CBCS STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS
1. Which of the following is a claim that is
Clean claim
possible to adjudicate and includes all
required data elements?
Upcoding for increased
2. A billing and coding specialist is processing
claims.
Which of the following should the specialist identify as reimburseme
an example of fraud?
3. A billing and coding specialist should identify Aging report
that which of the following documents assists
providers in determining whether there are
any claims outstand- ing?
4. During which of the following steps of the Registration and
revenue cycle does effective schedul- ing
communication begin?
Explain patient financial
5. A billing and coding specialist is speaking with
a pa-
tient on the telephone about their plan benefits. Which responsibili
of the following actions should the specialist
take when communicating with the patient?
6. Which of the following is an effective tool for collecting
Communication
a patient's payment for health care services?
7. Which of the following terms describes a patient's right Privacy
to have their protected health information
safeguard- ed and not disclosed to others
without their permis- sion?
8. Which of the following requires a patient's 9. Which of the
authoriza- tion prior to disclosure? following
, CBCS STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS
actions by a billing and coding specialist Protected health informa
represents a breach of confidentiality? tion (PHI)
Discussing patient infor-
mation in the elevator
, CBCS STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS
where other patients are
present
10. Which of the following refers to the act of Security
controlling access to records, protecting
patient health informa- tion from destruction
or loss, and providing employee training?
11. A billing and coding specialist is preparing to CPT anesthesia guidelines
code an anesthesiologist's portion of a
procedure. The special- ist must be able to
identify the correct start/stop times to code the
claim correctly. Which of the following
regulates this activity?
12. A billing and coding specialist notices that a provider
is Fraud reporting the same code for all new
patient visits to get higher reimbursements. The
specialist should identify
this as which of the following?
13. A billing and coding specialist should pain
identify that a Medicare Recovery Audit medication
Contractor (RAC) can review medical records refill
for which of the following reasons? following
hip
14. A billing and coding specialist should identify that replaceme
the Office of Inspector General (OIG) has which of t surgery.
the fol- lowing roles?
15. Which of the following describes the practice
of rou- tinely submitting claims that have the
same coding or modifier erros?
16. A patient who has Medicare coverage requests a
ANSWERS
1. Which of the following is a claim that is
Clean claim
possible to adjudicate and includes all
required data elements?
Upcoding for increased
2. A billing and coding specialist is processing
claims.
Which of the following should the specialist identify as reimburseme
an example of fraud?
3. A billing and coding specialist should identify Aging report
that which of the following documents assists
providers in determining whether there are
any claims outstand- ing?
4. During which of the following steps of the Registration and
revenue cycle does effective schedul- ing
communication begin?
Explain patient financial
5. A billing and coding specialist is speaking with
a pa-
tient on the telephone about their plan benefits. Which responsibili
of the following actions should the specialist
take when communicating with the patient?
6. Which of the following is an effective tool for collecting
Communication
a patient's payment for health care services?
7. Which of the following terms describes a patient's right Privacy
to have their protected health information
safeguard- ed and not disclosed to others
without their permis- sion?
8. Which of the following requires a patient's 9. Which of the
authoriza- tion prior to disclosure? following
, CBCS STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS
actions by a billing and coding specialist Protected health informa
represents a breach of confidentiality? tion (PHI)
Discussing patient infor-
mation in the elevator
, CBCS STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS
where other patients are
present
10. Which of the following refers to the act of Security
controlling access to records, protecting
patient health informa- tion from destruction
or loss, and providing employee training?
11. A billing and coding specialist is preparing to CPT anesthesia guidelines
code an anesthesiologist's portion of a
procedure. The special- ist must be able to
identify the correct start/stop times to code the
claim correctly. Which of the following
regulates this activity?
12. A billing and coding specialist notices that a provider
is Fraud reporting the same code for all new
patient visits to get higher reimbursements. The
specialist should identify
this as which of the following?
13. A billing and coding specialist should pain
identify that a Medicare Recovery Audit medication
Contractor (RAC) can review medical records refill
for which of the following reasons? following
hip
14. A billing and coding specialist should identify that replaceme
the Office of Inspector General (OIG) has which of t surgery.
the fol- lowing roles?
15. Which of the following describes the practice
of rou- tinely submitting claims that have the
same coding or modifier erros?
16. A patient who has Medicare coverage requests a
