CBCS practice test _ Choice Based Credit System (2025 /
2026) 250+ Practice Questions with Detailed Answers
Explanation (Includes 3 Full-Length Practice
Tests)||COMPLETE GUIDE
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 Claim Form
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
The Unlisted Codes Can Be Found In Which Of The Following Locations In The CPT Manual?
, -Appendix L
-Guidelines Prior To Each Section
-End Of Each Body System
-Table Of Contents
ANS: Guidelines Prior To Each Section
Which Of The Following Blocks Should The Billing And Coding Specialist Complete The CMS 1500 Claims
Form For Procedure, Services Or Supplies?
-Block 12
-Block 2
-Block 24D
-Block 24J
ANS:
Block 24D
-Block 12 (Patient's Authorization Block
-Block 2 ( Patient's Name)
-Block 24J ( For The Rendering Provider)
Which Of The Following Blocks Requires The Patient's Authorization To Release Medical Information To
Process A Claim?
Block 12
Block 13
Block 27
Block 31
ANS:
Block 12
- Block 13 Patient Authorization For Benefits Required For Third Party Payer
2026) 250+ Practice Questions with Detailed Answers
Explanation (Includes 3 Full-Length Practice
Tests)||COMPLETE GUIDE
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 Claim Form
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
The Unlisted Codes Can Be Found In Which Of The Following Locations In The CPT Manual?
, -Appendix L
-Guidelines Prior To Each Section
-End Of Each Body System
-Table Of Contents
ANS: Guidelines Prior To Each Section
Which Of The Following Blocks Should The Billing And Coding Specialist Complete The CMS 1500 Claims
Form For Procedure, Services Or Supplies?
-Block 12
-Block 2
-Block 24D
-Block 24J
ANS:
Block 24D
-Block 12 (Patient's Authorization Block
-Block 2 ( Patient's Name)
-Block 24J ( For The Rendering Provider)
Which Of The Following Blocks Requires The Patient's Authorization To Release Medical Information To
Process A Claim?
Block 12
Block 13
Block 27
Block 31
ANS:
Block 12
- Block 13 Patient Authorization For Benefits Required For Third Party Payer
