& Correct Answers / Newest
2025/2026.
Which of the following electronic forms is used to post payments? - Correct
answerElectronic remittance advice (ERA)
If a clean claim is received March 1 of this year, which of the following is the allowable
last day of payment in order to meet Medicare compliance requirements? - Correct
answerMarch 30
Threading a catheter with balloon into a coronary artery and expanding it to repair
arteries describes which of the following procedures? - Correct
answerAngioplasty
The authorization number for a service that was approved before the service was
rendered is indicated in which of the following blocks on the CMS-1500 claim form? -
Correct answerBlock 23
Which of the following blocks of the CMS-1500 claim form indicates an ICD diagnosis
code? - Correct answerBlock 21
A patient who has an HMO insurance plan needs to see a specialist for a specific
problem. From which of the following should the patient obtain an referral? -
Correct answerPrimary Care Provider
A provider surgically punctures through the space between the patient's ribs using an
aspirating needle to withdraw fluid from the chest cavity. Which of the following is the
name of this procedure? - Correct answerPleurocentesis
Which of the following standardized formats are used in the electronic filing of claims? -
Correct answerHIPAA standard transactions
Which of the following blocks on the CMS-1500 claim form is used to accept
assignment of benefit? - Correct answerBlock 27
, On the CMS-1500 claim form, blocks 14 through 33 contain information about which of
the following? - Correct answerThe patient's condition and the provider's
information
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? - Correct answer$40
Which of the following should a billing coding specialist use to submit a claim with
supporting documents? - Correct answerClaims Attachment
When reviewing an established patient's insurance card, the billing and coding specialist
notices a minor change from the existing card on file. Which of the following actions
should the billing and coding specialist take? - Correct answerPhoto copy both
sides of the card
Which of the following accurately describes code symbols found in the CPT manual? -
Correct answerA product pending FDA approval is indicated as a lightning-bolt
symbol
Which of the following Medicare policies determines if a particular item or service is
covered by Medicare? - Correct answerNational Coverage Determination
(NCD)
Which of the following options is considered proper supportive documentation for
reporting CPT and ICD codes for surgical procedures? * - Correct
answerOperative report
Which of the following is an example of a remark code from an explanation of benefits
document? - Correct answerContractual allowance
Which of the following forms should the billing and coding specialist transmit to the
insurance carrier for reimbursement of inpatient hospital services? - Correct
answerUB-04
A claim is denied due to termination of coverage. Which of the following actions should
the billing and coding specialist take next? - Correct answerFollow up with the
patient to determine current name, address, and insurance carrier for resubmission