CBCS Practice Test
Which of the following statements is correct regarding The deductible is the patient's responsibility
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
Which of the following color formats allows optical red
scanning of the CMS-1500 claim form?
-Red
-Blue
-Green
-black
Ambulatory surgery centers, home health and hospice UB-04
organizations use the ______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form
Claims that are submitted without an NPI number will The number is needed to identify the provider
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
Which of the following terms describes when a plan coinsurance
pays 70% of the allowed amount and the patient pays
30%?
-Coinsurance
-Deductible
-Premium
-copayment
Which of the following indicates a claim should be the claim requires an attachment
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.
, CBCS Practice Test
On a remittance advice form, which of the following is provider
responsible for writing off the difference between the
amount billed and the amount allowed by the
agreement?
-Provider
-Insurance company
-Patient
-Third party payer
A physician is contracted with an insurance company to $40
accept the amount. The insurance company allows $80
of a $120 billed amount, and $50 of the deductible has
not been met. How much should the physician write off
the patient's account?
-$40
-$15
-$0
-$50
The unlisted codes can be found in which of the Guidelines prior to each section
following locations in the CPT manual?
-Appendix L
-Guidelines prior to each section
-End of each body system
-Table of contents
Which of the following blocks should the billing and Block 24D
coding specialist complete the CMS 1500 claims form -Block 12 (patient's authorization block
for procedure, services or supplies? -Block 2 ( patient's name)
-Block 12 -Block 24J ( for the rendering provider)
-Block 2
-Block 24D
-Block 24J
Which of the following blocks requires the patient's Block 12
authorization to release medical information to process - Block 13 patient authorization for benefits required for third party payer
a claim? - Block 27 accepting assignment of benefits
Block 12 - Block 31 (treating physician)
Block 13
Block 27
Block 31
Which of the following steps would be part of a Internal monitoring and auditing
physician's practice compliance program?
-HIPAA compliance audit
-Physician recruitment
-Internal monitoring and auditing
-Notice of privacy practice
, CBCS Practice Test
Behavior plays an important part of being a team player Communicating with the front desk staff during a team meeting about missing
in a medical practice. Which of the following is an information in patient files
appropriate action for the CBCS to take?
-Reprimanding another staff member during a team
meeting for displaying a bad attitude toward a patient
-Looking in the medical record of a friend who receives
services at the office
-Communicating with the front desk staff during a team
meeting about missing information in patient files
-Questioning the nurse about the provider
documentation in the medical record
Which of the following acts applies to the administrative HIPAA
simplification guideline?
-HIPAA
-Deficit reduction act of 2005
-The patient protection and affordable care act 2009
-National correct coding initiative of 1995
Which of the following is an example of a violation of Patient information was disclosed to the patient's parents without consent
an adult patient's confidentiality?
-While reviewing a claim, the CBCS reads the diagnosis
before realizing that the patient is a neighbor
-A CBCS queries the physician about a diagnosis in a
patient's medical record
-The physician uses his home phone to discuss patient
care with the nursing staff
-Patient information was disclosed to the patient's
parents without consent
Which of the following is the purpose of running an It indicates which claims are outstanding
aging report each month?
-If indicates the balances the patients owe the provider
-It indicates which patients have upcoming or missed
appointment
-It indicates which claims are outstanding
-It indicates what the insurance company has paid for
the provider's services to a patient.
Which of the following describes the status of a claim Denied
that does not include the required preauthorization for -Delinquent (overdue)
a service? -Adjudicated (claim still being processed)
-Delinquent (overdue)
-Denied
-Suspended
-Adjudicated (claim still being processed)
Which of the following actions should the CBCS take to Internal monitoring and auditing
prevent fraud and abuse in the medical office?
-Serviced procedure preauthorization
-Internal monitoring and auditing
-Utilization review
-Correct coding initiative
, CBCS Practice Test
In an outpatient setting, which of the following forms is Patient account record (patient ledger, all transactions between patient and the
used as a financial report of all services provided to practice)
patients? -Accounts receivable journal (Day sheet = chronological summary of all
-Encounter form transaction on a specific day)
-Patient account record
-CMS-1500 claim form
-Accounts receivable journal
Patient charges that have not been paid will appear in Accounts receivable
which of the following?
-Accounts receivable
-Accounts payable
-Tracer
-Rejected claim
Which of the following is considered the final Adjudication (process of putting a claim through a series of edits for final
determination of the issues involving settlement of an determination)
insurance claim? -Processing ( handling a claim from the first encounter to claim submission)
-Processing -Translation (claim is send from the host system to the clearing house)
-Translation -Transmission (how the claim was sent)
-Adjudication
-Transmission
Which of the following information should the CBCS National provider identification number
input into block 33a on the CMS-1500 claim form
-Provider social security number (no Social security
number on CMS1500)
-Federal tax id number (entered in block 25)
-Patient id number (on block 1a)
-National provider identification number
A prospective billing account audit prevents fraud by A billing worksheet from the patient account
reviewing and comparing a completed claim form with
which of the following documents?
-A billing worksheet from the patient account
-A superbill
-A day sheet
-Am accounts receivable report of the patient account
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?
-Code only the acute code
-Code both acute and chronic, sequencing the acute
first
-Code only the chronic code
-Code both acute and chronic, sequencing the chronic
first
Which of the following statements is correct regarding The deductible is the patient's responsibility
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
Which of the following color formats allows optical red
scanning of the CMS-1500 claim form?
-Red
-Blue
-Green
-black
Ambulatory surgery centers, home health and hospice UB-04
organizations use the ______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form
Claims that are submitted without an NPI number will The number is needed to identify the provider
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
Which of the following terms describes when a plan coinsurance
pays 70% of the allowed amount and the patient pays
30%?
-Coinsurance
-Deductible
-Premium
-copayment
Which of the following indicates a claim should be the claim requires an attachment
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.
, CBCS Practice Test
On a remittance advice form, which of the following is provider
responsible for writing off the difference between the
amount billed and the amount allowed by the
agreement?
-Provider
-Insurance company
-Patient
-Third party payer
A physician is contracted with an insurance company to $40
accept the amount. The insurance company allows $80
of a $120 billed amount, and $50 of the deductible has
not been met. How much should the physician write off
the patient's account?
-$40
-$15
-$0
-$50
The unlisted codes can be found in which of the Guidelines prior to each section
following locations in the CPT manual?
-Appendix L
-Guidelines prior to each section
-End of each body system
-Table of contents
Which of the following blocks should the billing and Block 24D
coding specialist complete the CMS 1500 claims form -Block 12 (patient's authorization block
for procedure, services or supplies? -Block 2 ( patient's name)
-Block 12 -Block 24J ( for the rendering provider)
-Block 2
-Block 24D
-Block 24J
Which of the following blocks requires the patient's Block 12
authorization to release medical information to process - Block 13 patient authorization for benefits required for third party payer
a claim? - Block 27 accepting assignment of benefits
Block 12 - Block 31 (treating physician)
Block 13
Block 27
Block 31
Which of the following steps would be part of a Internal monitoring and auditing
physician's practice compliance program?
-HIPAA compliance audit
-Physician recruitment
-Internal monitoring and auditing
-Notice of privacy practice
, CBCS Practice Test
Behavior plays an important part of being a team player Communicating with the front desk staff during a team meeting about missing
in a medical practice. Which of the following is an information in patient files
appropriate action for the CBCS to take?
-Reprimanding another staff member during a team
meeting for displaying a bad attitude toward a patient
-Looking in the medical record of a friend who receives
services at the office
-Communicating with the front desk staff during a team
meeting about missing information in patient files
-Questioning the nurse about the provider
documentation in the medical record
Which of the following acts applies to the administrative HIPAA
simplification guideline?
-HIPAA
-Deficit reduction act of 2005
-The patient protection and affordable care act 2009
-National correct coding initiative of 1995
Which of the following is an example of a violation of Patient information was disclosed to the patient's parents without consent
an adult patient's confidentiality?
-While reviewing a claim, the CBCS reads the diagnosis
before realizing that the patient is a neighbor
-A CBCS queries the physician about a diagnosis in a
patient's medical record
-The physician uses his home phone to discuss patient
care with the nursing staff
-Patient information was disclosed to the patient's
parents without consent
Which of the following is the purpose of running an It indicates which claims are outstanding
aging report each month?
-If indicates the balances the patients owe the provider
-It indicates which patients have upcoming or missed
appointment
-It indicates which claims are outstanding
-It indicates what the insurance company has paid for
the provider's services to a patient.
Which of the following describes the status of a claim Denied
that does not include the required preauthorization for -Delinquent (overdue)
a service? -Adjudicated (claim still being processed)
-Delinquent (overdue)
-Denied
-Suspended
-Adjudicated (claim still being processed)
Which of the following actions should the CBCS take to Internal monitoring and auditing
prevent fraud and abuse in the medical office?
-Serviced procedure preauthorization
-Internal monitoring and auditing
-Utilization review
-Correct coding initiative
, CBCS Practice Test
In an outpatient setting, which of the following forms is Patient account record (patient ledger, all transactions between patient and the
used as a financial report of all services provided to practice)
patients? -Accounts receivable journal (Day sheet = chronological summary of all
-Encounter form transaction on a specific day)
-Patient account record
-CMS-1500 claim form
-Accounts receivable journal
Patient charges that have not been paid will appear in Accounts receivable
which of the following?
-Accounts receivable
-Accounts payable
-Tracer
-Rejected claim
Which of the following is considered the final Adjudication (process of putting a claim through a series of edits for final
determination of the issues involving settlement of an determination)
insurance claim? -Processing ( handling a claim from the first encounter to claim submission)
-Processing -Translation (claim is send from the host system to the clearing house)
-Translation -Transmission (how the claim was sent)
-Adjudication
-Transmission
Which of the following information should the CBCS National provider identification number
input into block 33a on the CMS-1500 claim form
-Provider social security number (no Social security
number on CMS1500)
-Federal tax id number (entered in block 25)
-Patient id number (on block 1a)
-National provider identification number
A prospective billing account audit prevents fraud by A billing worksheet from the patient account
reviewing and comparing a completed claim form with
which of the following documents?
-A billing worksheet from the patient account
-A superbill
-A day sheet
-Am accounts receivable report of the patient account
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?
-Code only the acute code
-Code both acute and chronic, sequencing the acute
first
-Code only the chronic code
-Code both acute and chronic, sequencing the chronic
first
