CBCS study materials
CBCS study resources

CBCS study plan

CBCS · Give each week a clear focus.

8 weeks · About 8 hours per week

Week 1

Coding (Diagnosis and Procedure)

  • Map the ICD-10-CM tabular structure and index conventions (includes/excludes, 'code first', 'use additional') by annotating a printed guideline summary

  • Apply ICD-10-CM official guidelines to sequence principal vs. secondary diagnoses across 20 practice vignettes

  • Demonstrate correct alphabetic index and tabular lookup for 30 assigned diagnoses, citing the pathway used for each

  • Detect and correct 10 deliberately mis-coded records by identifying the violated convention

Your checkpoint

A 30-entry diagnosis coding log with code, pathway, guideline cited, and a scored 25-question ICD-10-CM quiz at 80% or higher

Week 2

Coding (Diagnosis and Procedure)

  • Differentiate CPT code sections and HCPCS Level II categories by sorting 40 codes into the correct section with rationale

  • Assign E/M codes to 15 documented encounters using level-of-service elements (history, exam, MDM) and record the deciding factor

  • Apply modifiers -25, -59, -51, and -LT/-RT to 15 operative and outpatient scenarios, justifying each in one sentence

  • Identify bundling and unbundling risks in 10 surgical scenarios using NCCI edit logic

Your checkpoint

A 40-question procedure coding worksheet (E/M plus modifiers) scored at 85% or higher with written justifications for every modifier used

Week 3

Billing, Claims Submission, and Reimbursement

  • Reconstruct the CMS-1500 form field-by-field from memory and label which fields drive payer edits

  • Sequence 15 multi-payer claim scenarios, selecting correct payer order and coordination-of-benefits rules

  • Explain the clean-claim lifecycle from scrubber to payer adjudication in a written walkthrough

  • Compare fee-for-service, capitated, and value-based reimbursement models across 10 payer contract terms

Your checkpoint

A one-page CMS-1500 field map plus a 10-question payer-order/COB quiz scored at 90% or higher

Week 4

Billing, Claims Submission, and Reimbursement & Insurance Eligibility and Prior Authorization

  • Calculate allowed amount, contractual adjustment, deductible, coinsurance, and patient responsibility for 12 reimbursement scenarios

  • Verify eligibility for 10 simulated patients, capturing copay, deductible remaining, and coverage limits in a tracking sheet

  • Determine prior authorization requirements for 10 services and document submission elements and timelines

  • Identify 8 reasons claims are denied at the front end (eligibility/auth failure) and state the preventive action for each

Your checkpoint

A 12-row reimbursement calculation worksheet and a 10-patient eligibility/authorization log, both scored at 85% or higher

Week 5

Insurance Eligibility and Prior Authorization & Accounts Receivable, Collections, and Revenue Cycle

  • Build an A/R aging analysis from a 25-claim sample, classifying each claim into 0-30, 31-60, 61-90, and 90+ buckets

  • Categorize 15 denial scenarios by root cause (coding, eligibility, timely filing, medical necessity) and draft the corrective action for each

  • Draft a first-level appeal letter for 5 denials that cites policy, code, and supporting documentation

  • Sequence the patient collection workflow from statement to final notice while applying fair-collection and financial-hardship options

Your checkpoint

A denial-management log covering 15 claims with root cause, action taken, and appeal draft, plus an A/R aging summary showing correct bucketing

Week 6

Accounts Receivable, Collections, and Revenue Cycle & Compliance, Privacy, and Regulatory Requirements

  • Compute 6 key revenue cycle metrics (days in A/R, clean claim rate, denial rate, net collection rate, first-pass resolution, cost to collect) from supplied data

  • Apply HIPAA Privacy and Security Rule requirements to 10 scenarios covering minimum necessary, TPO, and breach notification

  • Distinguish fraud, waste, and abuse across 10 vignettes and identify the applicable law (False Claims Act, Anti-Kickback Statute, Stark)

  • Outline the elements of a compliance program and map each element to a specific billing-office control

Your checkpoint

A two-page revenue cycle metrics scorecard with all six calculations shown, plus a 20-question compliance quiz scored at 85% or higher

Week 7

Compliance, Privacy, and Regulatory Requirements & Coding (Diagnosis and Procedure) & Billing, Claims Submission, and Reimbursement

  • Audit 12 coding and billing records against a self-built checklist, flagging each deviation with the rule violated

  • Complete a 75-question mixed-domain timed practice set under exam conditions and log every missed question by domain

  • Remediate the two weakest domains by re-drilling 20 targeted questions in each until reaching 90%

  • Recite documentation-retention and record-release rules for 8 request scenarios

Your checkpoint

A completed 12-record audit with findings and a remediation log showing the two weakest domains raised to 90% accuracy

Week 8

Insurance Eligibility and Prior Authorization & Coding (Diagnosis and Procedure) & Billing, Claims Submission, and Reimbursement & Accounts Receivable, Collections, and Revenue Cycle & Compliance, Privacy, and Regulatory Requirements

  • Complete two full-length timed mock exams and compare domain-level scores between attempts

  • Re-review every missed item from both mocks and convert each into a one-line takeaway rule

  • Rehearse fast recall of code conventions, claim fields, and compliance statutes using spaced-repetition cards

  • Finalize an exam-day plan covering timing per question, flagging strategy, and break scheduling

Your checkpoint

Two completed timed mock exams with the second scoring 85% or higher overall and at least 80% in every domain

Milestones

Week 2: Achieve 85% or higher on the procedure coding worksheet, confirming coding foundations before adding billing content

Week 4: Correctly complete at least 10 of 12 reimbursement calculations and 8 of 10 eligibility/authorization entries

Week 6: Score 85% or higher on the compliance quiz and produce all six revenue cycle metrics without reference

Week 8: Score 85% or higher overall and at least 80% in each of the five domains on the final timed mock exam