CBCS practice test
1.A patient's health plan is referred to as the payer of last resort. The
patient is covered by which of the following health plans?
Medicaid
CHAMPA
Medicare
TRICARE:
Medicaid
2.A provider charged $500 to a claim that had an allowable amount of
$400. In which of the following columns should the CBCS apply the non
allowed charge?
-Reference column (For notations)
-Description column
-Payment column
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,-Adjustment column of the credits: Adjustment column of the credits
3.Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility: The deductible is the
patient's responsibility
4.Which of the following color formats allows optical scanning of
the CMS-1500 claim form?
-Red
-Blue
-Green
-black: red
5.Ambulatory surgery centers, home health and hospice organizations
use the .
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,-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form: UB-04
6.Claims that are submitted without an NPI number will delay payment to
the provider because .
-The number is the patient' id number
-The number is needed to identify the provider
-Is is used as a claim number
-It is used as a pre authorization number: The number is needed to identify
the provider
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, 7.Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment: coinsurance
8.Which of the following indicates a claim should be submitted on
paper instead of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional.: the claim requires
an attachment
9.On a remittance advice form, which of the following is responsible for
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1.A patient's health plan is referred to as the payer of last resort. The
patient is covered by which of the following health plans?
Medicaid
CHAMPA
Medicare
TRICARE:
Medicaid
2.A provider charged $500 to a claim that had an allowable amount of
$400. In which of the following columns should the CBCS apply the non
allowed charge?
-Reference column (For notations)
-Description column
-Payment column
1/
147
,-Adjustment column of the credits: Adjustment column of the credits
3.Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility: The deductible is the
patient's responsibility
4.Which of the following color formats allows optical scanning of
the CMS-1500 claim form?
-Red
-Blue
-Green
-black: red
5.Ambulatory surgery centers, home health and hospice organizations
use the .
2/
147
,-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form: UB-04
6.Claims that are submitted without an NPI number will delay payment to
the provider because .
-The number is the patient' id number
-The number is needed to identify the provider
-Is is used as a claim number
-It is used as a pre authorization number: The number is needed to identify
the provider
3/
147
, 7.Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment: coinsurance
8.Which of the following indicates a claim should be submitted on
paper instead of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional.: the claim requires
an attachment
9.On a remittance advice form, which of the following is responsible for
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147
