Exam (elaborations)
CBCS Practice Test 2024/2025 graded A+
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- Institution
CBCS Practice Test 2024/2025 graded A+
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CBCSPractice
Test
Which
of
the
following
sections
of
the
medical
record
is
used
to
determine
the
correct
evaluation
and
management
code
used
for
billing
and
coding?
-
ANShistory
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?
-
ANSThe
provider
receives
payment
directly
from
the
payer
Which
of
the
following
do
physicians
use
to
electronically
submit
a
claim?
-
ANSClearinghouse
Which
of
the
following
should
the
billing
and
coding
specialist
include
in
an
authorization
to
release
information?
-
ANSThe
entity
to
whom
the
information
is
to
be
released
Which
of
the
following
describes
the
content
of
a
medical
practice
aging
report?
-
ANSAn
overview
of
the
practice's
outstanding
claims
HIPAA
transaction
standards
apply
to
which
of
the
following
entities?
-
ANSHealth
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?
-
ANSReview
of
systems
Which
part
of
Medicare
covers
prescriptions?
-
ANSPart
D
Which
of
the
following
indicates
a
claim
should
be
submitted
on
paper
instead
of
electronically?
-
ANSThe
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?
-
ANSA
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
uncollectible?
-
ANSBad
debt
Which
of
the
following
statements
are
correct
regarding
a
deductible?
-
ANSThe
deductible
is
the
patient's
responsibility
Which
of
the
following
statements
is
true
regarding
the
release
of
patient
records?
-
ANSPatient
access
to
psychotherapy
notes
may
be
restricted
Why
does
correct
claim
processing
rely
on
accurately
completed
encounter
forms?
-
ANSThey
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?
-
ANSPatient's
responsibility
A
dependent
child
whose
parents
both
have
insurance
coverage
come
to
the
clinic.
The
billing
and
coding
specialist
uses
the
birthday
rule
determine
which
insurance
policy
is
primary.
Which
of
the
following
describes
the
birthday
rule?
-
ANSThe
patient
whose
birthday
comes
first
in
the
calendar
year
Which
of
the
following
actions
should
the
billing
and
coding
specialist
take
to
effectively
manage
accounts
receivable?
-
ANSCollect
copayment
from
the
patient
at
the
time
of
service
If
a
patient
has
osteomyelitis,
he
has
problems
with
which
of
the
following
areas?
-
ANSbones,
bone
marrow
Which
of
the
following
are
used
by
providers
to
remove
errors
from
claims
before
they
are
submitted
to
third-party
payers?
-
ANSClearinghouse
A
provider
receives
a
reimbursement
from
a
third-party
payer
accompanied
by
which
of
the
following
documents?
-
ANSexplanation
of
benefits
Which
of
the
following
is
the
appropriate
diagnosis
for
a
patient
who
has
an
abnormal
accumulation
of
fluid
in
her
lower
leg
that
has
resulted
in
swelling?
-
ANSEdema
Which
of
the
following
blocks
on
the
CMS-1500
claim
form
is
used
to
bill
ICD
codes?
-
ANSBlock
21
Patient
charges
that
have
not
been
paid
to
appear
in
which
of
the
following?
-
ANSAccounts
receivable
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
record?
-
ANS$40
This
is
the
difference
between
the
amount
billed
and
allowed
amount.
The
physician
should
write
off
$40.
A
provider
performs
an
examination
of
a
patient
sore
throat
during
an
office
visit.
Which
of
the
following
describes
the
level
of
the
examination?
-
ANSProblem-focused
examination
When
building
a
secondary
insurance
company,
which
block
should
be
billing
and
coding
specialist
fill
out
on
the
CMS-1500
claim
form?
-
ANS9a
Which
of
the
following
forms
must
be
patient
or
representative
sign
to
allow
the
release
of
protected
health
information?
-
ANSAn
Authorization
What
is
the
maximum
number
of
ICD
codes
that
can
be
entered
on
a
CMS-1500
claim
form
as
of
February
2012?
-
ANS12 After
a
third-party
payer
validates
a
claim,
which
of
the
following
takes
place
next?
-
ANSClaim
adjudication
When
a
patient
has
a
condition
that
is
both
acute
and
chronic,
how
should
I
be
reported?
-
ANSCode
both
acute
and
chronic
sequencing
the
acute
first
Which
of
the
following
acts
applies
to
the
Administrative
Simplification
guidelines?
-
ANSHealth
Insurance
Portability
and
Accountability
Act
(HIPAA)
After
reading
a
providers
notes
about
a
new
patient,
a
coding
specialist
decides
to
code
for
a
longer
length
of
time
than
the
actual
office
visit.
Which
of
the
following
describes
the
specialist's
action?
-
ANSFraud
A
biller
will
electronically
submit
a
claim
to
the
carrier
via
which
of
the
following?
-
ANSDirect
Data
Entry
Which
of
the
following
is
the
purpose
of
running
an
aging
report
each
month?
-
ANSIt
indicates
which
claims
are
outstanding
Which
of
the
following
is
a
type
of
claim
that
will
be
denied
by
the
third-party
payer?
-
ANSincomplete
claim
Which
of
the
following
actions
should
the
billing
and
coding
specialist
take
to
prevent
fraud
and
abuse
in
the
medical
office?
-
ANSInternal
monitoring
and
auditing
Which
of
the
following
is
a
verbal
or
written
agreement
that
gives
approval
to
release
protected
health
information
(PHI)?
-
ANSconsent
Which
of
the
following
is
a
requirement
of
some
Third-party
payers
before
a
procedure
is
performed?
-
ANSPreauthorization
form
Which
of
the
following
is
the
function
of
the
respiratory
system?
-
ANSOxygenating
blood
cells
The
destruction
of
lesions
using
cryosurgery
would
use
which
of
the
following
treatments?
-
ANScold
treatment
Z
codes
are
used
to
identify
which
of
the
following?
-
ANSimmunizations
Which
of
the
following
types
of
health
insurance
plans
best
describes
a
government-sponsored
benefit
program?
-
ANSTRICARE
Prime
The
star
Symbol
in
the
CPT
code
book
is
used
to
indicate
which
of
the
following?
-
ANSTelemedicine
Which
of
the
following
insurance
carriers
is
considered
the
pair
of
last
resort?
-
ANSMedicaid
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