CBCS practice test
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A patient's health plan is Medicaid
referred to as the payer of last
resort. The patient is covered by
which of the following health
plans?
Medicaid
CHAMPA
Medicare
TRICARE
A provider charged $500 to a Adjustment column of the credits
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
Which of the following The deductible is the patient's responsibility
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
,Which of the following color red
formats allows optical scanning
of the CMS-1500 claim form?
-Red
-Blue
-Green
-black
Ambulatory surgery centers, UB-04
home health and hospice
organizations use the ______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form
Claims that are submitted The number is needed to identify the provider
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
Which of the following terms coinsurance
describes when a plan pays 70%
of the allowed amount and the
patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment
Which of the following indicates the claim requires an attachment
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.
, On a remittance advice form, provider
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
A physician is contracted with an $40
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
The unlisted codes can be Guidelines prior to each section
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
Which of the following blocks Block 24D
should the billing and coding -Block 12 (patient's authorization block
specialist complete the CMS -Block 2 ( patient's name)
1500 claims form for procedure, -Block 24J ( for the rendering provider)
services or supplies?
-Block 12
-Block 2
-Block 24D
-Block 24J
Which of the following blocks Block 12
requires the patient's - Block 13 patient authorization for benefits required for third
authorization to release medical party payer
information to process a claim? - Block 27 accepting assignment of benefits
Block 12 - Block 31 (treating physician)
Block 13
Block 27
Block 31
Save
Students also studied
CGS 2518 Exam 2 LETRS Unit 1 Session 8 Check for Un... ACQ 101 Module 01 E
30 terms Teacher 5 terms Teacher 30 terms
More
Preview waithirag480 Preview muchiris
A patient's health plan is Medicaid
referred to as the payer of last
resort. The patient is covered by
which of the following health
plans?
Medicaid
CHAMPA
Medicare
TRICARE
A provider charged $500 to a Adjustment column of the credits
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
Which of the following The deductible is the patient's responsibility
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
,Which of the following color red
formats allows optical scanning
of the CMS-1500 claim form?
-Red
-Blue
-Green
-black
Ambulatory surgery centers, UB-04
home health and hospice
organizations use the ______.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form
Claims that are submitted The number is needed to identify the provider
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
Which of the following terms coinsurance
describes when a plan pays 70%
of the allowed amount and the
patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment
Which of the following indicates the claim requires an attachment
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.
, On a remittance advice form, provider
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
A physician is contracted with an $40
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
The unlisted codes can be Guidelines prior to each section
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
Which of the following blocks Block 24D
should the billing and coding -Block 12 (patient's authorization block
specialist complete the CMS -Block 2 ( patient's name)
1500 claims form for procedure, -Block 24J ( for the rendering provider)
services or supplies?
-Block 12
-Block 2
-Block 24D
-Block 24J
Which of the following blocks Block 12
requires the patient's - Block 13 patient authorization for benefits required for third
authorization to release medical party payer
information to process a claim? - Block 27 accepting assignment of benefits
Block 12 - Block 31 (treating physician)
Block 13
Block 27
Block 31
