CBCS Practice Exam 3
Medicare enforces mandatory submission of electronic A provider's office with fewer than 10 full-time employees
claims for most providers. Which of the following
providers is allowed to submit paper claims to
Medicare?
Which of the following is the correct term for an Bad debt
amount that has been determined to be uncollectable?
Which of the following statements is correct regarding The deductible is the patient's responsibility.
a deductible?
Which of the following statements is true regarding the Patient access to psychotherapy notes may be restricted.
release of patient records?
Why does correct claim processing rely on accurately They streamline patient billing by summarizing the services rendered for a
complete encounter forms? given date of service.
When posting payment accurately, which of the Patient's responsibility
following items should the billing and coding specialist
include?
A dependent child whose parents both have insurance The parent whose birthdate comes first in the calendar year
coverage comes to the clinic. The billing and coding
specialist uses the birthday rule to determine which
insurance policy is primary. Which of the following
describes the birthday rule?
Which of the following actions should the billing and Collect copayment from the patient at the time of service.
coding specialist take to effectively manage accounts
receivable?
If a patient has osteomyelitis, he has problems with Bones and bone marrow
which of the following areas?
Which of the following is used by providers to remove Clearinghouse
errors from claims before they are submitted to third-
party payers?
, CBCS Practice Exam 3
A provider receives a reimbursement from a third-party Explanation of benefits
payer accompanied by which of the following
documents?
Which of the following is the appropriate diagnosis for Edema
a patient who has an abnormal accumulation of fluid in
her lower leg that has resulted in swelling?
Which of the following block of the CMS-1500 claim Block 21
form is used to bill ICD codes?
Patient charges that have not been paid will appear in Accounts receivable
which of the following?
A provider performs an examination of a patient's sore Problem-focused examination
throat during an office visit. Which of the following
describes the level of the examination?
When billing a secondary insurance company, which 9a
block should you fill out on the CMS-1500 claim form?
Which of the following forms must the patient or An authorization
representative sign to allow the release of protected
health information?
What is the maximum number of ICD codes that can be 12
entered on a CMS-1500 claim form as of February 2012?
After a third-party payer validates a claim, which of the Claim adjudication
following takes place next?
When a patient has a condition that is both acute and Code both acute and chronic, sequencing the acute first.
chronic, how should it be reported?
Which of the following acts applies to the HIPAA
Administrative Simplification guidelines?
After reading a provider's notes about a new patient, a Fraud
coding specialist decides to code for a longer length of
time than the actual office visit. Which of the following
describes the specialist's action?
A biller will electronically submit a claim to the carrier Direct data entry
via which of the following?
Medicare enforces mandatory submission of electronic A provider's office with fewer than 10 full-time employees
claims for most providers. Which of the following
providers is allowed to submit paper claims to
Medicare?
Which of the following is the correct term for an Bad debt
amount that has been determined to be uncollectable?
Which of the following statements is correct regarding The deductible is the patient's responsibility.
a deductible?
Which of the following statements is true regarding the Patient access to psychotherapy notes may be restricted.
release of patient records?
Why does correct claim processing rely on accurately They streamline patient billing by summarizing the services rendered for a
complete encounter forms? given date of service.
When posting payment accurately, which of the Patient's responsibility
following items should the billing and coding specialist
include?
A dependent child whose parents both have insurance The parent whose birthdate comes first in the calendar year
coverage comes to the clinic. The billing and coding
specialist uses the birthday rule to determine which
insurance policy is primary. Which of the following
describes the birthday rule?
Which of the following actions should the billing and Collect copayment from the patient at the time of service.
coding specialist take to effectively manage accounts
receivable?
If a patient has osteomyelitis, he has problems with Bones and bone marrow
which of the following areas?
Which of the following is used by providers to remove Clearinghouse
errors from claims before they are submitted to third-
party payers?
, CBCS Practice Exam 3
A provider receives a reimbursement from a third-party Explanation of benefits
payer accompanied by which of the following
documents?
Which of the following is the appropriate diagnosis for Edema
a patient who has an abnormal accumulation of fluid in
her lower leg that has resulted in swelling?
Which of the following block of the CMS-1500 claim Block 21
form is used to bill ICD codes?
Patient charges that have not been paid will appear in Accounts receivable
which of the following?
A provider performs an examination of a patient's sore Problem-focused examination
throat during an office visit. Which of the following
describes the level of the examination?
When billing a secondary insurance company, which 9a
block should you fill out on the CMS-1500 claim form?
Which of the following forms must the patient or An authorization
representative sign to allow the release of protected
health information?
What is the maximum number of ICD codes that can be 12
entered on a CMS-1500 claim form as of February 2012?
After a third-party payer validates a claim, which of the Claim adjudication
following takes place next?
When a patient has a condition that is both acute and Code both acute and chronic, sequencing the acute first.
chronic, how should it be reported?
Which of the following acts applies to the HIPAA
Administrative Simplification guidelines?
After reading a provider's notes about a new patient, a Fraud
coding specialist decides to code for a longer length of
time than the actual office visit. Which of the following
describes the specialist's action?
A biller will electronically submit a claim to the carrier Direct data entry
via which of the following?
