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CBCS Practice Exam #3 Latest and Updated
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CBCS Practice Exam #3 Latest and Updated
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CBCS Practice Exam #3A patient presents to the provider with chest pain and shortness of breath. After an
unexpected ECG result, the provider calls a cardiologist and summarizes the
patient's symptoms. What portion of HIPAA allows the provider to speak to the
cardiologist prior to obtaining the patient's consent? - answers-Title II
A physician is contracted with an insurance company to accept the allowed 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? - answers-$40
Which of the following sections of the medical record is used to determine the correct
Evaluation and Management code used for billing and coding? - answers-History
and physical
A billing and coding specialist is reviewing a CMS-1500 claim form. The assignment
of benefits box has been checked yes. The checked box indicates which of the
following? - answers-The provider receives payment directly from the payer.
Which of the following do physicians use to electronically submit claims? -
answers-Clearinghouse
Which of the following should the billing and coding specialist include in an
authorization to release information? - answers-The entity to whom the information is
to be released
Which of the following describes the content of a medical practice aging report? -
answers-An overview of the practice's outstanding claims
HIPAA transaction standards apply to which of the following entities? -
answers-Health care clearinghouses
, When a physician documents a patient's response to symptoms and various body
systems, the results are documented as which of the following? - answers-Review of
systems
Which part of Medicare covers prescriptions? - answers-Part D
Which of the following indicates a claim should be submitted on paper instead of
electronically? - answers-The claim requires an attachment.
Medicare enforces mandatory submission of electronic claims for most providers.
Which of the following providers is allowed to submit paper claims to Medicare? -
answers-A provider's office with fewer than 10 full-time employees
Which of the following is the correct term for an amount that has been determined to
be uncollectable? - answers-Bad debt
Which of the following statements is correct regarding a deductible? - answers-The
deductible is the patient's responsibility.
Which of the following statements is true regarding the release of patient records? -
answers-Patient access to psychotherapy notes may be restricted.
Why does correct claim processing rely on accurately complete encounter forms? -
answers-They streamline patient billing by summarizing the services rendered for a
given date of service.
When posting payment accurately, which of the following items should the billing and
coding specialist include? - answers-Patient's responsibility
A dependent child whose parents both have insurance coverage comes to the clinic.
The billing and coding specialist uses the birthday rule to determine which insurance
policy is primary. Which of the following describes the birthday rule? - answers-The
parent whose birthdate comes first in the calendar year
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