Certified Billing and Coding Specialist (CBCS) Practice Test 2026
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Source: NHA CBCS — Medical Billing & CodingLast verified: Unknown · Not yet verified
🎯 Practice by Topic
The Revenue Cycle and Regulatory Compliance
The revenue cycle from registration to reimbursement, HIPAA privacy/security and covered entities, fraud and abuse (False Claims Act, Anti-Kickback, Stark), and regulatory compliance.
Insurance Eligibility and Other Payer Requirements
Payer types (Medicare, Medicaid, HMO/PPO/EPO/POS, workers' comp), eligibility and benefits verification, coordination of benefits, cost-sharing, prior authorization, and medical necessity.
Coding and Coding Guidelines
ICD-10-CM diagnosis coding structure and Official Guidelines (first-listed vs principal, Excludes1/Excludes2), CPT and HCPCS Level II concepts, modifiers, NCCI edits, and code linkage/medical necessity.
Billing and Reimbursement
The CMS-1500 claim, the claim life cycle (rejection vs denial, EOB vs remittance advice), denials management and appeals, reimbursement methodologies (fee-for-service, capitation, RBRVS, DRG), and patient collections.