CBCS 3RD QUESTIONS WITH COMPLETE
SOLUTIONS
$30 kk- kkAnswer kkA kkprovider kkaccepts kkassignment kkfor kka kkpatient kkwho kkhas kka
kk$10 kkcopayment kkand kkhas kkalready kkmet kk$100 kkof kktheir kkdeductible. kkThe kkoffice
kkcharge kkis kk$100, kkand kkthe kkallowed kkamount kkis kk$70. kkHow kkmuch kkshould kkthe
kkproviders kkoffice kkadjust kkoff kkthe kkpatients kkaccount?
The kknumber kkis kkneeded kkto kkidentify kkthe kkprovider kk- kkAnswer kkClaims kkthat kkare
kksubmitted kkwithout kkan kkNPI kknumber kkwill kkdelay kkpayment kkto kkthe kkprovider kkdue
kkto kkwhich kkof kkthe kkfollowing?
Professional kkcomponent kk- kkAnswer kkWhich kkof kkthe kkfollowing kkdescribes kka kkCPT
kkmodifier kkthat kkis kkused kkto kkindicate kka kkprovider kksupervised kkand kkinterpreted kka
kkradiology kkprocedure?
Bad kkdebts kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis kkpreparing kka kklist kkof
kkdelinquent kkaccounts kkover kk300 kkdays kkold kkthat kkhave kkreceived kktelephone
kkcalls, kkletters, kkand kkhave kkbeen kkreferred kkto kka kkcollection kkagency kkwith kkno
kkresults. kkWhich kkof kkthe kkfollowing kkis kkthe kkterm kkthat kkdescribes kkaccounts
kkreceivable kkthat kkare kkdeemed kkto kkbe kk"uncollectable"?
The kkelectronic kktransmission kkand kkcode kkset kkstandards kkrequire kkevery kkprovider
kkto kkuse kkthe kkhealth kkcare kktransactions, kkcode kksets, kkand kkidentifiers kk- kkAnswer
kkWhich kkof kkthe kkfollowing kkis kka kkHIPAA kkcompliance kkguideline kkaffecting
kkelectronic kkhealth kkrecords?
CPT kkcodes kk- kkAnswer kkWhich kkof kkthe kkfollowing kkare kkused kkto kkcode kkprovider
kkand kkoutpatient kkservices?
Coinsurance kk- kkAnswer kkWhich kkof kkthe kkfollowing kkterms kkdescribes kkthe kkamount
kkthe kkpatient kkmust kkpay kkfor kka kkservice kkwhen kkthey kkhave kkan kkinsurance kkplan
kkbenefit kkthat kkpays kk70% kkof kkthe kkallowed kkamount kkand kkthe kkpatient kkis
kkresponsible kkfor kk30% kkof kkthe kkallowed kkamount?
As kkan kkannual kkpercentage kkrate kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis
kkpreparing kkto kkcreate kkpatient kkstatements kkand kkhas kkbeen kkasked kkto kkcollect
kkfinance kkcharges kkon kkany kklate kkpayments. kkAccording kkto kkthe kkTruth kkin
, kkLending kkAct kk(TILA), kkwhich kkof kkthe kkfollowing kkis kkthe kkway kkthe kkfinance
kkcharges kkmust kkbe kkdisclosed kkon kkthe kkstatement?
6 kk- kkAnswer kkHow kkmany kkbehavior kkclassifications kkare kkincluded kkin kkthe kkTable
kkof kkNeoplasms kkin kkthe kkICD-10-CM?
E11.319, kkZ79.4 kk- kkAnswer kkA kkpatient kkwho kkis kkinsulin-dependent kkis kkdiagnosed
kkwith kkdiabetic kkretinopathy. kkAccording kkto kkICD-10-CM kkcoding kkguidelines, kkin
kkwhich kkof kkthe kkfollowing kkorders kkshould kkthe kkcodes kkbe kkreported kkon kkthe
kkclaim kkform?
CMS kk- kkAnswer kkWhich kkof kkthe kkfollowing kkintroduced kkdocumentation kkguidelines
kkto kkMedicare kkcarriers kkto kkensure kkthat kkservices kkpaid kkfor kkhave kkbeen kkprovided
kkand kkwere kkmedically kknecessary?
Medicaid kk- kkAnswer kkA kkpatient kkhas kkhealth kkcoverage kkthrough kkmultiple kkthird-
party kkpayers. kkA kkbilling kkand kkcoding kkspecialist kkshould kkidentify kkthat kkwhich kkof
kkthe kkfollowing kkis kkthe kkpayer kkof kklast kkresort?
Review kkthe kkscrubber kkreport kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis
kksubmitting kka kkbatch kkof kkclaims kkto kkthe kkclearinghouse kkand kkreceives kka kkreport
kkstating kkthat kkthree kkclaims kkwere kkrejected. kkWhich kkof kkthe kkfollowing kkactions
kkshould kkthe kkspecialist kktake?
Allograft kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis kkreviewing kkan kkoperative
kkreport kkfor kka kkpatient kkwho kkhad kka kkgraft. kkThe kkspecialist kkshould kkconsult kkthe
kkCPT kkcoding kkguidelines kkto kkdetermine kkthat kkwhich kkof kkthe kkfollowing kkis kka
kktissue kktransplanted kkfrom kkone kkindividual kkto kkanother kkof kkthe kksame kkspecies
kkbut kkdifferent kkgenotype?
Within kk1 kkyear kkfrom kkthe kkdate kkof kkservice kk- kkAnswer kkWhich kkof kkthe kkfollowing
kkis kkthe kkfiling kklimit kkfor kkclaim kksubmission kkfor kkan kkoutpatient kkservice kkwith
kkTRICARE?
Medicare kkPart kkA kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkin kkan kkinternal
kkmedicine kkpractice kkis kkassisting kka kkpatient kkwho kkis kkalready kkcollecting kksocial
kksecurity kkbut kkwill kkbe kkturning kk65 kkin kkthe kknext kkyear kkand kkhas kkquestions
kkabout kkwhat kkMedicare kkwill kkcover. kkThe kkspecialist kkshould kkknow kkthat kkwhich
kkof kkthe kkfollowing kkis kkthe kkMedicare kkbenefit kkthe kkpatient kkwill kkbe kkenrolled kkin
kkautomatically?
Scrubbing kkclaims, kktranslating kkthem kkto kka kkstandard kkformat, kkthen kksending
kkthem kkto kkvarious kkthird-party kkpayers kk- kkAnswer kkA kkbilling kkand kkcoding
kkspecialist kkis kksubmitting kkclaims kkthrough kka kkclearinghouse. kkThe kkspecialist
kkshould kkidentify kkthat kkwhich kkof kkthe kkfollowing kkactions kkis kkperformed kkby kkthe
kkclearinghouse?
SOLUTIONS
$30 kk- kkAnswer kkA kkprovider kkaccepts kkassignment kkfor kka kkpatient kkwho kkhas kka
kk$10 kkcopayment kkand kkhas kkalready kkmet kk$100 kkof kktheir kkdeductible. kkThe kkoffice
kkcharge kkis kk$100, kkand kkthe kkallowed kkamount kkis kk$70. kkHow kkmuch kkshould kkthe
kkproviders kkoffice kkadjust kkoff kkthe kkpatients kkaccount?
The kknumber kkis kkneeded kkto kkidentify kkthe kkprovider kk- kkAnswer kkClaims kkthat kkare
kksubmitted kkwithout kkan kkNPI kknumber kkwill kkdelay kkpayment kkto kkthe kkprovider kkdue
kkto kkwhich kkof kkthe kkfollowing?
Professional kkcomponent kk- kkAnswer kkWhich kkof kkthe kkfollowing kkdescribes kka kkCPT
kkmodifier kkthat kkis kkused kkto kkindicate kka kkprovider kksupervised kkand kkinterpreted kka
kkradiology kkprocedure?
Bad kkdebts kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis kkpreparing kka kklist kkof
kkdelinquent kkaccounts kkover kk300 kkdays kkold kkthat kkhave kkreceived kktelephone
kkcalls, kkletters, kkand kkhave kkbeen kkreferred kkto kka kkcollection kkagency kkwith kkno
kkresults. kkWhich kkof kkthe kkfollowing kkis kkthe kkterm kkthat kkdescribes kkaccounts
kkreceivable kkthat kkare kkdeemed kkto kkbe kk"uncollectable"?
The kkelectronic kktransmission kkand kkcode kkset kkstandards kkrequire kkevery kkprovider
kkto kkuse kkthe kkhealth kkcare kktransactions, kkcode kksets, kkand kkidentifiers kk- kkAnswer
kkWhich kkof kkthe kkfollowing kkis kka kkHIPAA kkcompliance kkguideline kkaffecting
kkelectronic kkhealth kkrecords?
CPT kkcodes kk- kkAnswer kkWhich kkof kkthe kkfollowing kkare kkused kkto kkcode kkprovider
kkand kkoutpatient kkservices?
Coinsurance kk- kkAnswer kkWhich kkof kkthe kkfollowing kkterms kkdescribes kkthe kkamount
kkthe kkpatient kkmust kkpay kkfor kka kkservice kkwhen kkthey kkhave kkan kkinsurance kkplan
kkbenefit kkthat kkpays kk70% kkof kkthe kkallowed kkamount kkand kkthe kkpatient kkis
kkresponsible kkfor kk30% kkof kkthe kkallowed kkamount?
As kkan kkannual kkpercentage kkrate kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis
kkpreparing kkto kkcreate kkpatient kkstatements kkand kkhas kkbeen kkasked kkto kkcollect
kkfinance kkcharges kkon kkany kklate kkpayments. kkAccording kkto kkthe kkTruth kkin
, kkLending kkAct kk(TILA), kkwhich kkof kkthe kkfollowing kkis kkthe kkway kkthe kkfinance
kkcharges kkmust kkbe kkdisclosed kkon kkthe kkstatement?
6 kk- kkAnswer kkHow kkmany kkbehavior kkclassifications kkare kkincluded kkin kkthe kkTable
kkof kkNeoplasms kkin kkthe kkICD-10-CM?
E11.319, kkZ79.4 kk- kkAnswer kkA kkpatient kkwho kkis kkinsulin-dependent kkis kkdiagnosed
kkwith kkdiabetic kkretinopathy. kkAccording kkto kkICD-10-CM kkcoding kkguidelines, kkin
kkwhich kkof kkthe kkfollowing kkorders kkshould kkthe kkcodes kkbe kkreported kkon kkthe
kkclaim kkform?
CMS kk- kkAnswer kkWhich kkof kkthe kkfollowing kkintroduced kkdocumentation kkguidelines
kkto kkMedicare kkcarriers kkto kkensure kkthat kkservices kkpaid kkfor kkhave kkbeen kkprovided
kkand kkwere kkmedically kknecessary?
Medicaid kk- kkAnswer kkA kkpatient kkhas kkhealth kkcoverage kkthrough kkmultiple kkthird-
party kkpayers. kkA kkbilling kkand kkcoding kkspecialist kkshould kkidentify kkthat kkwhich kkof
kkthe kkfollowing kkis kkthe kkpayer kkof kklast kkresort?
Review kkthe kkscrubber kkreport kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis
kksubmitting kka kkbatch kkof kkclaims kkto kkthe kkclearinghouse kkand kkreceives kka kkreport
kkstating kkthat kkthree kkclaims kkwere kkrejected. kkWhich kkof kkthe kkfollowing kkactions
kkshould kkthe kkspecialist kktake?
Allograft kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkis kkreviewing kkan kkoperative
kkreport kkfor kka kkpatient kkwho kkhad kka kkgraft. kkThe kkspecialist kkshould kkconsult kkthe
kkCPT kkcoding kkguidelines kkto kkdetermine kkthat kkwhich kkof kkthe kkfollowing kkis kka
kktissue kktransplanted kkfrom kkone kkindividual kkto kkanother kkof kkthe kksame kkspecies
kkbut kkdifferent kkgenotype?
Within kk1 kkyear kkfrom kkthe kkdate kkof kkservice kk- kkAnswer kkWhich kkof kkthe kkfollowing
kkis kkthe kkfiling kklimit kkfor kkclaim kksubmission kkfor kkan kkoutpatient kkservice kkwith
kkTRICARE?
Medicare kkPart kkA kk- kkAnswer kkA kkbilling kkand kkcoding kkspecialist kkin kkan kkinternal
kkmedicine kkpractice kkis kkassisting kka kkpatient kkwho kkis kkalready kkcollecting kksocial
kksecurity kkbut kkwill kkbe kkturning kk65 kkin kkthe kknext kkyear kkand kkhas kkquestions
kkabout kkwhat kkMedicare kkwill kkcover. kkThe kkspecialist kkshould kkknow kkthat kkwhich
kkof kkthe kkfollowing kkis kkthe kkMedicare kkbenefit kkthe kkpatient kkwill kkbe kkenrolled kkin
kkautomatically?
Scrubbing kkclaims, kktranslating kkthem kkto kka kkstandard kkformat, kkthen kksending
kkthem kkto kkvarious kkthird-party kkpayers kk- kkAnswer kkA kkbilling kkand kkcoding
kkspecialist kkis kksubmitting kkclaims kkthrough kka kkclearinghouse. kkThe kkspecialist
kkshould kkidentify kkthat kkwhich kkof kkthe kkfollowing kkactions kkis kkperformed kkby kkthe
kkclearinghouse?
