CBCS practice test questions
with complete answers 2024.
A patient's health plan is referred to as the payer of last resort. The
patient is covered by which of the following health plans?
Medicaid
CHAMPA
Medicare
TRICARE - Ans>>>Medicaid
,A provider charged $500 to a claim that had an allowable amount of
$400. In which of the following columns should the CBCS apply the non-
allowed charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credits - Ans>>>Adjustment column of the
credits
Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility - Ans>>>The deductible is
the patient's responsibility
Which of the following color formats allows optical scanning of the
CMS-1500 claim form?
-Red
-Blue
-Green
-black - Ans>>>red
,Ambulatory surgery centers, home health and hospice organizations
use the ______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form - Ans>>>UB-04
Claims that are submitted without an NPI number will delay payment to
the provider because ______.
-The number is the patient' id number
-The number is needed to identify the provider
-Is is used as a claim number
-It is used as a pre authorization number - Ans>>>The number is
needed to identify the provider
Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment - Ans>>>coinsurance
, Which of the following indicates a claim should be submitted on paper
instead of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional. - Ans>>>the
claim requires an attachment
On a remittance advice form, which of the following is responsible for
writing off the difference between the amount billed and the amount
allowed by the agreement?
-Provider
-Insurance company
-Patient
-Third party payer - Ans>>>provider
A physician is contracted with an insurance company to accept the
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 account?
-$40
-$15
-$0
-$50 - Ans>>>$40
with complete answers 2024.
A patient's health plan is referred to as the payer of last resort. The
patient is covered by which of the following health plans?
Medicaid
CHAMPA
Medicare
TRICARE - Ans>>>Medicaid
,A provider charged $500 to a claim that had an allowable amount of
$400. In which of the following columns should the CBCS apply the non-
allowed charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credits - Ans>>>Adjustment column of the
credits
Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility - Ans>>>The deductible is
the patient's responsibility
Which of the following color formats allows optical scanning of the
CMS-1500 claim form?
-Red
-Blue
-Green
-black - Ans>>>red
,Ambulatory surgery centers, home health and hospice organizations
use the ______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form - Ans>>>UB-04
Claims that are submitted without an NPI number will delay payment to
the provider because ______.
-The number is the patient' id number
-The number is needed to identify the provider
-Is is used as a claim number
-It is used as a pre authorization number - Ans>>>The number is
needed to identify the provider
Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment - Ans>>>coinsurance
, Which of the following indicates a claim should be submitted on paper
instead of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional. - Ans>>>the
claim requires an attachment
On a remittance advice form, which of the following is responsible for
writing off the difference between the amount billed and the amount
allowed by the agreement?
-Provider
-Insurance company
-Patient
-Third party payer - Ans>>>provider
A physician is contracted with an insurance company to accept the
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 account?
-$40
-$15
-$0
-$50 - Ans>>>$40
