CBCS Practice Test 1|| QUESTIONS AND ANSWERS;
ALL PASSED!!
A form that contains charges, DOS, CPT codes, ICD codes, fees, and copayment information
is called what? correct answers Encounter form
Which of the following privacy measures ensures protected health information (PHI)? correct
answers Using data encryption software on the workstation.
Which of the following provisions ensures that an insured's benefits from all insurance
companies do not exceed 100% of allowable medical expenses? correct answers
Coordination of benefits
Which of the following actions should be taken first when reviewing a delinquent claim?
correct answers Verify the age of the claim
Which of the following is the advantage of electronic claim submission? correct answers
Claims are expedited.
Which of the following components of an explanation of benefits expedites the process of a
phone appeal? correct answers Claim control number
The standard medical abbreviation "ECG" refers to a test used to assess which of the
following body systems? correct answers cardiovascular system
Which of the following actions by a billing/coding specialist would be considered fraud?
correct answers Billing for services not provided
The >< symbol is used to indicate new and revised text other than which of the following?
correct answers Procedure descriptors
On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the
following? correct answers The patient's condition and the provider's information
Which of the following includes procedures and best practices for correct coding? correct
answers Coding Compliance Plan
When completing a CMS-1500 paper claim form, which of the following is an acceptable
action for the billing/coding specialist to take? correct answers use Arial size 10 font
According to HIPAA standards, which of the following identifies the rendering provider on
the CMS-1500 claim form in block 24j? correct answers NPI
Which of the following blocks should the billing/coding specialist complete on the CMS-
1500 claim form for procedures, services, or supplies? correct answers 24D
Which of the following terms describes when a plan pays 70% of the allowed amount and the
patient pays 30%? correct answers Coinsurance
, A provider charged $500 to a claim that had an allowable amount of $400. In which of the
following columns should the billing/coding specialist apply the non-allowed charge? correct
answers Adjustment column of the credits
Which of the following is a HIPAA compliance guideline affecting electronic health records?
correct answers Electronic health records should be sent to the insurance company at 835p
format.
Patient: Jane Austin; Social Security No.: 555-22-1111; Medicare ID No.:555-33-2222A;
DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security No: 555-22-
1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the following is a reason
the claim was rejected? correct answers The DOB is entered incorrectly.
Why does correct claim processing rely on accurately completed encounter forms? correct
answers They streamline patient billing by summarizing the services rendered for a given
date of service.
A patient's health plan is referred to as the "payer of the last resort". The patient is covered by
which of the following health plans? correct answers Medicaid
Which of the following color formats allows optical scanning of the CMS-1500 claim form?
correct answers Red
In the anesthesia section of the CPT manual, which of the following are considered
qualifying circumstances? correct answers Add-on codes
Ambulatory surgery centers, home health care, and hospice organization use the correct
answers UB-04 claim form
Which of the following shows outstanding balances? correct answers Aging report
Which of the following is one of the purposes of an internal auditing program in a physician's
office? correct answers Verifying that the medical records and the billing record match.
The star symbol in the CPT code book is used to indicate which of the following correct
answers Telemedicine
Medigap coverage is offered to Medicare beneficiaries by which of the following? correct
answers Private third-party payers
A patient's portion of the bill should be discussed with the patient before a procedure is
performed for which of the following reasons? correct answers To ensure the patient
understands his portion of the bill.
The physician bills $500 to a patient. After submitting the claim to the insurance company,
the claim is sent back with no payment. The patient still owes $500 for the year. The amount
is called which of the following? correct answers Deductable
A patient who is an active member of the military recently returned from overseas and is in
need of specialty care. The patient does not have anyone designed with power of attorney.
ALL PASSED!!
A form that contains charges, DOS, CPT codes, ICD codes, fees, and copayment information
is called what? correct answers Encounter form
Which of the following privacy measures ensures protected health information (PHI)? correct
answers Using data encryption software on the workstation.
Which of the following provisions ensures that an insured's benefits from all insurance
companies do not exceed 100% of allowable medical expenses? correct answers
Coordination of benefits
Which of the following actions should be taken first when reviewing a delinquent claim?
correct answers Verify the age of the claim
Which of the following is the advantage of electronic claim submission? correct answers
Claims are expedited.
Which of the following components of an explanation of benefits expedites the process of a
phone appeal? correct answers Claim control number
The standard medical abbreviation "ECG" refers to a test used to assess which of the
following body systems? correct answers cardiovascular system
Which of the following actions by a billing/coding specialist would be considered fraud?
correct answers Billing for services not provided
The >< symbol is used to indicate new and revised text other than which of the following?
correct answers Procedure descriptors
On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the
following? correct answers The patient's condition and the provider's information
Which of the following includes procedures and best practices for correct coding? correct
answers Coding Compliance Plan
When completing a CMS-1500 paper claim form, which of the following is an acceptable
action for the billing/coding specialist to take? correct answers use Arial size 10 font
According to HIPAA standards, which of the following identifies the rendering provider on
the CMS-1500 claim form in block 24j? correct answers NPI
Which of the following blocks should the billing/coding specialist complete on the CMS-
1500 claim form for procedures, services, or supplies? correct answers 24D
Which of the following terms describes when a plan pays 70% of the allowed amount and the
patient pays 30%? correct answers Coinsurance
, A provider charged $500 to a claim that had an allowable amount of $400. In which of the
following columns should the billing/coding specialist apply the non-allowed charge? correct
answers Adjustment column of the credits
Which of the following is a HIPAA compliance guideline affecting electronic health records?
correct answers Electronic health records should be sent to the insurance company at 835p
format.
Patient: Jane Austin; Social Security No.: 555-22-1111; Medicare ID No.:555-33-2222A;
DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security No: 555-22-
1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the following is a reason
the claim was rejected? correct answers The DOB is entered incorrectly.
Why does correct claim processing rely on accurately completed encounter forms? correct
answers They streamline patient billing by summarizing the services rendered for a given
date of service.
A patient's health plan is referred to as the "payer of the last resort". The patient is covered by
which of the following health plans? correct answers Medicaid
Which of the following color formats allows optical scanning of the CMS-1500 claim form?
correct answers Red
In the anesthesia section of the CPT manual, which of the following are considered
qualifying circumstances? correct answers Add-on codes
Ambulatory surgery centers, home health care, and hospice organization use the correct
answers UB-04 claim form
Which of the following shows outstanding balances? correct answers Aging report
Which of the following is one of the purposes of an internal auditing program in a physician's
office? correct answers Verifying that the medical records and the billing record match.
The star symbol in the CPT code book is used to indicate which of the following correct
answers Telemedicine
Medigap coverage is offered to Medicare beneficiaries by which of the following? correct
answers Private third-party payers
A patient's portion of the bill should be discussed with the patient before a procedure is
performed for which of the following reasons? correct answers To ensure the patient
understands his portion of the bill.
The physician bills $500 to a patient. After submitting the claim to the insurance company,
the claim is sent back with no payment. The patient still owes $500 for the year. The amount
is called which of the following? correct answers Deductable
A patient who is an active member of the military recently returned from overseas and is in
need of specialty care. The patient does not have anyone designed with power of attorney.
