CBCS Exam Review 2023 Questions and Answers Complete Solution

CBCS Exam Review 2023 Questions and Answers Complete Solution. What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as of February 2012? - ANSWER-12 Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - ANSWER-Adjudication Which of the following qualifies as an exception to the HIPAA Privacy rule? - ANSWERPsychotherapy notes When reviewing an established patient's insurance card, the billing and coding specialist notices a minor change from the existing card on file. Which of the following actions should the billing and coding specialist take? - ANSWER-Photocopy both sides of the new card Which of the following is an example of a remark code from an explanation of benefits document? - ANSWER-Contractual allowance Which of the following forms should the billing and coding specialist transmit to the insurance carrier for reimbursement of inpatient hospital services? - ANSWER-UB-04 When the remittance advice is sent from the third-party payer to the provider, which of the following actions should the billing and coding specialist perform first? - ANSWEREnsure proper payment has been made Which of the following is true regarding Medicaid eligibility? - ANSWER-Patient eligibility is determined monthly Which of the following describes a key component of an evaluation and management service? - ANSWER-History Which of the following is considered fraud? - ANSWER-The billing and coding specialist unbundles a code to receive higher reimbursement Which of the following is an example of Medicare abuse? - ANSWER-Charging excessive fees Which of the following privacy measures ensures protected health information (PHI)? - ANSWER-Using data encryption software on office workstations Which of the following organizations fights waste, fraud, and abuse in Medicare and Medicaid? - ANSWER-Office of Inspector General (OIG) Which of the following forms does a third-party payer require for physician services? - ANSWER-CMS-1500 Which of the following reports is used to arrange the accounts receivable from the date of service? - ANSWER-Aging report A patient has laboratory work done in the emergency department after an inhalation of toxic fumes from a faulty exhaust fan at her place of employment. Which of the following is responsible for the charges? - ANSWER-Workers' compensation If both parents have full coverage for a dependent child, which of the following is considered to be the primary insurance? - ANSWER-The parent whose birthdate comes first in the calendar year is the primary insurance holder Which of the following describes the organization of an aging report? - ANSWER-By date Which of the following actions by the billing and coding specialist prevents fraud? - ANSWER-Performing periodic audits Which of the following is a federal government health insurance program? - ANSWERTRICARE 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 designated with power of attorney. Which of the following is considered a HIPAA violation? - ANSWER-The billing and coding specialist sends the patient's records to the patient's partner Which of the following is the primary function of the heart? - ANSWER-Pumping blood in the circulatory system Which of the following is the deadline for Medicare claim submission? - ANSWER-12 months from the date of service Which of the following terms refers to the difference between the billed and allowed amounts? - ANSWER-Adjustment Which of the following would result in a claim being denied? - ANSWER-An italicized code used as the first listed diagnosis The billing and coding specialist should follow the guidelines in the CPT manual for which of the following reasons? - ANSWER-The guidelines define items that are necessary to accurately code A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? - ANSWER-Encounter form