CERTIFIED BILLING AND CODING
SPECIALIST 2 LATEST UPDATE
2024/2025
, CERTIFIED BILLING AND CODING
SPECIALIST 2 LATEST UPDATE
2024/2025
Copayment - CORRECT ANSWERSWhich of the following is a specified amount of money that a patient
who has a preferred provider organization (PPO) plan is required to pay for each visit or medical service?
The reason Medicare may not pay - CORRECT ANSWERSWhich of the following information is required
to indicate on an Advance Beneficiary Notice (ABN) form?
Stark Law - CORRECT ANSWERSWhich of the following prohibits a provider from referring Medicare
patients to a clinical laboratory service in which the provider has a financial interest?
$570 - CORRECT ANSWERSA billing and coding specialist is determining patient financial responsibility
for a claim. The billed amount is $1,800, the allowed amount is $750, and the patient paid a $20
copayment. There is a $500 deductible that has not been met, and the plan pays 80/20. Which of the
following is the total patient financial responsibility?
Primary diagnosis - CORRECT ANSWERSWhen coding for outpatient and professional services and
procedures, a billing and coding specialist must sequence the diagnosis codes according to ICD-10-CM
guidelines. Which of the following describes the first listed diagnosis code on a claim?
Coinsurance - CORRECT ANSWERSWhich of the following terms describes the amount the patient must
pay for a service when they have an insurance plan benefit that pays 70% of the allowed amount and
the patient is responsible for 30% of the allowed amount?
Remove all information other than what pertains to the patient - CORRECT ANSWERSA billing and coding
specialist is contacted by a patient who requests a copy of the remittance advice for a recently
adjudicated claim. Which of the following actions should the specialist take?
-80 - CORRECT ANSWERSA billing and coding specialist is billing for services provided by an assistance
surgeon. Which of the following modifiers should the specialist use?
SPECIALIST 2 LATEST UPDATE
2024/2025
, CERTIFIED BILLING AND CODING
SPECIALIST 2 LATEST UPDATE
2024/2025
Copayment - CORRECT ANSWERSWhich of the following is a specified amount of money that a patient
who has a preferred provider organization (PPO) plan is required to pay for each visit or medical service?
The reason Medicare may not pay - CORRECT ANSWERSWhich of the following information is required
to indicate on an Advance Beneficiary Notice (ABN) form?
Stark Law - CORRECT ANSWERSWhich of the following prohibits a provider from referring Medicare
patients to a clinical laboratory service in which the provider has a financial interest?
$570 - CORRECT ANSWERSA billing and coding specialist is determining patient financial responsibility
for a claim. The billed amount is $1,800, the allowed amount is $750, and the patient paid a $20
copayment. There is a $500 deductible that has not been met, and the plan pays 80/20. Which of the
following is the total patient financial responsibility?
Primary diagnosis - CORRECT ANSWERSWhen coding for outpatient and professional services and
procedures, a billing and coding specialist must sequence the diagnosis codes according to ICD-10-CM
guidelines. Which of the following describes the first listed diagnosis code on a claim?
Coinsurance - CORRECT ANSWERSWhich of the following terms describes the amount the patient must
pay for a service when they have an insurance plan benefit that pays 70% of the allowed amount and
the patient is responsible for 30% of the allowed amount?
Remove all information other than what pertains to the patient - CORRECT ANSWERSA billing and coding
specialist is contacted by a patient who requests a copy of the remittance advice for a recently
adjudicated claim. Which of the following actions should the specialist take?
-80 - CORRECT ANSWERSA billing and coding specialist is billing for services provided by an assistance
surgeon. Which of the following modifiers should the specialist use?
