CERTIFIED BILLING AND CODING
SPECIALIST EXAM PREP QUESTIONS
AND ANSWERS
The insured may not necessarily be the patient seen for the medical service. - Correct
Answers -True
Personal insurance is usually less expensive than other health insurance. - Correct
Answers -False
Time limits stated in individual health insurance policies about an insurance company's
obligation to pay benefits are the same for all insurance companies. - Correct Answers -
False
There is standardization of format for the explanation of benefit document for all private
insurance carriers. - Correct Answers -False
What organization publishes diagnostic and procedure coding competencies for
outpatient services and diagnostic coding and reporting requirements for physician
billing? - Correct Answers -American Health Information Management Association
(AHIMA)
Medical etiquette refers to: - Correct Answers -Consideration of others
CPT codes are assigned to which of these? - Correct Answers -Coding procedures and
services
Exceptions to the right of privacy rule include: - Correct Answers -Gunshot wound cases
A common format for medical record documentation is called: - Correct Answers -SOAP
Most physician/patient contracts are: - Correct Answers -Implied
An inventory of body systems for which the patient complains of signs and symptoms is
called? - Correct Answers -ROS
When coding a front torso burn, which percentage of body would be indicated? - Correct
Answers -18%
, To which of the following would be assigned CPT code? - Correct Answers -
Tonsillectomy
Urine moves through the kidneys to the bladder through the: - Correct Answers -Ureters
Which box of the CMS-1500 Form would be completed with codes for procedures,
services or supplies? - Correct Answers -Box 24d
Which of these is considered PHI? - Correct Answers -Photographic images, even in
profile
This means "Let the Master Answer"? - Correct Answers -Respondeat Superior
Patient sees the physician for a regular office visit which is charged at $90. The
allowable amount for the patient's insurance company covers the office visit in full, with
a $10 copay, and the patient has not met the $125 deductible. How much does the
patient owe? - Correct Answers -$90
Using SOAP notes, what would be found in the Assessment portion of the record? -
Correct Answers -Diagnosis
If a Medicare patient wants a procedure that is a non-covered benefit, what form do they
need to sign that indicates they are aware it is not covered? - Correct Answers -
Advanced Beneficiary Notice
Who is responsible for entering proper medical documentation to support
reimbursement of procedures and services? - Correct Answers -Clinician
The primary function of the spleen is: - Correct Answers -Production and removal of
blood cells as part of the immune system
The pre-established percentage of expenses paid by the patient, or another insurance
carrier, after the primary insurance has made payment, and the deductible is met:
Select one: - Correct Answers -Coinsurance
What happens with information that is abstracted from the medical record? - Correct
Answers -Coded and forwarded to the insurance
The significant reason for which a patient is admitted to the hospital is coded using the:
- Correct Answers -Principal Diagnosis
Which of these is a common abbreviation for the test that assesses the electrical activity
of the heart? - Correct Answers -ECG
Confidential information about patients should never be discussed with: - Correct
Answers -Family
SPECIALIST EXAM PREP QUESTIONS
AND ANSWERS
The insured may not necessarily be the patient seen for the medical service. - Correct
Answers -True
Personal insurance is usually less expensive than other health insurance. - Correct
Answers -False
Time limits stated in individual health insurance policies about an insurance company's
obligation to pay benefits are the same for all insurance companies. - Correct Answers -
False
There is standardization of format for the explanation of benefit document for all private
insurance carriers. - Correct Answers -False
What organization publishes diagnostic and procedure coding competencies for
outpatient services and diagnostic coding and reporting requirements for physician
billing? - Correct Answers -American Health Information Management Association
(AHIMA)
Medical etiquette refers to: - Correct Answers -Consideration of others
CPT codes are assigned to which of these? - Correct Answers -Coding procedures and
services
Exceptions to the right of privacy rule include: - Correct Answers -Gunshot wound cases
A common format for medical record documentation is called: - Correct Answers -SOAP
Most physician/patient contracts are: - Correct Answers -Implied
An inventory of body systems for which the patient complains of signs and symptoms is
called? - Correct Answers -ROS
When coding a front torso burn, which percentage of body would be indicated? - Correct
Answers -18%
, To which of the following would be assigned CPT code? - Correct Answers -
Tonsillectomy
Urine moves through the kidneys to the bladder through the: - Correct Answers -Ureters
Which box of the CMS-1500 Form would be completed with codes for procedures,
services or supplies? - Correct Answers -Box 24d
Which of these is considered PHI? - Correct Answers -Photographic images, even in
profile
This means "Let the Master Answer"? - Correct Answers -Respondeat Superior
Patient sees the physician for a regular office visit which is charged at $90. The
allowable amount for the patient's insurance company covers the office visit in full, with
a $10 copay, and the patient has not met the $125 deductible. How much does the
patient owe? - Correct Answers -$90
Using SOAP notes, what would be found in the Assessment portion of the record? -
Correct Answers -Diagnosis
If a Medicare patient wants a procedure that is a non-covered benefit, what form do they
need to sign that indicates they are aware it is not covered? - Correct Answers -
Advanced Beneficiary Notice
Who is responsible for entering proper medical documentation to support
reimbursement of procedures and services? - Correct Answers -Clinician
The primary function of the spleen is: - Correct Answers -Production and removal of
blood cells as part of the immune system
The pre-established percentage of expenses paid by the patient, or another insurance
carrier, after the primary insurance has made payment, and the deductible is met:
Select one: - Correct Answers -Coinsurance
What happens with information that is abstracted from the medical record? - Correct
Answers -Coded and forwarded to the insurance
The significant reason for which a patient is admitted to the hospital is coded using the:
- Correct Answers -Principal Diagnosis
Which of these is a common abbreviation for the test that assesses the electrical activity
of the heart? - Correct Answers -ECG
Confidential information about patients should never be discussed with: - Correct
Answers -Family
