(CBCS)Certified Billing and
Coding Specialist Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
A patient's health plan is referred to as the payer of last resort. The patient is
covered by which of the following health plans?
Medicaid
CHAMPA
Medicare
TRICARE - Answer✔✔-Medicaid
A provider charged $500 to a claim that had an allowable amount of $400. In
which of the following columns should the CBCS apply the non allowed charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credits - Answer✔✔-Adjustment column of the
credits
,Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility - Answer✔✔-The deductible is
the patient's responsibility
Which of the following color formats allows optical scanning of the CMS-1500
claim form?
-Red
-Blue
-Green
-black - Answer✔✔-red
Ambulatory surgery centers, home health and hospice organizations use the
______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form - Answer✔✔-UB-04
Claims that are submitted without an NPI number will delay payment to the
provider because ______.
-The number is the patient' id number
-The number is needed to identify the provider
,-Is is used as a claim number
-It is used as a pre authorization number - Answer✔✔-The number is needed
to identify the provider
Which of the following terms describes when a plan pays 70% of the allowed
amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment - Answer✔✔-coinsurance
Which of the following indicates a claim should be submitted on paper instead
of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional. - Answer✔✔-the claim
requires an attachment
On a remittance advice form, which of the following is responsible for writing
off the difference between the amount billed and the amount allowed by the
agreement?
-Provider
-Insurance company
-Patient
-Third party payer - Answer✔✔-provider
, A physician is contracted with an insurance company to accept the amount.
The insurance company allows $80 of a $120 billed amount, and $50 of the
deductible has not been met. How much should the physician write off the
patient's account?
-$40
-$15
-$0
-$50 - Answer✔✔-$40
The unlisted codes can be found in which of the following locations in the CPT
manual?
-Appendix L
-Guidelines prior to each section
-End of each body system
-Table of contents - Answer✔✔-Guidelines prior to each section
Which of the following blocks should the billing and coding specialist complete
the CMS 1500 claims form for procedure, services or supplies?
-Block 12
-Block 2
-Block 24D
-Block 24J - Answer✔✔-Block 24D
-Block 12 (patient's authorization block
-Block 2 ( patient's name)
-Block 24J ( for the rendering provider)
Coding Specialist Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
A patient's health plan is referred to as the payer of last resort. The patient is
covered by which of the following health plans?
Medicaid
CHAMPA
Medicare
TRICARE - Answer✔✔-Medicaid
A provider charged $500 to a claim that had an allowable amount of $400. In
which of the following columns should the CBCS apply the non allowed charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credits - Answer✔✔-Adjustment column of the
credits
,Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility - Answer✔✔-The deductible is
the patient's responsibility
Which of the following color formats allows optical scanning of the CMS-1500
claim form?
-Red
-Blue
-Green
-black - Answer✔✔-red
Ambulatory surgery centers, home health and hospice organizations use the
______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form - Answer✔✔-UB-04
Claims that are submitted without an NPI number will delay payment to the
provider because ______.
-The number is the patient' id number
-The number is needed to identify the provider
,-Is is used as a claim number
-It is used as a pre authorization number - Answer✔✔-The number is needed
to identify the provider
Which of the following terms describes when a plan pays 70% of the allowed
amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment - Answer✔✔-coinsurance
Which of the following indicates a claim should be submitted on paper instead
of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional. - Answer✔✔-the claim
requires an attachment
On a remittance advice form, which of the following is responsible for writing
off the difference between the amount billed and the amount allowed by the
agreement?
-Provider
-Insurance company
-Patient
-Third party payer - Answer✔✔-provider
, A physician is contracted with an insurance company to accept the amount.
The insurance company allows $80 of a $120 billed amount, and $50 of the
deductible has not been met. How much should the physician write off the
patient's account?
-$40
-$15
-$0
-$50 - Answer✔✔-$40
The unlisted codes can be found in which of the following locations in the CPT
manual?
-Appendix L
-Guidelines prior to each section
-End of each body system
-Table of contents - Answer✔✔-Guidelines prior to each section
Which of the following blocks should the billing and coding specialist complete
the CMS 1500 claims form for procedure, services or supplies?
-Block 12
-Block 2
-Block 24D
-Block 24J - Answer✔✔-Block 24D
-Block 12 (patient's authorization block
-Block 2 ( patient's name)
-Block 24J ( for the rendering provider)
