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A set of self-practice review questions for the cbcs certification billing and coding specialist exam. It covers various aspects of medical billing and coding, including claim processing, cpt and icd-10-cm coding, provider identification, and healthcare regulations. Each question includes a multiple-choice format with the correct answer and a brief explanation. This resource can be valuable for individuals preparing for the cbcs exam.
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When reviewing a delinquent claim, the first thing you want to look into is: a. the age of the account b. the claim amount c. the reason of past due d. the current health status of the claimant - ANS: a. the age of the account (generally a claim that is more than 120 days overdue is considered delinquent) Which CPT symbol identifies codes that have been re-sequenced and are not placed numerically? a.! b. % c. $ d. # e. @ - ANS: d. # On a CMS claim form requiring codes to be filled in, block ___ shows the DATES OF SERVICE which is required. a. 21 b. 22 c. 23 d. 24A e. 24B - ANS: d. 24A The main goal of ______ is to facilitate the transfer between these two ICD code sets. a. abstracting b. crosswalking
c. platforming d. exercising e. converting - ANS: b. crosswalking (to allow better data tracking) Which CPT modifier means increased procedural services? a. 20 b. 21 c. 22 d. 23 e. 24 f. 25 - ANS: c. 22 23 means unusual anesthesia 24 means unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period. Which CPT symbol is used to indicate an add-on code? a. ^ b. & c. * d. $ e. @ f. + g. I - ANS: c. + ICD-10-CM codes can provide max how many subclassifications? a. 2 b. 3 c. 4 d. 5
a. healthcare facilities b. practitioners c. retail pharmacies d. patient e. None of the choices - ANS: a. healthcare facilities; b. practitioners; and c. retail pharmacies (The Health Industry Number "HIN" was issued by the Health Industry Business Communications "HIBCC") LIC (Labeler Identification Code) is issued by: a. JAHO b. HIBCC c. HCFA d. HCLTD e. CDR f. None of these - ANS: b HIBCC (Health Industry Business Communications) for identifying manufacturer and/or distributor) The Stark Law governs: a. physician self-referral b. fees c. insurance fees d. clinical data keeping e. None of these - ANS: a. physical self-referral (The Stark Law has three separate provisions for governing physician self-referral for Medicare and Medicaid patients) On a claim form requiring codes to be filled in, block ___ accepts the billing provider's NPI as the valid input. a. 30 b. 31
c. 32 d. 32b e. 33a f. 34b - ANS: e. 33a (means Billing Provider info & Phone # "Pay-To, NPI"; one should enter the billing provider's NPI her) CDSS is a system that offers: a. coding advice b. decision support c. clean and fast billing - ANS: b. decision support Clinical Decision Support System (CDSS) is a special kind of interactive decision support system that can assist health professionals with their decisions making tasks by linking health observations with health knowledge to influence the health choices made) In order for claims to be correctly processed via OCR (Optical Character Recognition), one should always use ___ pitch PICA characters. a. 8 b. 9 c. 10 d. 12 e. 16 - ANS: d. 12 (OCR is a mature technology that recognizes text inside scanned images. The pitch has to do with the width of the character) Which of the following aims to promote national correct coding methodologies? a. CCI b. ASTM c. HL d. IEEE e. None of the choices - ANS: a. CCI