CERTIFIED BILLING AND CODING SPECIALIST
CBCS OBT EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉allowed amount . Answer: The maximum amount an insurance
company will pay for the service, procedure, or supply.
◉auditing process . Answer: The act of viewing and comparing the
patient medical records and claims to assess for coding appropriateness
and completeness of the medical documentation.
◉coding compliance . Answer: The conformity and adherence to
established coding guidelines and regulations.
◉Current Procedural Terminology (CPT) . Answer: Descriptive
definitions used to explain procedures and services provided to the
patient.
◉denied claim . Answer: A claim returned from a third-party payer
because of technical errors or patient coverage errors.
, ◉Explanation of Benefits (EOB) . Answer: A document that explains
how the payer processed the claim for services rendered; it can also be
referred to as a remittance advice (RA).
◉Fee-for-Service (FFS) . Answer: The cost or the fee that is charged for
each individual service.
◉Health and Human Services (HHS) . Answer: The government
department that oversees the health of the community and provides
crucial services.
◉International Classification of Diseases, Tenth Revision, Clinical
Modification (ICD-10-CM) . Answer: A list of codes used to report and
classify diseases, conditions, and other reasons for health care
encounters.
◉noncompliance . Answer: The act of disregarding rules and guidelines
outlined by state and federal government agencies and third party
payers.
◉Office of Inspector General (OIG) . Answer: A government
department that investigates fraud and abuse.
◉Place of Service (POS) code . Answer: A two-digit code that identifies
where the services were performed.
CBCS OBT EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉allowed amount . Answer: The maximum amount an insurance
company will pay for the service, procedure, or supply.
◉auditing process . Answer: The act of viewing and comparing the
patient medical records and claims to assess for coding appropriateness
and completeness of the medical documentation.
◉coding compliance . Answer: The conformity and adherence to
established coding guidelines and regulations.
◉Current Procedural Terminology (CPT) . Answer: Descriptive
definitions used to explain procedures and services provided to the
patient.
◉denied claim . Answer: A claim returned from a third-party payer
because of technical errors or patient coverage errors.
, ◉Explanation of Benefits (EOB) . Answer: A document that explains
how the payer processed the claim for services rendered; it can also be
referred to as a remittance advice (RA).
◉Fee-for-Service (FFS) . Answer: The cost or the fee that is charged for
each individual service.
◉Health and Human Services (HHS) . Answer: The government
department that oversees the health of the community and provides
crucial services.
◉International Classification of Diseases, Tenth Revision, Clinical
Modification (ICD-10-CM) . Answer: A list of codes used to report and
classify diseases, conditions, and other reasons for health care
encounters.
◉noncompliance . Answer: The act of disregarding rules and guidelines
outlined by state and federal government agencies and third party
payers.
◉Office of Inspector General (OIG) . Answer: A government
department that investigates fraud and abuse.
◉Place of Service (POS) code . Answer: A two-digit code that identifies
where the services were performed.
