Medical Association of Billers

 Certified Medical Billing Specialist^®

SAMPLE EXAMINATION

The CMBS Examination consists of 100 questions.  Below are two sample questions for each category.

Medical Terminology

Complete the sentences below using the following terms:

 (a)    Hemophobia, (b) Tonsillectomy, (c) Hemolysis (d) Tonsillitis

1.      Inflammation of the tonsils is known as ___________________.

2.      ______________________ is the destruction of red blood cells.

Medical Billing

 3.      The standard office visit fee for a procedure is $1400.  Your physician is contracting with ABC insurance and the fee schedule is $1275, what would the contractual adjustment would be:

a.       20% of the normal fee for service

b.      $125.00

c.       $280.00

d.      None of the above

 4.      If a patient has medical insurance, they shouldn’t be held responsible for payment of the bill.

a.       True                                         b. False

Claim Form

 5.      On a CMS 1500 claim form, what block is used for the diagnosis codes associated with the patient visit?

a.       Block 24E

b.      Block 24D

c.       Block 21

d.      Block 24

 6.      If a patient’s last name is Henderson, but on their insurance card it says Hendersen, you should use the correct spelling on the claim form, and not what’s on the insurance card.

a.       True                             b. False

Medicare

 7.      To qualify for Medicare coverage, the recipient must be:

a.       At least age 60 years old

b.      Retired

c.       Receiving Social Security benefits

d.      None of the above

 8.      What part of Medicare pays for Prescription Drugs:

a.       Part A

b.      Part B

c.       Part C

d.      Part D

CPT Coding

 9.      What symbol is used to identify codes which are exempt from modifier –51?  

a.       +

b.        ·

c.       W

d.      p

 10.  What is the procedure code for anesthesia for a third degree burn excision without skin grafting, 9% of total body surface?

a.       01953

b.      01951

c.       01952

d.      None of the above

Modifiers

 11.  A patient was in the operating room for a diagnostic arthroscopy of the knee.  The physician inserted the arthroscope and the patient suddenly went into respiratory distress.  The arthroscope was withdrawn and the procedure was terminated.  What modifier would you use with the procedure code?

a.       -51

b.      -53

c.       -54

d.      None of the above

 12.  You would use modifier -91 when confirming initial results.

a.       True                             b.  False.

ICD-9 CM Coding

 13.  Code conductive hearing loss, middle ear:

a.       389.06

b.      389.02

c.       389.03

d.      389.04

14.  V codes are used for:

a.       A person with a need for isolation.

b.      A person encountering health services for specific treatment.  (i.e.: cast change)

c.       Screening for Malignant Neoplasm of the Bladder.

d.      All of the above

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Last modified: Monday February 25, 2008.