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CBCS practice test questions and answers rated A+ 2024/2025
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CBCS practice test questions and answers rated A+ 2024/2025
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CBCS practice testA affected person's fitness plan is referred to as the payer of closing motel. The patient is
protected with the aid of which of the subsequent fitness plans?
Medicaid
CHAMPA
Medicare
TRICARE - ANSMedicaid
A provider charged $500 to a claim that had an allowable amount of $four hundred. In which
of the following columns should the CBCS practice the non allowed charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credit - ANSAdjustment column of the credits
Which of the subsequent statements is accurate concerning a deductible?
-Coinsurance is a kind of deductible
-The medical doctor should write off the deductible
-The coverage employer will pay for the deductible
-The deductible is the patient's responsibility - ANSThe deductible is the patient's duty
Which of the subsequent color formats lets in optical scanning of the CMS-1500 claim
shape?
-Red
-Blue
-Green
-black - ANSred
Ambulatory surgical treatment facilities, domestic health and hospice businesses use the
______.
-CMS-1500 claim form
-UB-04 declare form
-Advance Beneficiary note
-First record of injury shape - ANSUB-04
Claims which can be submitted without an NPI range will put off payment to the company
because ______.
-The number is the affected person' identification number
-The variety is needed to discover the company
-Is is used as a declare quantity
-It is used as a pre authorization variety - ANSThe wide variety is wanted to discover the
issuer
,Which of the following phrases describes whilst a plan will pay 70% of the allowed quantity
and the affected person will pay 30%?
-Coinsurance
-Deductible
-Premium
-copayment - ANScoinsurance
Which of the following indicates a declare should be submitted on paper as opposed to
electronically?
-The software program claims evaluate system indicates the declare isn't always whole
-The declare desires authorization
-The claim calls for an attachment
-The practice management software program is non useful. - ANSthe claim requires an
attachment
On a remittance advice form, which of the following is liable for writing off the distinction
between the quantity billed and the amount allowed by means of the agreement?
-Provider
-Insurance organization
-Patient
-Third birthday celebration payer - ANSprovider
A health practitioner is contracted with an insurance organisation to accept the amount. The
insurance company lets in $80 of a $120 billed amount, and $50 of the deductible has now
not been met. How a good deal need to the medical doctor write off the affected person's
account?
-$forty
-$15
-$zero
-$50 - ANS$40
The unlisted codes can be found in which of the following places within the CPT manual?
-Appendix L
-Guidelines prior to every phase
-End of every body gadget
-Table of contents - ANSGuidelines prior to every phase
Which of the subsequent blocks should the billing and coding professional entire the CMS
1500 claims shape for method, offerings or elements?
-Block 12
-Block 2
-Block 24D
-Block 24J - ANSBlock 24D
-Block 12 (affected person's authorization block
-Block 2 ( patient's call)
-Block 24J ( for the rendering company)
,Which of the subsequent blocks requires the patient's authorization to release medical
information to system a declare?
Block 12
Block thirteen
Block 27
Block 31 - ANSBlock 12
- Block 13 patient authorization for advantages required for third celebration payer
- Block 27 accepting mission of advantages
- Block 31 (treating doctor)
Which of the following steps might be a part of a health practitioner's practice compliance
software?
-HIPAA compliance audit
-Physician recruitment
-Internal monitoring and auditing
-Notice of privateness exercise - ANSInternal monitoring and auditing
Behavior performs an vital a part of being a group participant in a scientific exercise. Which
of the following is the right motion for the CBCS to take?
-Reprimanding every other personnel member during a team meeting for showing a bad
attitude closer to a affected person
-Looking in the clinical file of a chum who receives offerings at the office
-Communicating with the the front table group of workers throughout a group meeting about
lacking statistics in affected person documents
-Questioning the nurse about the issuer documentation in the scientific file -
ANSCommunicating with the the front desk staff at some stage in a group meeting about
lacking information in affected person documents
Which of the subsequent acts applies to the administrative simplification guideline?
-HIPAA
-Deficit discount act of 2005
-The patient safety and cheap care act 2009
-National accurate coding initiative of 1995 - ANSHIPAA
Which of the following is an instance of a contravention of an grownup affected person's
confidentiality?
-While reviewing a claim, the CBCS reads the analysis before figuring out that the affected
person is a neighbor
-A CBCS queries the doctor about a prognosis in a patient's medical file
-The physician uses his home smartphone to talk about patient care with the nursing group
of workers
-Patient information became disclosed to the affected person's mother and father without
consent - ANSPatient information was disclosed to the affected person's mother and father
with out consent
Which of the subsequent is the motive of going for walks an ageing report each month?
-If indicates the balances the sufferers owe the company
-It shows which sufferers have upcoming or overlooked appointment
, -It indicates which claims are brilliant
-It shows what the insurance corporation has paid for the company's services to a affected
person. - ANSIt suggests which claims are first rate
Which of the subsequent describes the reputation of a claim that does not consist of the
desired preauthorization for a provider?
-Delinquent (overdue)
-Denied
-Suspended
-Adjudicated (claim nevertheless being processed) - ANSDenied
-Delinquent (late)
-Adjudicated (claim nonetheless being processed)
Which of the subsequent movements ought to the CBCS take to save you fraud and abuse
within the medical workplace?
-Serviced manner preauthorization
-Internal monitoring and auditing
-Utilization evaluation
-Correct coding initiative - ANSInternal monitoring and auditing
In an outpatient putting, which of the subsequent bureaucracy is used as a financial file of all
offerings supplied to patients?
-Encounter shape
-Patient account report
-CMS-1500 claim shape
-Accounts receivable journal - ANSPatient account record (affected person ledger, all
transactions among patient and the exercise)
-Accounts receivable journal (Day sheet = chronological precis of all transaction on a specific
day)
Patient costs that have now not been paid will appear in which of the following?
-Accounts receivable
-Accounts payable
-Tracer
-Rejected claim - ANSAccounts receivable
Which of the following is considered the very last determination of the problems related to
settlement of an coverage declare?
-Processing
-Translation
-Adjudication
-Transmission - ANSAdjudication (process of putting a claim through a series of edits for
final dedication)
-Processing ( managing a declare from the first come across to assert submission)
-Translation (claim is send from the host gadget to the clearing residence)
-Transmission (how the claim turned into despatched)
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