CBCS FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ which of the following parts of Medicare is managed by private third party
payers that have been approved by Medicare?.
Answer: Medicare Part C
◍ a billing and coding specialist is preparing a claim for a patient who had a
procedure performed on their left index finger. which of the following
modifiers indicates the correct digit?.
Answer: -F1
◍ A new patient presents for an urgent care encounter. Which of the following
code sets should be used to report the encounter?.
Answer: Office or other outpatient services
◍ Which of the following information is correct code symbols in CPT
manual?.
Answer: A product pending FDA approval is indicated by a lightening bolt
symbol.
◍ Which of the following symbols indicates an add on code in the CPT
manual?.
Answer: plus sign
◍ Which of the following qualifies a patient for eligibility under medicare as
the primary 3rd party payer?.
Answer: Under 65 with a disability.
◍ A specialist is processing a claim for a patient who broke their arm while
repairing cars at a workplace. There is no nerve damage. the arm is placed in
a cast for 6 weeks, and the patient is cleared to return to work in 6 weeks.
Which type of workers' compensation applies to this patient?.
, Answer: Temporary Disability
◍ a patient presents to a PCP for a closed right index finger fracture. the
provider is a non participating provider for a private payer and does not
accept assignment of benefits. the providers charge for the service is $135.
the third party payer's usual customary reasonable UCR amount is $120
with a 20% coinsurance fee. which of the following is the patient's financial
responsibility?.
Answer: $39
◍ Which of the following actions should a billing and coding specialist take to
assign a diagnosis code to the highest level of specificity?.
Answer: apply characters four through seven to a claim
◍ Which of the following terms describes the removal of the eye, adnexa, and
bony structure?.
Answer: Exenteration
◍ A child is brought into a facility by the mother. The child is covered by both
parents insurance's. The child's father was born 10/1/1980. The mother was
born 10/2/1981. Which of the following statements is true regarding the
primary policy holder for the child?.
Answer: The father is the primary policy holder because his Birthday falls
first in the calendar year.
◍ a specialist is arranging a payment plan with a patient who wants to leave
postdated checks with the office. the patient proposes leaving one check
postdated for 3 months, one for 4 months, and another one for 5 months in
the future. according to federal collection law, which of the following
actions should the specialist take?.
Answer: notify the patient between 3 and 10 days prior to depositing each
check on the indicated date
◍ which of the following is an advantage of electronic claim submission?.
Answer: claims are expedited
◍ a provider's office receives a subpoena requesting medical documentation
CORRECT ANSWERS GRADED A+
◍ which of the following parts of Medicare is managed by private third party
payers that have been approved by Medicare?.
Answer: Medicare Part C
◍ a billing and coding specialist is preparing a claim for a patient who had a
procedure performed on their left index finger. which of the following
modifiers indicates the correct digit?.
Answer: -F1
◍ A new patient presents for an urgent care encounter. Which of the following
code sets should be used to report the encounter?.
Answer: Office or other outpatient services
◍ Which of the following information is correct code symbols in CPT
manual?.
Answer: A product pending FDA approval is indicated by a lightening bolt
symbol.
◍ Which of the following symbols indicates an add on code in the CPT
manual?.
Answer: plus sign
◍ Which of the following qualifies a patient for eligibility under medicare as
the primary 3rd party payer?.
Answer: Under 65 with a disability.
◍ A specialist is processing a claim for a patient who broke their arm while
repairing cars at a workplace. There is no nerve damage. the arm is placed in
a cast for 6 weeks, and the patient is cleared to return to work in 6 weeks.
Which type of workers' compensation applies to this patient?.
, Answer: Temporary Disability
◍ a patient presents to a PCP for a closed right index finger fracture. the
provider is a non participating provider for a private payer and does not
accept assignment of benefits. the providers charge for the service is $135.
the third party payer's usual customary reasonable UCR amount is $120
with a 20% coinsurance fee. which of the following is the patient's financial
responsibility?.
Answer: $39
◍ Which of the following actions should a billing and coding specialist take to
assign a diagnosis code to the highest level of specificity?.
Answer: apply characters four through seven to a claim
◍ Which of the following terms describes the removal of the eye, adnexa, and
bony structure?.
Answer: Exenteration
◍ A child is brought into a facility by the mother. The child is covered by both
parents insurance's. The child's father was born 10/1/1980. The mother was
born 10/2/1981. Which of the following statements is true regarding the
primary policy holder for the child?.
Answer: The father is the primary policy holder because his Birthday falls
first in the calendar year.
◍ a specialist is arranging a payment plan with a patient who wants to leave
postdated checks with the office. the patient proposes leaving one check
postdated for 3 months, one for 4 months, and another one for 5 months in
the future. according to federal collection law, which of the following
actions should the specialist take?.
Answer: notify the patient between 3 and 10 days prior to depositing each
check on the indicated date
◍ which of the following is an advantage of electronic claim submission?.
Answer: claims are expedited
◍ a provider's office receives a subpoena requesting medical documentation
