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CBCS Exam Questions & Answers
2022\/2023(Verified Answers by Expert)1.What describes the reason for a claim rejection because of Medicare
NCCI edits\u2714\u2714\u2714\u2714Improper code combinations
2.A claim is submitted with a transposed insurance member ID number
and returned to the provider.\u2714\u2714\u2714\u2714Invalid
3.Medigap coverage is offered to Medicare beneficiaries by
whom\u2714\u2714\u2714\u2714Private third-party payers
4.What provision assures that an insured’s benefits from all insurance
com- panies do not exceed 100% of the allowable medical
expense\u2714\u2714\u2714\u2714Coordination of benefits
5.A coroner’s autopsy is comprised of what examination\u2714\u2714\u2714\u2714Gross
Examination
6.What is true regarding the release of a patient records\u2714\u2714\u2714\u2714Patient
access to psychotherapy notes is restricted
7.What is considered fraud\u2714\u2714\u2714\u2714Billing for services not provided
8.What component of an explanation of benefit expedites the process of
a phone appeal\u2714\u2714\u2714\u2714Claim control number<\/p>\n\n\n\n
2 \/ 13
9.On the CMS-1500 claim form, item number 14 – 33 contain
information about\u2714\u2714\u2714\u2714The patient’s condition and the provider’s
information
10.The financial record source that is generated by a provider’s office
is called a\u2714\u2714\u2714\u2714Patients ledger account
11.A medical term refers to the sac that encloses the
heart\u2714\u2714\u2714\u2714Pericardium
12.HIPPA transaction standards apply to which entities\u2714\u2714\u2714\u2714Health care
clearing- houses
13.All dependents 10 yrs of age or older are required to have what
for TRICARE\u2714\u2714\u2714\u2714Military identification
14.The standard medical abbreviation ” ECG ” refers to a test used to
assess what body system\u2714\u2714\u2714\u2714Cardiovascular system
15.Claims that are submitted without an NPI number will delay payment
to the provider because\u2714\u2714\u2714\u2714It is used as a preauthorization number
16.An example of a violation of patient confidentiality\u2714\u2714\u2714\u2714A billing
and coding specialist queries the physician about a diagnosis in a
patient’s medical record
17.What section of the medical record is used to determine the correct
E&M code used for billing and coding\u2714\u2714\u2714\u2714History and Physical<\/p>\n\n\n\n
3 \/ 13
18.What action should be taken if an insurance company denies a
service as not medically necessary\u2714\u2714\u2714\u2714Appeal the decision with a
provider’s report
19.What is the name of the portion of the account balance for which the
patient id responsible after service have been rendered and the yearly
de- ductible has been met\u2714\u2714\u2714\u2714Coinsurance
20.What is the function of the respiratory system\u2714\u2714\u2714\u2714Oxygenating
blood cells
21.What describes a delinquent claim\u2714\u2714\u2714\u2714The claim is overdue for
payment
22.What action should taken if he or she observes a colleague in an unethical situation\u2714\u2714\u2714\u2714Report the incident to a supervisor
23.A participating Blue Cross\/Blue Shield ( BC\/BS ) provider receives an
explanation of benefits for a patient account. The charged amount was
$100 BC\/BS allowed $80 and applied $40 to the patient’s annual deductible.
They paid the balance at 80%. How much should the patient expect to
pay\u2714\u2714\u2714\u2714$48
24.What statement is correct regarding a deductible\u2714\u2714\u2714\u2714The
deductible is the patient’s responsibility
25.A physician ordered a comprehensive metabolic panel for a 70-yr old
pa- tient who has Medicare as her primary insurance. What forms is
required so the patient knows she may be responsible for
payment\u2714\u2714\u2714\u2714Advanced Beneficiary Notice
<\/p>\n","protected":false},"excerpt":{"rendered":"
1 \/ 13CBCS Exam Questions & Answers2022\/2023(Verified Answers by Expert)1.What describes the reason for a claim rejection because of MedicareNCCI edits\u2714\u2714\u2714\u2714Improper code combinations2.A claim is submitted with a transposed insurance member ID numberand returned to the provider.\u2714\u2714\u2714\u2714Invalid3.Medigap coverage is offered to Medicare beneficiaries bywhom\u2714\u2714\u2714\u2714Private third-party payers4.What provision assures that an insured’s benefits from all insurancecom- […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114000","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114000","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114000"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114000\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114000"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114000"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114000"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}