CPB (Certified Professional Biller) Certification Practice Exam

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What is the universal claim form used by physician's offices?

  1. Centers of Medicare and Medicaid Services-150 (CMS-1500)

  2. Internal Revenue Service Form W-2

  3. Department of Motor Vehicles Form DLF45

  4. Social Security Administration Form SSA-10

The correct answer is: Centers of Medicare and Medicaid Services-150 (CMS-1500)

The correct answer is the Centers of Medicare and Medicaid Services-1500 (CMS-1500) form. This universal claim form is specifically designed for billing professional services provided by physicians and other healthcare professionals. The CMS-1500 form is widely accepted by insurance companies and is used to submit claims for reimbursement of medical services rendered to patients. It provides necessary information regarding the patient's care, the provider's details, diagnoses, and procedures performed, ensuring a standardized format that facilitates the claims process. The other options, such as the IRS Form W-2, are unrelated to medical billing as they pertain to the reporting of wages and tax information. The Department of Motor Vehicles Form DLF45 is not associated with healthcare; it is typically related to vehicle registration or licensing. Similarly, the Social Security Administration Form SSA-10 is a form used for disability benefits applications, not for healthcare billing. Therefore, the CMS-1500 form is the only choice that specifically addresses the needs of physicians' offices in the realm of medical billing.