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CBCS Practice Exam #3 – 100 Q’s and A’s
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CBCS Practice Exam #3 – 100 Q’s and A’s
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CBCS Practice Exam #3 – 100 Q’s and A’sA 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?
- -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? - -$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? - -
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? - -The provider receives payment directly
from the payer.
-Which of the following do physicians use to electronically submit claims? - -
Clearinghouse
-Which of the following should the billing and coding specialist include in an
authorization to release information? - -The entity to whom the information
is to be released
-Which of the following describes the content of a medical practice aging
report? - -An overview of the practice's outstanding claims
-HIPAA transaction standards apply to which of the following entities? - -
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? - -
Review of systems
-Which part of Medicare covers prescriptions? - -Part D
-Which of the following indicates a claim should be submitted on paper
instead of electronically? - -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? - -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? - -Bad debt
-Which of the following statements is correct regarding a deductible? - -The
deductible is the patient's responsibility.
-Which of the following statements is true regarding the release of patient
records? - -Patient access to psychotherapy notes may be restricted.
-Why does correct claim processing rely on accurately complete encounter
forms? - -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? - -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? - -The parent whose birthdate comes first in the
calendar year
-Which of the following actions should the billing and coding specialist take
to effectively manage accounts receivable? - -Collect copayment from the
patient at the time of service.
-If a patient has osteomyelitis, he has problems with which of the following
areas? - -Bones and bone marrow
-Which of the following is used by providers to remove errors from claims
before they are submitted to third-party payers? - -Clearinghouse
-A provider receives a reimbursement from a third-party payer accompanied
by which of the following documents? - -Explanation 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?
- -Edema
-Which of the following block of the CMS-1500 claim form is used to bill ICD
codes? - -Block 21
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