CBCS CORRECT TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔Which of the following information should the CBCS 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 - ✔✔National provider identification number
✔✔A prospective billing account audit prevents fraud by 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 - ✔✔A billing worksheet from the
patient account
✔✔When a patient has a condition that is both acute and 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 - ✔✔Code both acute and
chronic, sequencing the acute first
✔✔Which of the following types of health insurance plan best describes a government
sponsored benefit program?
-Unemployment compensation disability
-TRICARE prime
-Foundation for Medicare
-Worker's compensation - ✔✔TRICARE prime
-Unemployment compensation disability (state insurance covering non work related
illness and injury)
,✔✔Accepting assignment on the CMS-1500 claim form indicates which of the following?
-The patient agrees to accept payment and forward the payment to the physician
-The physician agrees to accept payment under the terms of the payer's program.
-The physician agrees to bill according the third payer's fee schedule
-The patient agrees to pay the difference between the billed amount and the allowed
amount - ✔✔The physician agrees to accept payment under the terms of the payer's
program.
✔✔Which of the following parts of the body system regulates immunity?
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
-Lymphatic system - ✔✔Lymphatic system
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
✔✔Which of the following sections of the medical record is used to determine the
correct evaluation and management code to use for billing and coding?
-Codes used during prior patient visits
-Patient's insurance plan
-Plan of care
-History and physical - ✔✔History and physical
✔✔A patient has met a Medicare deductible of $150. The patient's coinsurance is 20%,
and the allowed amount is $600. Which of the following is the patient's out of pocket
expense?
-$450
-$300
-$120
-$150 - ✔✔$120
✔✔Which of the following is allowed when billing procedure codes?
-Unbundling codes to ensure that all medical services were received and billed for
-Billing using two digit CPT modifiers to indicate a procedure as performed differs from
its usual five digit code
-Billing for a surgical package with itemized codes
-Referring to the ICD book for the accurate description of the procedural code. -
✔✔Billing using two digit CPT modifiers to indicate a procedure as performed differs
from its usual five digit code
✔✔Which of the following describes the content of a medical practice aging report?
-An overview of the practice's net worth
-An overview of the practice deposits.
,-An overview of the practice's debts
-An overview of the practice's outstanding claims - ✔✔An overview of the practice's
outstanding claims
✔✔Which of the following is the correct term for an amount that has been determined to
be uncollectible?
-Discounted fee
-Bad debt
-Financial hardship
-Professional courtesy - ✔✔bad debt
✔✔Which of the following is the function of the respiratory system?
-Deoxygenating blood cells
-Oxygenating blood cells
-Generating red blood cells
-Generating white blood cells - ✔✔Oxygenating blood cells
✔✔A CBCS needs to know how much Medicare paid on a claim before billing the
secondary insurance. To which of the following should the specialist refer?
-Assignment of benefits
-Medicare summary notice (how much the provider was billed and how much the patient
has to pay)
-Remittance advice
-Coordination of benefits - ✔✔remittance advice
✔✔The standard medical abbreviation "ECG" refers to a test used to assess which of
the following body systems?
-Endocrine system
-Cardiovascular system
-Male reproductive system
-Respiratory system - ✔✔Cardiovascular system
✔✔Which of the following blocks on the CMS-1500 claim form is used to bill ICD
codes?
-24D
-22
-17a
-21 - ✔✔21
-24D (CPT or HCPCS codes)
-22 (resubmitting to Medicare)
-17a not required
✔✔Which of the following is the initial step in perceiving a worker's compensation
claim?
-First report of injury
, -Notice of contest (carrier's denial of the employers' liability for an incomplete claim)
-Disability claim
-Progress notes - ✔✔First report of injury
✔✔A participating blue cross/blue shield provider receives an explanation of benefits for
a patient account. The charged amount was $100. Blue shield allowed $80 and applied
$40 to the patient's annual deduction. Blue shield paid the balance at 80%. How much
should the patient expect to pay?
-$80
-$56
-$40
-$48 - ✔✔$48
✔✔A biller will electronically submit a claim to the carrier via which of the following?
-Electronic remittance advice (response from insurance)
-Direct data entry
-Electronic fund transfer
-Charge data entry - ✔✔Direct data entry
✔✔What is the maximum number of ICD codes that can be entered on a CMS-1500
claim form as of February 2012?
4
6
10
12 - ✔✔12
✔✔Medicare enforces mandatory submission of electronic claims for most providers.
Which of the following providers' is allowed to submit paper claims to Medicare?
-A provider's office with fewer than 10 full time employees
-A provider's office with fewer than 25 full time employees
-A Medicare advantage contractor (MAC)
-A provider who submits a secondary insurance claim - ✔✔A provider's office with fewer
than 10 full time employees
✔✔Test results indicated that abnormalities were found in the brain's brain electrical
activity patterns are normal. Which of the following tests was used to conduct the
exam?
-EEG
-ECT
-EMG
-EGD - ✔✔EEG
-ECT (electroconvulsive therapy - to treat major depression that does not respond to
standard treatment)
-EMG (electromyography = test and recording the electrical activity produced skeletal
muscles)
QUESTIONS SET A+
✔✔Which of the following information should the CBCS 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 - ✔✔National provider identification number
✔✔A prospective billing account audit prevents fraud by 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 - ✔✔A billing worksheet from the
patient account
✔✔When a patient has a condition that is both acute and 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 - ✔✔Code both acute and
chronic, sequencing the acute first
✔✔Which of the following types of health insurance plan best describes a government
sponsored benefit program?
-Unemployment compensation disability
-TRICARE prime
-Foundation for Medicare
-Worker's compensation - ✔✔TRICARE prime
-Unemployment compensation disability (state insurance covering non work related
illness and injury)
,✔✔Accepting assignment on the CMS-1500 claim form indicates which of the following?
-The patient agrees to accept payment and forward the payment to the physician
-The physician agrees to accept payment under the terms of the payer's program.
-The physician agrees to bill according the third payer's fee schedule
-The patient agrees to pay the difference between the billed amount and the allowed
amount - ✔✔The physician agrees to accept payment under the terms of the payer's
program.
✔✔Which of the following parts of the body system regulates immunity?
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
-Lymphatic system - ✔✔Lymphatic system
-Endocrine system (regulates growth, metabolic)
-Respiratory system (removes carbon dioxide)
-Urinary system (filters blood to remove waste of cellular metabolism)
✔✔Which of the following sections of the medical record is used to determine the
correct evaluation and management code to use for billing and coding?
-Codes used during prior patient visits
-Patient's insurance plan
-Plan of care
-History and physical - ✔✔History and physical
✔✔A patient has met a Medicare deductible of $150. The patient's coinsurance is 20%,
and the allowed amount is $600. Which of the following is the patient's out of pocket
expense?
-$450
-$300
-$120
-$150 - ✔✔$120
✔✔Which of the following is allowed when billing procedure codes?
-Unbundling codes to ensure that all medical services were received and billed for
-Billing using two digit CPT modifiers to indicate a procedure as performed differs from
its usual five digit code
-Billing for a surgical package with itemized codes
-Referring to the ICD book for the accurate description of the procedural code. -
✔✔Billing using two digit CPT modifiers to indicate a procedure as performed differs
from its usual five digit code
✔✔Which of the following describes the content of a medical practice aging report?
-An overview of the practice's net worth
-An overview of the practice deposits.
,-An overview of the practice's debts
-An overview of the practice's outstanding claims - ✔✔An overview of the practice's
outstanding claims
✔✔Which of the following is the correct term for an amount that has been determined to
be uncollectible?
-Discounted fee
-Bad debt
-Financial hardship
-Professional courtesy - ✔✔bad debt
✔✔Which of the following is the function of the respiratory system?
-Deoxygenating blood cells
-Oxygenating blood cells
-Generating red blood cells
-Generating white blood cells - ✔✔Oxygenating blood cells
✔✔A CBCS needs to know how much Medicare paid on a claim before billing the
secondary insurance. To which of the following should the specialist refer?
-Assignment of benefits
-Medicare summary notice (how much the provider was billed and how much the patient
has to pay)
-Remittance advice
-Coordination of benefits - ✔✔remittance advice
✔✔The standard medical abbreviation "ECG" refers to a test used to assess which of
the following body systems?
-Endocrine system
-Cardiovascular system
-Male reproductive system
-Respiratory system - ✔✔Cardiovascular system
✔✔Which of the following blocks on the CMS-1500 claim form is used to bill ICD
codes?
-24D
-22
-17a
-21 - ✔✔21
-24D (CPT or HCPCS codes)
-22 (resubmitting to Medicare)
-17a not required
✔✔Which of the following is the initial step in perceiving a worker's compensation
claim?
-First report of injury
, -Notice of contest (carrier's denial of the employers' liability for an incomplete claim)
-Disability claim
-Progress notes - ✔✔First report of injury
✔✔A participating blue cross/blue shield provider receives an explanation of benefits for
a patient account. The charged amount was $100. Blue shield allowed $80 and applied
$40 to the patient's annual deduction. Blue shield paid the balance at 80%. How much
should the patient expect to pay?
-$80
-$56
-$40
-$48 - ✔✔$48
✔✔A biller will electronically submit a claim to the carrier via which of the following?
-Electronic remittance advice (response from insurance)
-Direct data entry
-Electronic fund transfer
-Charge data entry - ✔✔Direct data entry
✔✔What is the maximum number of ICD codes that can be entered on a CMS-1500
claim form as of February 2012?
4
6
10
12 - ✔✔12
✔✔Medicare enforces mandatory submission of electronic claims for most providers.
Which of the following providers' is allowed to submit paper claims to Medicare?
-A provider's office with fewer than 10 full time employees
-A provider's office with fewer than 25 full time employees
-A Medicare advantage contractor (MAC)
-A provider who submits a secondary insurance claim - ✔✔A provider's office with fewer
than 10 full time employees
✔✔Test results indicated that abnormalities were found in the brain's brain electrical
activity patterns are normal. Which of the following tests was used to conduct the
exam?
-EEG
-ECT
-EMG
-EGD - ✔✔EEG
-ECT (electroconvulsive therapy - to treat major depression that does not respond to
standard treatment)
-EMG (electromyography = test and recording the electrical activity produced skeletal
muscles)
