CBCS Practice Exam Predicted Questions 2022 300
Questions with 100% Correct Answers
Which of the following sections of the medical record is used to determine the correct evaluation
and management code used for billing and coding? Correct Answer: history and physical
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?
Correct Answer: The provider receives payment directly from the payer
Which of the following do physicians use to electronically submit a claim? Correct Answer:
Clearinghouse
Which of the following should the billing and coding specialist include in an authorization to
release information? Correct Answer: The entity to whom the information is to be released
Which of the following describes the content of a medical practice aging report? Correct
Answer: An overview of the practice's outstanding claims
HIPAA transaction standards apply to which of the following entities? Correct Answer: Health
care clearinghouses
When a physician documents a patient's response to symptoms and various body systems, the
results are documented as which of the following? Correct Answer: Review of systems
Which part of Medicare covers prescriptions? Correct Answer: Part D
Which of the following indicates a claim should be submitted on paper instead of electronically?
Correct Answer: The claim requires an attachment
Medicare enforces mandatory submission of electronic claims for most providers. Which of the
following providers is allowed to submit paper claims to Medicare? Correct Answer: A
provider's office with fewer than 10 full-time employees
Which of the following is the correct term for an amount that has been determined to be
uncollectible? Correct Answer: Bad debt
Which of the following statements are correct regarding a deductible? Correct Answer: The
deductible is the patient's responsibility
Which of the following statements is true regarding the release of patient records? Correct
Answer: Patient access to psychotherapy notes may be restricted
,Why does correct claim processing rely on accurately completed encounter forms? Correct
Answer: They streamline patient billing by summarizing the services rendered for a given date
of service
When posting payment accurately. Which of the following items should the billing and coding
specialist include? Correct Answer: Patient's responsibility
A dependent child whose parents both have insurance coverage come to the clinic. The billing
and coding specialist uses the birthday rule determine which insurance policy is primary. Which
of the following describes the birthday rule? Correct Answer: The patient whose birthday comes
first in the calendar year
Which of the following actions should the billing and coding specialist take to effectively
manage accounts receivable? Correct Answer: Collect copayment from the patient at the time of
service
If a patient has osteomyelitis, he has problems with which of the following areas? Correct
Answer: bones, bone marrow
Which of the following are used by providers to remove errors from claims before they are
submitted to third-party payers? Correct Answer: Clearinghouse
A provider receives a reimbursement from a third-party payer accompanied by which of the
following documents? Correct Answer: explanation of benefits
Which of the following is the appropriate diagnosis for a patient who has an abnormal
accumulation of fluid in her lower leg that has resulted in swelling? Correct Answer: Edema
Which of the following blocks on the CMS-1500 claim form is used to bill ICD codes? Correct
Answer: Block 21
Patient charges that have not been paid to appear in which of the following? Correct Answer:
Accounts receivable
A physician is contracted with an insurance company to accept the allowed 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 record? Correct Answer: $40
This is the difference between the amount billed and allowed amount. The physician should
write off $40.
A provider performs an examination of a patient sore throat during an office visit. Which of the
following describes the level of the examination? Correct Answer: Problem-focused
examination
When building a secondary insurance company, which block should be billing and coding
specialist fill out on the CMS-1500 claim form? Correct Answer: 9a
, Which of the following forms must be patient or representative sign to allow the release of
protected health information? Correct Answer: An Authorization
What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as of
February 2012? Correct Answer: 12
After a third-party payer validates a claim, which of the following takes place next? Correct
Answer: Claim adjudication
When a patient has a condition that is both acute and chronic, how should I be reported? Correct
Answer: Code both acute and chronic sequencing the acute first
Which of the following acts applies to the Administrative Simplification guidelines? Correct
Answer: Health Insurance Portability and Accountability Act (HIPAA)
After reading a providers notes about a new patient, a coding specialist decides to code for a
longer length of time than the actual office visit. Which of the following describes the specialist's
action? Correct Answer: Fraud
A biller will electronically submit a claim to the carrier via which of the following? Correct
Answer: Direct Data Entry
Which of the following is the purpose of running an aging report each month? Correct Answer:
It indicates which claims are outstanding
Which of the following is a type of claim that will be denied by the third-party payer? Correct
Answer: incomplete claim
Which of the following actions should the billing and coding specialist take to prevent fraud and
abuse in the medical office? Correct Answer: Internal monitoring and auditing
Which of the following is a verbal or written agreement that gives approval to release protected
health information (PHI)? Correct Answer: consent
Which of the following is a requirement of some Third-party payers before a procedure is
performed? Correct Answer: Preauthorization form
Which of the following is the function of the respiratory system? Correct Answer: Oxygenating
blood cells
The destruction of lesions using cryosurgery would use which of the following treatments?
Correct Answer: cold treatment
Z codes are used to identify which of the following? Correct Answer: immunizations
Questions with 100% Correct Answers
Which of the following sections of the medical record is used to determine the correct evaluation
and management code used for billing and coding? Correct Answer: history and physical
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?
Correct Answer: The provider receives payment directly from the payer
Which of the following do physicians use to electronically submit a claim? Correct Answer:
Clearinghouse
Which of the following should the billing and coding specialist include in an authorization to
release information? Correct Answer: The entity to whom the information is to be released
Which of the following describes the content of a medical practice aging report? Correct
Answer: An overview of the practice's outstanding claims
HIPAA transaction standards apply to which of the following entities? Correct Answer: Health
care clearinghouses
When a physician documents a patient's response to symptoms and various body systems, the
results are documented as which of the following? Correct Answer: Review of systems
Which part of Medicare covers prescriptions? Correct Answer: Part D
Which of the following indicates a claim should be submitted on paper instead of electronically?
Correct Answer: The claim requires an attachment
Medicare enforces mandatory submission of electronic claims for most providers. Which of the
following providers is allowed to submit paper claims to Medicare? Correct Answer: A
provider's office with fewer than 10 full-time employees
Which of the following is the correct term for an amount that has been determined to be
uncollectible? Correct Answer: Bad debt
Which of the following statements are correct regarding a deductible? Correct Answer: The
deductible is the patient's responsibility
Which of the following statements is true regarding the release of patient records? Correct
Answer: Patient access to psychotherapy notes may be restricted
,Why does correct claim processing rely on accurately completed encounter forms? Correct
Answer: They streamline patient billing by summarizing the services rendered for a given date
of service
When posting payment accurately. Which of the following items should the billing and coding
specialist include? Correct Answer: Patient's responsibility
A dependent child whose parents both have insurance coverage come to the clinic. The billing
and coding specialist uses the birthday rule determine which insurance policy is primary. Which
of the following describes the birthday rule? Correct Answer: The patient whose birthday comes
first in the calendar year
Which of the following actions should the billing and coding specialist take to effectively
manage accounts receivable? Correct Answer: Collect copayment from the patient at the time of
service
If a patient has osteomyelitis, he has problems with which of the following areas? Correct
Answer: bones, bone marrow
Which of the following are used by providers to remove errors from claims before they are
submitted to third-party payers? Correct Answer: Clearinghouse
A provider receives a reimbursement from a third-party payer accompanied by which of the
following documents? Correct Answer: explanation of benefits
Which of the following is the appropriate diagnosis for a patient who has an abnormal
accumulation of fluid in her lower leg that has resulted in swelling? Correct Answer: Edema
Which of the following blocks on the CMS-1500 claim form is used to bill ICD codes? Correct
Answer: Block 21
Patient charges that have not been paid to appear in which of the following? Correct Answer:
Accounts receivable
A physician is contracted with an insurance company to accept the allowed 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 record? Correct Answer: $40
This is the difference between the amount billed and allowed amount. The physician should
write off $40.
A provider performs an examination of a patient sore throat during an office visit. Which of the
following describes the level of the examination? Correct Answer: Problem-focused
examination
When building a secondary insurance company, which block should be billing and coding
specialist fill out on the CMS-1500 claim form? Correct Answer: 9a
, Which of the following forms must be patient or representative sign to allow the release of
protected health information? Correct Answer: An Authorization
What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as of
February 2012? Correct Answer: 12
After a third-party payer validates a claim, which of the following takes place next? Correct
Answer: Claim adjudication
When a patient has a condition that is both acute and chronic, how should I be reported? Correct
Answer: Code both acute and chronic sequencing the acute first
Which of the following acts applies to the Administrative Simplification guidelines? Correct
Answer: Health Insurance Portability and Accountability Act (HIPAA)
After reading a providers notes about a new patient, a coding specialist decides to code for a
longer length of time than the actual office visit. Which of the following describes the specialist's
action? Correct Answer: Fraud
A biller will electronically submit a claim to the carrier via which of the following? Correct
Answer: Direct Data Entry
Which of the following is the purpose of running an aging report each month? Correct Answer:
It indicates which claims are outstanding
Which of the following is a type of claim that will be denied by the third-party payer? Correct
Answer: incomplete claim
Which of the following actions should the billing and coding specialist take to prevent fraud and
abuse in the medical office? Correct Answer: Internal monitoring and auditing
Which of the following is a verbal or written agreement that gives approval to release protected
health information (PHI)? Correct Answer: consent
Which of the following is a requirement of some Third-party payers before a procedure is
performed? Correct Answer: Preauthorization form
Which of the following is the function of the respiratory system? Correct Answer: Oxygenating
blood cells
The destruction of lesions using cryosurgery would use which of the following treatments?
Correct Answer: cold treatment
Z codes are used to identify which of the following? Correct Answer: immunizations
