NEW CBCS ACTUAL EXAM PRACTICE QUESTIONS
AND ANSWERS NEWLY MODIFIED TESTED AND
APPROVED!!!
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 -- ANSWER--$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 -- ANSWER--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
Page 1 of 96
,-Block 2
-Block 24D
-Block 24J -- ANSWER--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 -- ANSWER--Block 12
- Block 13 patient authorization for benefits required for third party payer
- Block 27 accepting assignment of benefits
- Block 31 (treating physician)
Which of the following steps would be part of a physician's practice compliance
program?
-HIPAA compliance audit
-Physician recruitment
-Internal monitoring and auditing
Page 2 of 96
,-Notice of privacy practice -- ANSWER--Internal monitoring and auditing
Behavior plays an important part of being a team player in a medical practice.
Which of the following is an appropriate action for the CBCS to take?
-Reprimanding another staff member during a team meeting for displaying a
bad attitude toward a patient
-Looking in the medical record of a friend who receives services at the office
-Communicating with the front desk staff during a team meeting about missing
information in patient files
-Questioning the nurse about the provider documentation in the medical record -
- ANSWER-Communicating with the front desk staff during a team meeting
about missing information in patient files
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 -- ANSWER--Adjustment column of the
credits
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?
Page 3 of 96
, Medicaid
CHAMPA
Medicare
TRICARE -- ANSWER--Medicaid
Which of the following color formats allows optical scanning of the CMS-1500
claim form?
-Red
-Blue
-Green
-black -- ANSWER--red
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 -- ANSWER--The deductible is
the patient's responsibility
Ambulatory surgery centers, home health and hospice organizations use the
______.
Page 4 of 96
AND ANSWERS NEWLY MODIFIED TESTED AND
APPROVED!!!
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 -- ANSWER--$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 -- ANSWER--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
Page 1 of 96
,-Block 2
-Block 24D
-Block 24J -- ANSWER--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 -- ANSWER--Block 12
- Block 13 patient authorization for benefits required for third party payer
- Block 27 accepting assignment of benefits
- Block 31 (treating physician)
Which of the following steps would be part of a physician's practice compliance
program?
-HIPAA compliance audit
-Physician recruitment
-Internal monitoring and auditing
Page 2 of 96
,-Notice of privacy practice -- ANSWER--Internal monitoring and auditing
Behavior plays an important part of being a team player in a medical practice.
Which of the following is an appropriate action for the CBCS to take?
-Reprimanding another staff member during a team meeting for displaying a
bad attitude toward a patient
-Looking in the medical record of a friend who receives services at the office
-Communicating with the front desk staff during a team meeting about missing
information in patient files
-Questioning the nurse about the provider documentation in the medical record -
- ANSWER-Communicating with the front desk staff during a team meeting
about missing information in patient files
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 -- ANSWER--Adjustment column of the
credits
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?
Page 3 of 96
, Medicaid
CHAMPA
Medicare
TRICARE -- ANSWER--Medicaid
Which of the following color formats allows optical scanning of the CMS-1500
claim form?
-Red
-Blue
-Green
-black -- ANSWER--red
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 -- ANSWER--The deductible is
the patient's responsibility
Ambulatory surgery centers, home health and hospice organizations use the
______.
Page 4 of 96
