FREE MEDICAL AND STUDY GAMES ABOUT CBCS EXAM

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FREE MEDICAL AND STUDY GAMES ABOUT CBCS EXAM

PREP Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A patient is preauthorized to receive vitamin B12 injections from January 1 to May 31. On June 2, the provider orders an additional 6 months of injections. In order for the patient to continue with coverage of care, which of the following should occur?

Answer:

the provide should contact the patient's insurance carrier to obtain a new authorization Question 2: For non-crossover claims, the billing and coding specialist should prepare an additional claim for the secondary payer and send it with a copy of which of the following?

Answer:

remittance advice (RA) Question 3: Which of the following is a HIPAA compliance guideline affecting electronic health records?

Answer:

the electronic transmission and code set standards require every provider to use the healthcare transactions, code sets, and identifiers

Question 4: On a CMS 1500 claim form, which of the following information should the billing and coding specialist enter into block 32?

Answer:

service facility location information

Question 5: Which of the following is a reason that a claim would be denied?

Answer:

incorrectly linked codes Question 6: The "><" symbol is used to indicate new and revised text other than which of the following?

Answer:

procedure descriptors

Question 7: Which of the following is the purpose of coordination of benefits?

Answer:

prevent multiple users from paying benefits covered by other policies Question 8: Which of the following blocks should the billing and coding specialist complete on the CMS 1500 claim form for procedures, services, or supplies?

Answer:

24D Question 9: A billing and coding specialist has four past due charges: $400 that is 10 weeks past due; $800 that is 6 weeks past due; $1,000 that is 4 weeks past due; and $2,000 that is 8 weeks past due. Which of the following should be sent to collections first?

Answer:

$2.000

Question 10: Which of the following statements is accurate regarding the diagnostic codes in block 21?

Answer:

these codes must correspond to the diagnosis pointer in block 24E

Question 11: Which of the following is true regarding Medicaid eligibility?

Answer:

patient eligibility is determined monthly Question 12: Threading a catheter with a balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures?

Answer:

angioplasty Question 13: When coding a front torso burn, which of the following percentages should be coded?

Answer:

18% Question 14: Which of the following is included in the release of patient information?

Answer:

the date of the last disclosure Question 15: A provider surgically punctures through the space between the patient's ribs using an aspirating needle to withdraw fluid from the chest cavity. Which of the following is the name of this procedure?

Answer:

pleurocentesis Question 16: A physician's office fee is $100 and the Medicare Part B allowed amount is $85.Assuming that the beneficiary has not met his annual deductible, the office should bill the patient which of the following amounts?

Answer:

$85 Question 17: Which of the following blocks on the CMS 1500 claim form is used to accept assignment of benefit?

Answer:

block 27

Question 18: which of the following actions by a billing and coding specialist would be considered fraud?

Answer:

billing for services not provided Question 19: Which of the following explains why Medicare will deny a particular service or procedure?

Answer:

Advance Beneficiary Notice (ABN) Question 20: Urine moves through the kidneys to the bladder through which of the following parts of the body?

Answer:

ureters Question 21: Which of the following formats are used to submit electronic claims to a third party payer?

Answer:

837 Question 22: A billing and coding specialist is preparing a claim form for a provider from a group practice. The billing and coding specialist should enter the rendering providers national provider identifier (NPI) into which of the following blocks on the CMS 1500?

Answer:

24J Question 23: As of April 1, 2014, what is the maximum number of diagnoses that can be reported on the CMS 1500 claim form before a further claim is required?

Answer:

12 Question 24: Which of the following standardized formats are used in the electronic filing of claims?

Answer:

HIPAA standard transactions