow
Which hof hthe hfollowing hare hused hby hproviders hto hremove herrors hfrom hclaims hbefore hthey
hare hsubmitted hto hthird-party hpayers? h- hcorrect hanswer.Clearinghouse
A hprovider hreceives ha hreimbursement hfrom ha hthird-party hpayer haccompanied hby hwhich
hof hthe hfollowing hdocuments? h- hcorrect hanswer.explanation hof hbenefits
Which hof hthe hfollowing his hthe happropriate hdiagnosis hfor ha hpatient hwho hhas han habnormal
haccumulation hof hfluid hin hher hlower hleg hthat hhas hresulted hin hswelling? h- hcorrect
hanswer.Edema
Which hof hthe hfollowing hblocks hon hthe hCMS-1500 hclaim hform his hused hto hbill hICD hcodes?
h- hcorrect hanswer.Block h21
Patient hcharges hthat hhave hnot hbeen hpaid hto happear hin hwhich hof hthe hfollowing? h- hcorrect
hanswer.Accounts hreceivable
A hphysician his hcontracted hwith han hinsurance hcompany hto haccept hthe hallowed hamount.
hThe hinsurance hcompany hallows h$80 hof ha h$120 hbilled hamount, hAnd h$50 hof hthe
hdeductible hhas hnot hbeen hmet. hHow hmuch hshould hthe hphysician hwrite hoff hthe hpatient's
hrecord? h- hcorrect hanswer.$40 h
, This his hthe hdifference hbetween hthe hamount hbilled hand hallowed hamount. hThe hphysician
hshould hwrite hoff h$40.
A hprovider hperforms han hexamination hof ha hpatient hsore hthroat hduring han hoffice hvisit.
hWhich hof hthe hfollowing hdescribes hthe hlevel hof hthe hexamination? h- hcorrect
hanswer.Problem-focused hexamination
When hbuilding ha hsecondary hinsurance hcompany, hwhich hblock hshould hbe hbilling hand
hcoding hspecialist hfill hout hon hthe hCMS-1500 hclaim hform? h- hcorrect hanswer.9a
Which hof hthe hfollowing hforms hmust hbe hpatient hor hrepresentative hsign hto hallow hthe
hrelease hof hprotected hhealth hinformation? h- hcorrect hanswer.An hAuthorization
What his hthe hmaximum hnumber hof hICD hcodes hthat hcan hbe hentered hon ha hCMS-1500
hclaim hform has hof hFebruary h2012? h- hcorrect hanswer.12
After ha hthird-party hpayer hvalidates ha hclaim, hwhich hof hthe hfollowing htakes hplace hnext? h-
hcorrect hanswer.Claim hadjudication
When ha hpatient hhas ha hcondition hthat his hboth hacute hand hchronic, hhow hshould hI hbe
hreported? h- hcorrect hanswer.Code hboth hacute hand hchronic hsequencing hthe hacute hfirst
Which hof hthe hfollowing hacts happlies hto hthe hAdministrative hSimplification hguidelines? h-
hcorrect hanswer.Health hInsurance hPortability hand hAccountability hAct h(HIPAA)
After hreading ha hproviders hnotes habout ha hnew hpatient, ha hcoding hspecialist hdecides hto
hcode hfor ha hlonger hlength hof htime hthan hthe hactual hoffice hvisit. hWhich hof hthe hfollowing
hdescribes hthe hspecialist's haction? h- hcorrect hanswer.Fraud
A hbiller hwill helectronically hsubmit ha hclaim hto hthe hcarrier hvia hwhich hof hthe hfollowing? h-
hcorrect hanswer.Direct hData hEntry
Which hof hthe hfollowing his hthe hpurpose hof hrunning han haging hreport heach hmonth? h-
hcorrect hanswer.It hindicates hwhich hclaims hare houtstanding
Which hof hthe hfollowing his ha htype hof hclaim hthat hwill hbe hdenied hby hthe hthird-party hpayer? h-
hcorrect hanswer.incomplete hclaim
Which hof hthe hfollowing hactions hshould hthe hbilling hand hcoding hspecialist htake hto hprevent
hfraud hand habuse hin hthe hmedical hoffice? h- hcorrect hanswer.Internal hmonitoring hand
hauditing
Which hof hthe hfollowing his ha hverbal hor hwritten hagreement hthat hgives happroval hto hrelease
hprotected hhealth hinformation h(PHI)? h- hcorrect hanswer.consent
2024
Which hof hthe hfollowing hsections hof hthe hmedical hrecord his hused hto hdetermine hthe hcorrect
hevaluation hand hmanagement hcode hused hfor hbilling hand hcoding? h- hcorrect
hanswer.history hand hphysical
A hbilling hand hcoding hspecialist his hreviewing ha hCMS-1500 hclaim hform. hThe h"assignment
hof hbenefits" hbox hhas hbeen hchecked h"yes." hThe hchecked hbox hindicates hwhich hof hthe
hfollowing? h- hcorrect hanswer.The hprovider hreceives hpayment hdirectly hfrom hthe hpayer
Which hof hthe hfollowing hdo hphysicians huse hto helectronically hsubmit ha hclaim? h- hcorrect
hanswer.Clearinghouse
Which hof hthe hfollowing hshould hthe hbilling hand hcoding hspecialist hinclude hin han
hauthorization hto hrelease hinformation? h- hcorrect hanswer.The hentity hto hwhom hthe
hinformation his hto hbe hreleased
Which hof hthe hfollowing hdescribes hthe hcontent hof ha hmedical hpractice haging hreport? h-
hcorrect hanswer.An hoverview hof hthe hpractice's houtstanding hclaims
HIPAA htransaction hstandards happly hto hwhich hof hthe hfollowing hentities? h- hcorrect
hanswer.Health hcare hclearinghouses
When ha hphysician hdocuments ha hpatient's hresponse hto hsymptoms hand hvarious hbody
hsystems, hthe hresults hare hdocumented has hwhich hof hthe hfollowing? h- hcorrect
hanswer.Review hof hsystems
Which hpart hof hMedicare hcovers hprescriptions? h- hcorrect hanswer.Part hD
Which hof hthe hfollowing hindicates ha hclaim hshould hbe hsubmitted hon hpaper hinstead hof
helectronically? h- hcorrect hanswer.The hclaim hrequires han hattachment
Medicare henforces hmandatory hsubmission hof helectronic hclaims hfor hmost hproviders.
hWhich hof hthe hfollowing hproviders his hallowed hto hsubmit hpaper hclaims hto hMedicare? h-
hcorrect hanswer.A hprovider's hoffice hwith hfewer hthan h10 hfull-time hemployees
Which hof hthe hfollowing his hthe hcorrect hterm hfor han hamount hthat hhas hbeen hdetermined hto
hbe huncollectible? h- hcorrect hanswer.Bad hdebt
,Which hof hthe hfollowing hstatements hare hcorrect hregarding ha hdeductible? h- hcorrect
hanswer.The hdeductible his hthe hpatient's hresponsibility
Which hof hthe hfollowing hstatements his htrue hregarding hthe hrelease hof hpatient hrecords? h-
hcorrect hanswer.Patient haccess hto hpsychotherapy hnotes hmay hbe hrestricted
Why hdoes hcorrect hclaim hprocessing hrely hon haccurately hcompleted hencounter hforms? h-
hcorrect hanswer.They hstreamline hpatient hbilling hby hsummarizing hthe hservices hrendered
hfor ha hgiven hdate hof hservice
When hposting hpayment haccurately. hWhich hof hthe hfollowing hitems hshould hthe hbilling hand
hcoding hspecialist hinclude? h- hcorrect hanswer.Patient's hresponsibility
A hdependent hchild hwhose hparents hboth hhave hinsurance hcoverage hcome hto hthe hclinic.
hThe hbilling hand hcoding hspecialist huses hthe hbirthday hrule hdetermine hwhich hinsurance
hpolicy his hprimary. hWhich hof hthe hfollowing hdescribes hthe hbirthday hrule? h- hcorrect
hanswer.The hpatient hwhose hbirthday hcomes hfirst hin hthe hcalendar hyear
Which hof hthe hfollowing hactions hshould hthe hbilling hand hcoding hspecialist htake hto
heffectively hmanage haccounts hreceivable? h- hcorrect hanswer.Collect hcopayment hfrom hthe
hpatient hat hthe htime hof hservice
If ha hpatient hhas hosteomyelitis, hhe hhas hproblems hwith hwhich hof hthe hfollowing hareas? h-
hcorrect hanswer.bones, hbone hmarrow
Which hof hthe hfollowing hare hused hby hproviders hto hremove herrors hfrom hclaims hbefore hthey
hare hsubmitted hto hthird-party hpayers? h- hcorrect hanswer.Clearinghouse
A hprovider hreceives ha hreimbursement hfrom ha hthird-party hpayer haccompanied hby hwhich
hof hthe hfollowing hdocuments? h- hcorrect hanswer.explanation hof hbenefits
Which hof hthe hfollowing his hthe happropriate hdiagnosis hfor ha hpatient hwho hhas han habnormal
haccumulation hof hfluid hin hher hlower hleg hthat hhas hresulted hin hswelling? h- hcorrect
hanswer.Edema
Which hof hthe hfollowing hblocks hon hthe hCMS-1500 hclaim hform his hused hto hbill hICD hcodes?
h- hcorrect hanswer.Block h21
Patient hcharges hthat hhave hnot hbeen hpaid hto happear hin hwhich hof hthe hfollowing? h- hcorrect
hanswer.Accounts hreceivable
A hphysician his hcontracted hwith han hinsurance hcompany hto haccept hthe hallowed hamount.
hThe hinsurance hcompany hallows h$80 hof ha h$120 hbilled hamount, hAnd h$50 hof hthe
hdeductible hhas hnot hbeen hmet. hHow hmuch hshould hthe hphysician hwrite hoff hthe hpatient's
hrecord? h- hcorrect hanswer.$40 h
, This his hthe hdifference hbetween hthe hamount hbilled hand hallowed hamount. hThe hphysician
hshould hwrite hoff h$40.
A hprovider hperforms han hexamination hof ha hpatient hsore hthroat hduring han hoffice hvisit.
hWhich hof hthe hfollowing hdescribes hthe hlevel hof hthe hexamination? h- hcorrect
hanswer.Problem-focused hexamination
When hbuilding ha hsecondary hinsurance hcompany, hwhich hblock hshould hbe hbilling hand
hcoding hspecialist hfill hout hon hthe hCMS-1500 hclaim hform? h- hcorrect hanswer.9a
Which hof hthe hfollowing hforms hmust hbe hpatient hor hrepresentative hsign hto hallow hthe
hrelease hof hprotected hhealth hinformation? h- hcorrect hanswer.An hAuthorization
What his hthe hmaximum hnumber hof hICD hcodes hthat hcan hbe hentered hon ha hCMS-1500
hclaim hform has hof hFebruary h2012? h- hcorrect hanswer.12
After ha hthird-party hpayer hvalidates ha hclaim, hwhich hof hthe hfollowing htakes hplace hnext? h-
hcorrect hanswer.Claim hadjudication
When ha hpatient hhas ha hcondition hthat his hboth hacute hand hchronic, hhow hshould hI hbe
hreported? h- hcorrect hanswer.Code hboth hacute hand hchronic hsequencing hthe hacute hfirst
Which hof hthe hfollowing hacts happlies hto hthe hAdministrative hSimplification hguidelines? h-
hcorrect hanswer.Health hInsurance hPortability hand hAccountability hAct h(HIPAA)
After hreading ha hproviders hnotes habout ha hnew hpatient, ha hcoding hspecialist hdecides hto
hcode hfor ha hlonger hlength hof htime hthan hthe hactual hoffice hvisit. hWhich hof hthe hfollowing
hdescribes hthe hspecialist's haction? h- hcorrect hanswer.Fraud
A hbiller hwill helectronically hsubmit ha hclaim hto hthe hcarrier hvia hwhich hof hthe hfollowing? h-
hcorrect hanswer.Direct hData hEntry
Which hof hthe hfollowing his hthe hpurpose hof hrunning han haging hreport heach hmonth? h-
hcorrect hanswer.It hindicates hwhich hclaims hare houtstanding
Which hof hthe hfollowing his ha htype hof hclaim hthat hwill hbe hdenied hby hthe hthird-party hpayer? h-
hcorrect hanswer.incomplete hclaim
Which hof hthe hfollowing hactions hshould hthe hbilling hand hcoding hspecialist htake hto hprevent
hfraud hand habuse hin hthe hmedical hoffice? h- hcorrect hanswer.Internal hmonitoring hand
hauditing
Which hof hthe hfollowing his ha hverbal hor hwritten hagreement hthat hgives happroval hto hrelease
hprotected hhealth hinformation h(PHI)? h- hcorrect hanswer.consent
