CBCS ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ $120.
Answer: A patient has met a Medicare deductible of $150. The patient's
coinsurance is 20%, and the allowed amount is $600. Which of the
following is the patient's out of pocket expense?
◍ Explanation of benefits.
Answer: A provider receives reimbursement from a third-party payer
accompanied by which of the following documents?
◍ Problem-focused examination.
Answer: A provider performs an examination of a patient's sore throat
during an office visit. Which of the following describes the level of
examination?
◍ The parent whose birthday comes first in the calendar year.
Answer: A dependent child whose parents both have insurance coverage
comes to the clinic. The billing and coding specialist uses the birthday rule
to determine which insurance policy is primary. Which of the following
describes the birthday rule?
◍ The provider receives payment directly from the payer..
Answer: A billing and coding specialist is reviewing a CMS-1500 claim
form. The "assignment of benefits box" has been checked "yes." The
checked box indicates which of the following?
◍ Claims are expedited.
Answer: Which of the following is the advantage of electronic claim
submission?
◍ Accounts receivable.
, Answer: Patient charges that have not been paid will appear in which of the
following?
◍ Advanced Beneficiary Notice.
Answer: A physician ordered a comprehensive metabolic panel for a 70-year
old patient who has Medicare as her primary insurance. Which of the
following forms is required so the patient knows she may be responsible for
payment?
◍ Review of systems.
Answer: When a physician documents a patient's response to symptoms and
various body systems, the results are documented as which of the following?
◍ The deductible is the patient's responsibility.
Answer: Which of the following statements is correct regarding a
deductible?
◍ The entity to whom the information is to be released.
Answer: Which of the following should the billing and coding specialist
include in an authorization to release information?
◍ They streamline patient billing by summarizing the services rendered for a
given date of service..
Answer: Why does correct claim processing rely on accurately completed
claim forms?
◍ Duplication of services.
Answer: Two providers from the same practice visit a patient in the
emergency department using the same CPT code. The claim may be denied
due to which of the following reasons?
◍ NCCI.
Answer: Which of the following was developed to reduce Medicare program
expenditures by detecting inappropriate codes and eliminating improper
coding practices?
◍ Referring physician's National Provider Identifier (NPI) number.
QUESTIONS WITH ANSWERS GRADED A+
◍ $120.
Answer: A patient has met a Medicare deductible of $150. The patient's
coinsurance is 20%, and the allowed amount is $600. Which of the
following is the patient's out of pocket expense?
◍ Explanation of benefits.
Answer: A provider receives reimbursement from a third-party payer
accompanied by which of the following documents?
◍ Problem-focused examination.
Answer: A provider performs an examination of a patient's sore throat
during an office visit. Which of the following describes the level of
examination?
◍ The parent whose birthday comes first in the calendar year.
Answer: A dependent child whose parents both have insurance coverage
comes to the clinic. The billing and coding specialist uses the birthday rule
to determine which insurance policy is primary. Which of the following
describes the birthday rule?
◍ The provider receives payment directly from the payer..
Answer: A billing and coding specialist is reviewing a CMS-1500 claim
form. The "assignment of benefits box" has been checked "yes." The
checked box indicates which of the following?
◍ Claims are expedited.
Answer: Which of the following is the advantage of electronic claim
submission?
◍ Accounts receivable.
, Answer: Patient charges that have not been paid will appear in which of the
following?
◍ Advanced Beneficiary Notice.
Answer: A physician ordered a comprehensive metabolic panel for a 70-year
old patient who has Medicare as her primary insurance. Which of the
following forms is required so the patient knows she may be responsible for
payment?
◍ Review of systems.
Answer: When a physician documents a patient's response to symptoms and
various body systems, the results are documented as which of the following?
◍ The deductible is the patient's responsibility.
Answer: Which of the following statements is correct regarding a
deductible?
◍ The entity to whom the information is to be released.
Answer: Which of the following should the billing and coding specialist
include in an authorization to release information?
◍ They streamline patient billing by summarizing the services rendered for a
given date of service..
Answer: Why does correct claim processing rely on accurately completed
claim forms?
◍ Duplication of services.
Answer: Two providers from the same practice visit a patient in the
emergency department using the same CPT code. The claim may be denied
due to which of the following reasons?
◍ NCCI.
Answer: Which of the following was developed to reduce Medicare program
expenditures by detecting inappropriate codes and eliminating improper
coding practices?
◍ Referring physician's National Provider Identifier (NPI) number.
