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CBCS PRACTICE ACTUAL EXAM QS & AS
[LATEST UPDATED VERSION]
If both parents have full coverage for a dependent child, which of the following is
considered to be the primary insurance?
- Both parents are primary insurance holders
- The parent who's birthday comes first in the calendar year is primary
- The parent with the higher coverage level is the primary insurance holder
- The parent who is older is the primary insurance holder - ANSWER The parent
who's birthday comes first in the calendar year is primary
On a CMS-1500 form, which of the following information should the CBCS enter
into block 32?
- Patient's account number
- Federal tax id number
- Billing providers information and phone number
- Service facility location number - ANSWER Service facility location number (32)
- Patient's account number (26)
- Federal tax id number (25)
- Billing providers information and phone number (33)
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Which of the following actions should the CBCS take when submitting a claim to
Medicaid for a patient who has primary and secondary coverage?
- Attach the remittance advice from the primary insurance along with the
Medicaid claim
- Submit the claim and Medicaid remittance advice to the secondary insurance
- Attach the remittance advice from the patient's most recent visit to confirm
Medicaid eligibility
- Submit both claim simultaneously and then review the remittance advice from
both to determine which one provided more coverage - ANSWER Attach the
remittance advice from the primary insurance along with the Medicaid claim
(Medicaid is always secondary)
- Submit the claim and Medicaid remittance advice to the secondary insurance
- Attach the remittance advice from the patient's most recent visit to confirm
Medicaid eligibility
- Submit both claim simultaneously and then review the remittance advice from
both to determine which one provided more coverage
A patient has AARP as secondary insurance, in which of the following blocks on
the CMS-1500 form should this information be entered?
- 1a ( primary insurance carrier)
- 9 (secondary insurance)
- 21 (diagnoses)
- 16 (dated patient is unable to work) - ANSWER 9 (secondary insurance)
- 1a ( primary insurance carrier)
- 21 (diagnoses)
- 16 (dated patient is unable to work)
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In 1996, CMS implemented which of the following to detect inappropriate and
improper codes?
- National committee of quality assurance (NCQA)
- Electronic data interchange (EDI)
- National correct code initiative (NCCI)
- Procedural coding system (PCS) - ANSWER National correct code initiative
(NCCI)
A CBCS submitted a claim to Medicare electronically. No errors were found by the
billing software or clearinghouse. Which of the following describes this claim?
- Pending claim
- Clean claim
- Tertiary claim (processed by both primary and secondary insurance)
- Physically clean claim (no staples, no highlighters) - ANSWER clean
The explanation of benefits states the amount billed was $80. The allowed
amount is $60, and the patient is required to pay a $20 copayment. Which of the
following describes the insurance check amount to be posted?
$40
$80
$60
$20 - ANSWER $80
, 4|Page
Urine moves from the kidney to the bladder through which of the following parts
of the body?
- Ureters
- Renal pelvis (hollow chamber that passes waste material)
- Urethra (discharges urine from the bladder
- Adrenal gland (above the kidney, part of endocrine system - ANSWER Ureter
- Renal pelvis (hollow chamber that passes waste material)
- Urethra (discharges urine from the bladder
- Adrenal gland (above the kidney, part of endocrine system
Which of the following blocks should the CBCS complete on the CMS-1500 form
for procedure, services, and supplies?
12 (patient authorization)
2 (patient name)
24D
24J (rendering provider) - ANSWER 24D
- 12 (patient authorization)
- 2 (patient name)
- 24J (rendering provider)
Which of the following describes the organization of an aging report?
- By date
- By amount
- By patient name
CBCS PRACTICE ACTUAL EXAM QS & AS
[LATEST UPDATED VERSION]
If both parents have full coverage for a dependent child, which of the following is
considered to be the primary insurance?
- Both parents are primary insurance holders
- The parent who's birthday comes first in the calendar year is primary
- The parent with the higher coverage level is the primary insurance holder
- The parent who is older is the primary insurance holder - ANSWER The parent
who's birthday comes first in the calendar year is primary
On a CMS-1500 form, which of the following information should the CBCS enter
into block 32?
- Patient's account number
- Federal tax id number
- Billing providers information and phone number
- Service facility location number - ANSWER Service facility location number (32)
- Patient's account number (26)
- Federal tax id number (25)
- Billing providers information and phone number (33)
,2|Page
Which of the following actions should the CBCS take when submitting a claim to
Medicaid for a patient who has primary and secondary coverage?
- Attach the remittance advice from the primary insurance along with the
Medicaid claim
- Submit the claim and Medicaid remittance advice to the secondary insurance
- Attach the remittance advice from the patient's most recent visit to confirm
Medicaid eligibility
- Submit both claim simultaneously and then review the remittance advice from
both to determine which one provided more coverage - ANSWER Attach the
remittance advice from the primary insurance along with the Medicaid claim
(Medicaid is always secondary)
- Submit the claim and Medicaid remittance advice to the secondary insurance
- Attach the remittance advice from the patient's most recent visit to confirm
Medicaid eligibility
- Submit both claim simultaneously and then review the remittance advice from
both to determine which one provided more coverage
A patient has AARP as secondary insurance, in which of the following blocks on
the CMS-1500 form should this information be entered?
- 1a ( primary insurance carrier)
- 9 (secondary insurance)
- 21 (diagnoses)
- 16 (dated patient is unable to work) - ANSWER 9 (secondary insurance)
- 1a ( primary insurance carrier)
- 21 (diagnoses)
- 16 (dated patient is unable to work)
,3|Page
In 1996, CMS implemented which of the following to detect inappropriate and
improper codes?
- National committee of quality assurance (NCQA)
- Electronic data interchange (EDI)
- National correct code initiative (NCCI)
- Procedural coding system (PCS) - ANSWER National correct code initiative
(NCCI)
A CBCS submitted a claim to Medicare electronically. No errors were found by the
billing software or clearinghouse. Which of the following describes this claim?
- Pending claim
- Clean claim
- Tertiary claim (processed by both primary and secondary insurance)
- Physically clean claim (no staples, no highlighters) - ANSWER clean
The explanation of benefits states the amount billed was $80. The allowed
amount is $60, and the patient is required to pay a $20 copayment. Which of the
following describes the insurance check amount to be posted?
$40
$80
$60
$20 - ANSWER $80
, 4|Page
Urine moves from the kidney to the bladder through which of the following parts
of the body?
- Ureters
- Renal pelvis (hollow chamber that passes waste material)
- Urethra (discharges urine from the bladder
- Adrenal gland (above the kidney, part of endocrine system - ANSWER Ureter
- Renal pelvis (hollow chamber that passes waste material)
- Urethra (discharges urine from the bladder
- Adrenal gland (above the kidney, part of endocrine system
Which of the following blocks should the CBCS complete on the CMS-1500 form
for procedure, services, and supplies?
12 (patient authorization)
2 (patient name)
24D
24J (rendering provider) - ANSWER 24D
- 12 (patient authorization)
- 2 (patient name)
- 24J (rendering provider)
Which of the following describes the organization of an aging report?
- By date
- By amount
- By patient name
