Medical Coding and Billing Certification (MCBC)
Question and Answer (2026) | Newest Update
Verified Answers with Detailed Rationales | A+
Verified
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits -✓✓Avoiding the duplication of benefits paid by the
primary and secondary insurance is achieved by:
Use the combination code -✓✓If a combination code is available, a coder should:
blue triangle -✓✓When a code is "revised" in the CPT manual, it will be indicated
by:
particular radiology service provided is not described by a specific CPT code -
✓✓A coder should use an "unlisted' radiology CPT code when:
Code blocks -✓✓Major topic headings in the Tabular List of ICD-10-CM are
known as:
Healthcare Common Procedure Coding System -✓✓Most state Medicaid programs
use what type of system to report professional services, procedures, supplies, and
equipment?
always a letter -✓✓The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required -✓✓Coding to the
highest level of specificity means:
, Without -✓✓According to the ICD-10-CM conventions, if the documentation is
unclear or does not state that the complication or comorbidity listed in the code
description is present with the condition, the default is:
E/M service codes -✓✓Reported in addition to the appropriate casting code when a
cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter -✓✓Care encounter after the initial care event
Diagnostic codes from encounter form -✓✓What information is needed to fill out a
CMS-1500 claim form?
Billing more than the proper fee for a service -✓✓Upcoding is:
It ensures the correct patient data information and procedure codes -✓✓Why is a
superbill/encounter form an important document in the office?
EHR should include eight core functions -✓✓1. Health information and data
elements
2. Results management
3. Order management
4. Decision support
5. Electronic communications and connectivity
6. Patient support
7. Administrative processes
8. Reporting and population management
Question and Answer (2026) | Newest Update
Verified Answers with Detailed Rationales | A+
Verified
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits -✓✓Avoiding the duplication of benefits paid by the
primary and secondary insurance is achieved by:
Use the combination code -✓✓If a combination code is available, a coder should:
blue triangle -✓✓When a code is "revised" in the CPT manual, it will be indicated
by:
particular radiology service provided is not described by a specific CPT code -
✓✓A coder should use an "unlisted' radiology CPT code when:
Code blocks -✓✓Major topic headings in the Tabular List of ICD-10-CM are
known as:
Healthcare Common Procedure Coding System -✓✓Most state Medicaid programs
use what type of system to report professional services, procedures, supplies, and
equipment?
always a letter -✓✓The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required -✓✓Coding to the
highest level of specificity means:
, Without -✓✓According to the ICD-10-CM conventions, if the documentation is
unclear or does not state that the complication or comorbidity listed in the code
description is present with the condition, the default is:
E/M service codes -✓✓Reported in addition to the appropriate casting code when a
cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter -✓✓Care encounter after the initial care event
Diagnostic codes from encounter form -✓✓What information is needed to fill out a
CMS-1500 claim form?
Billing more than the proper fee for a service -✓✓Upcoding is:
It ensures the correct patient data information and procedure codes -✓✓Why is a
superbill/encounter form an important document in the office?
EHR should include eight core functions -✓✓1. Health information and data
elements
2. Results management
3. Order management
4. Decision support
5. Electronic communications and connectivity
6. Patient support
7. Administrative processes
8. Reporting and population management
