CBCS-B Grade A Q&A
A billing worksheet from the patient's account - (correct answer)A prospective billing
account audit prevents fraud by reviewing and comparing a completed claim form with
which of the following documents?
History and physical - (correct answer)Which of the following sections of the medical
record is used to determine the correct Evaluation and Management code used for
billing and coding?
The provider receives payment directly from the payer. - (correct answer)A billing and
coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits box"
has
been checked "yes." The checked box indicates which of the following?
Clearinghouse - (correct answer)Which of the following do physicians use to
electronically submit claims
The entity to whom the information is to be released - (correct answer)Which of the
following should the billing and coding specialist include in an authorization to release
information?
An overview of the practice's outstanding claims - (correct answer)Which of the
following describes the content of a medical practice aging report?
Health care clearing houses - (correct answer)HIPAA transaction standards apply to
which of the following entities
Review of systems - (correct answer)When a physician documents a patient's response
to symptoms and various body systems, the results are
documented as which of the following?
, Part D - (correct answer)Which part of Medicare covers prescriptions?
The claim requires an attachment - (correct answer)Which of the following indicates a
claim should be submitted on paper instead of electronically
A provider's office with fewer than 10 full-time employees - (correct answer)Medicare
enforces mandatory submission of electronic claims for most providers. Which of the
following providers is allowed to submit paper claims to Medicare?
Bad Debt - (correct answer)Which of the following is the correct term for an amount that
has been determined to be uncollectable?
The deductible is the patient's responsibility - (correct answer)Which of the following
statements is correct regarding a deductible?
Patient access to psychotherapy notes may be restricted. - (correct answer)Which of
the following statements is true regarding the release of patient records?
They streamline patient billing by summarizing the services rendered for a given date of
service. - (correct answer)Why does correct claim processing rely on accurately
completed claim forms?
Patient's responsibility - (correct answer)When posting payment accurately, which of the
following items should the billing and coding specialist include?
The parent whose birthday comes first in the calendar year - (correct answer)A
dependent child whose parents both have insurance coverage comes to the clinic. The
billing and coding specialist uses the birthday rule to determine which insurance policy
is primary. Which of the following describes the birthday rule?
A billing worksheet from the patient's account - (correct answer)A prospective billing
account audit prevents fraud by reviewing and comparing a completed claim form with
which of the following documents?
History and physical - (correct answer)Which of the following sections of the medical
record is used to determine the correct Evaluation and Management code used for
billing and coding?
The provider receives payment directly from the payer. - (correct answer)A billing and
coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits box"
has
been checked "yes." The checked box indicates which of the following?
Clearinghouse - (correct answer)Which of the following do physicians use to
electronically submit claims
The entity to whom the information is to be released - (correct answer)Which of the
following should the billing and coding specialist include in an authorization to release
information?
An overview of the practice's outstanding claims - (correct answer)Which of the
following describes the content of a medical practice aging report?
Health care clearing houses - (correct answer)HIPAA transaction standards apply to
which of the following entities
Review of systems - (correct answer)When a physician documents a patient's response
to symptoms and various body systems, the results are
documented as which of the following?
, Part D - (correct answer)Which part of Medicare covers prescriptions?
The claim requires an attachment - (correct answer)Which of the following indicates a
claim should be submitted on paper instead of electronically
A provider's office with fewer than 10 full-time employees - (correct answer)Medicare
enforces mandatory submission of electronic claims for most providers. Which of the
following providers is allowed to submit paper claims to Medicare?
Bad Debt - (correct answer)Which of the following is the correct term for an amount that
has been determined to be uncollectable?
The deductible is the patient's responsibility - (correct answer)Which of the following
statements is correct regarding a deductible?
Patient access to psychotherapy notes may be restricted. - (correct answer)Which of
the following statements is true regarding the release of patient records?
They streamline patient billing by summarizing the services rendered for a given date of
service. - (correct answer)Why does correct claim processing rely on accurately
completed claim forms?
Patient's responsibility - (correct answer)When posting payment accurately, which of the
following items should the billing and coding specialist include?
The parent whose birthday comes first in the calendar year - (correct answer)A
dependent child whose parents both have insurance coverage comes to the clinic. The
billing and coding specialist uses the birthday rule to determine which insurance policy
is primary. Which of the following describes the birthday rule?
