CPB CERTIFICATION REVIEW PAPER 2026
AUTHENTIC QUESTIONS AND SOLVED
ANSWERS GRADED A+
● A patient presents to the ER but is admitted for care. What co-pay is
collected based on the insurance card for a participating facility?
Insured name: Beth Jones Eff Date: 1/1/2013 In-network Ded Out-of-
Network Ded
ID# 123456789 Office visit $15.00 N/A
Deductible $2500 ER $75.00 $75
Co-pay as listed Inpatient $100.00 N/A
Preventive N/A N/A
A.$15.00
B.$75.00
C.$100.00
D. Not Applicable. Answer: C.$100.00
Because the patient was admitted, the copay is $100.00.
,● The back of the health insurance card typically includes what
information?
A. Primary Care Provider
B. Co-pays
C. Phone or contact information for eligibility
D. Group number. Answer: C. Phone or contact information for
eligibility
Phone and contact information for eligibility are located on the back of
the card.
● Verification of insurance will allow the practice to know the amount
to collect from the patient at the time of visit. Which of the following
would NOT be true?
A.If the insurance is unable to be verified the patient is offered the
option for self-pay.
B.Verify that patient information is correct and has been correctly
conveyed to the insurance company.
C. The patient should contact the insurance company if they believe the
coverage is in effect.
D. If the coverage is not in effect the patient should NOT be seen until
the coverage can be verified.. Answer: D. If the coverage is not in effect
the patient should NOT be seen until the coverage can be verified.
, The biller should not make a decision of turning a patient away for lack
of insurance. The option of verifying information and making contact
with the insurance company should be tried first, and the option should
be provided to the patient to pay out-of-pocket.
● A patient wants her results called to her home and states the physician
is to talk to her husband. What form should be completed before this is
done?
A. Authorization to Disclose Health Information
B. Consent for Payment
C. Consent for Treatment
D. Patient Information Form. Answer: A. Authorization to Disclose
Health Information
Section 164.508 of the HIPAA privacy rule states that covered entities
may not use or disclose protected health information without a valid
authorization. The Authorization to Disclose Health Information lists the
names of the individuals to whom the PHI can be disclosed.
● What software system is used to store appointments, scheduling,
registration, and billing and receivables?
A. Electronic Health Record (EHR)
B. Health Information Management System
AUTHENTIC QUESTIONS AND SOLVED
ANSWERS GRADED A+
● A patient presents to the ER but is admitted for care. What co-pay is
collected based on the insurance card for a participating facility?
Insured name: Beth Jones Eff Date: 1/1/2013 In-network Ded Out-of-
Network Ded
ID# 123456789 Office visit $15.00 N/A
Deductible $2500 ER $75.00 $75
Co-pay as listed Inpatient $100.00 N/A
Preventive N/A N/A
A.$15.00
B.$75.00
C.$100.00
D. Not Applicable. Answer: C.$100.00
Because the patient was admitted, the copay is $100.00.
,● The back of the health insurance card typically includes what
information?
A. Primary Care Provider
B. Co-pays
C. Phone or contact information for eligibility
D. Group number. Answer: C. Phone or contact information for
eligibility
Phone and contact information for eligibility are located on the back of
the card.
● Verification of insurance will allow the practice to know the amount
to collect from the patient at the time of visit. Which of the following
would NOT be true?
A.If the insurance is unable to be verified the patient is offered the
option for self-pay.
B.Verify that patient information is correct and has been correctly
conveyed to the insurance company.
C. The patient should contact the insurance company if they believe the
coverage is in effect.
D. If the coverage is not in effect the patient should NOT be seen until
the coverage can be verified.. Answer: D. If the coverage is not in effect
the patient should NOT be seen until the coverage can be verified.
, The biller should not make a decision of turning a patient away for lack
of insurance. The option of verifying information and making contact
with the insurance company should be tried first, and the option should
be provided to the patient to pay out-of-pocket.
● A patient wants her results called to her home and states the physician
is to talk to her husband. What form should be completed before this is
done?
A. Authorization to Disclose Health Information
B. Consent for Payment
C. Consent for Treatment
D. Patient Information Form. Answer: A. Authorization to Disclose
Health Information
Section 164.508 of the HIPAA privacy rule states that covered entities
may not use or disclose protected health information without a valid
authorization. The Authorization to Disclose Health Information lists the
names of the individuals to whom the PHI can be disclosed.
● What software system is used to store appointments, scheduling,
registration, and billing and receivables?
A. Electronic Health Record (EHR)
B. Health Information Management System
