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What does CBCS stand for?
A. Certified Benefits Coding Specialist
B. Certified Billing and Coding Specialist
C. Clinical Billing Claims Specialist
D. Coding Business Credential System
Rationale: CBCS is the National Healthcareer Association
credential for billing and coding professionals.
Which code set is used primarily for diagnosis reporting?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM is used for diagnoses and conditions.
Which code set is used for physician procedures/services?
A. ICD-10-CM
B. CPT
, C. UB-04
D. DRG
Rationale: CPT codes report procedures and professional
services.
Which code set includes supplies and durable medical
equipment?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II covers many supplies and equipment
items.
Which form is commonly used for provider claims?
A. UB-04
B. CMS-1500
C. I-9
D. W-2
Rationale: CMS-1500 is a common professional claim form.
Which form is commonly used for facility claims?
A. CMS-1500
B. UB-04
, C. 1099
D. W-4
Rationale: UB-04 is commonly used for institutional billing.
What does PHI stand for?
A. Personal Hospital Invoice
B. Protected Health Information
C. Public Health Index
D. Provider Health Insurance
Rationale: PHI refers to identifiable health information.
HIPAA mainly protects:
A. Parking permits
B. Privacy and security of patient information
C. Employee raises
D. Building codes
Rationale: HIPAA establishes standards for safeguarding
health information.
What is a deductible?
A. Copayment only
B. Amount patient pays before insurance cost-sharing
begins
C. Monthly premium
D. Provider fee
, Rationale: Deductibles are patient out-of-pocket thresholds.
What is a copayment?
A. Percentage owed
B. Fixed amount patient pays for covered service
C. Refund amount
D. Claim penalty
Rationale: Copays are flat amounts due under many plans.
What is coinsurance?
A. Free care
B. Percentage of allowed amount patient owes
C. Provider adjustment
D. Monthly premium
Rationale: Coinsurance is cost-sharing by percentage.
Which Medicare part commonly covers inpatient hospital care?
A. Part B
B. Part A
C. Part D
D. Part C only
Rationale: Medicare Part A commonly covers inpatient
services.