CERTIFIED BILLING AND CODING SPECIALIST EXAM
PREP QUESTIONS
The insured may not necessarily be the patient seen for the medical service. - Answers
:True
Personal insurance is usually less expensive than other health insurance. - Answers
:False
Time limits stated in individual health insurance policies about an insurance company's
obligation to pay benefits are the same for all insurance companies. - Answers :False
There is standardization of format for the explanation of benefit document for all private
insurance carriers. - Answers :False
What organization publishes diagnostic and procedure coding competencies for
outpatient services and diagnostic coding and reporting requirements for physician
billing? - Answers :American Health Information Management Association (AHIMA)
Medical etiquette refers to: - Answers :Consideration of others
CPT codes are assigned to which of these? - Answers :Coding procedures and services
Exceptions to the right of privacy rule include: - Answers :Gunshot wound cases
A common format for medical record documentation is called: - Answers :SOAP
Most physician/patient contracts are: - Answers :Implied
An inventory of body systems for which the patient complains of signs and symptoms is
called? - Answers :ROS
When coding a front torso burn, which percentage of body would be indicated? -
Answers :18%
To which of the following would be assigned CPT code? - Answers :Tonsillectomy
Urine moves through the kidneys to the bladder through the: - Answers :Ureters
Which box of the CMS-1500 Form would be completed with codes for procedures,
services or supplies? - Answers :Box 24d
Which of these is considered PHI? - Answers :Photographic images, even in profile
This means "Let the Master Answer"? - Answers :Respondeat Superior
, Patient sees the physician for a regular office visit which is charged at $90. The
allowable amount for the patient's insurance company covers the office visit in full, with
a $10 copay, and the patient has not met the $125 deductible. How much does the
patient owe? - Answers :$90
Using SOAP notes, what would be found in the Assessment portion of the record? -
Answers :Diagnosis
If a Medicare patient wants a procedure that is a non-covered benefit, what form do they
need to sign that indicates they are aware it is not covered? - Answers :Advanced
Beneficiary Notice
Who is responsible for entering proper medical documentation to support
reimbursement of procedures and services? - Answers :Clinician
The primary function of the spleen is: - Answers :Production and removal of blood cells
as part of the immune system
The pre-established percentage of expenses paid by the patient, or another insurance
carrier, after the primary insurance has made payment, and the deductible is met:
Select one: - Answers :Coinsurance
What happens with information that is abstracted from the medical record? - Answers
:Coded and forwarded to the insurance
The significant reason for which a patient is admitted to the hospital is coded using the:
- Answers :Principal Diagnosis
Which of these is a common abbreviation for the test that assesses the electrical activity
of the heart? - Answers :ECG
Confidential information about patients should never be discussed with: - Answers
:Family
Coworkers
Friends
Name the correct procedure for keeping an industrial patient's financial and health
records when the same physician is also seeing the patient as a private patient -
Answers :Separate financial and health records must be used
Patient presents with abdominal pain. In what part of documentation would the duration
and symptoms be indicated? - Answers :HPI
The statutes for workers' compensation laws fall under: - Answers :Federal and state
compensation laws
PREP QUESTIONS
The insured may not necessarily be the patient seen for the medical service. - Answers
:True
Personal insurance is usually less expensive than other health insurance. - Answers
:False
Time limits stated in individual health insurance policies about an insurance company's
obligation to pay benefits are the same for all insurance companies. - Answers :False
There is standardization of format for the explanation of benefit document for all private
insurance carriers. - Answers :False
What organization publishes diagnostic and procedure coding competencies for
outpatient services and diagnostic coding and reporting requirements for physician
billing? - Answers :American Health Information Management Association (AHIMA)
Medical etiquette refers to: - Answers :Consideration of others
CPT codes are assigned to which of these? - Answers :Coding procedures and services
Exceptions to the right of privacy rule include: - Answers :Gunshot wound cases
A common format for medical record documentation is called: - Answers :SOAP
Most physician/patient contracts are: - Answers :Implied
An inventory of body systems for which the patient complains of signs and symptoms is
called? - Answers :ROS
When coding a front torso burn, which percentage of body would be indicated? -
Answers :18%
To which of the following would be assigned CPT code? - Answers :Tonsillectomy
Urine moves through the kidneys to the bladder through the: - Answers :Ureters
Which box of the CMS-1500 Form would be completed with codes for procedures,
services or supplies? - Answers :Box 24d
Which of these is considered PHI? - Answers :Photographic images, even in profile
This means "Let the Master Answer"? - Answers :Respondeat Superior
, Patient sees the physician for a regular office visit which is charged at $90. The
allowable amount for the patient's insurance company covers the office visit in full, with
a $10 copay, and the patient has not met the $125 deductible. How much does the
patient owe? - Answers :$90
Using SOAP notes, what would be found in the Assessment portion of the record? -
Answers :Diagnosis
If a Medicare patient wants a procedure that is a non-covered benefit, what form do they
need to sign that indicates they are aware it is not covered? - Answers :Advanced
Beneficiary Notice
Who is responsible for entering proper medical documentation to support
reimbursement of procedures and services? - Answers :Clinician
The primary function of the spleen is: - Answers :Production and removal of blood cells
as part of the immune system
The pre-established percentage of expenses paid by the patient, or another insurance
carrier, after the primary insurance has made payment, and the deductible is met:
Select one: - Answers :Coinsurance
What happens with information that is abstracted from the medical record? - Answers
:Coded and forwarded to the insurance
The significant reason for which a patient is admitted to the hospital is coded using the:
- Answers :Principal Diagnosis
Which of these is a common abbreviation for the test that assesses the electrical activity
of the heart? - Answers :ECG
Confidential information about patients should never be discussed with: - Answers
:Family
Coworkers
Friends
Name the correct procedure for keeping an industrial patient's financial and health
records when the same physician is also seeing the patient as a private patient -
Answers :Separate financial and health records must be used
Patient presents with abdominal pain. In what part of documentation would the duration
and symptoms be indicated? - Answers :HPI
The statutes for workers' compensation laws fall under: - Answers :Federal and state
compensation laws
