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NHA CBCS exam 2023 with 100% correct answers
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NHA CBCS exam 2023 with 100% correct answers
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NHA CBCS 3.0 PRACTICE TESTA child is brought into a facility by their mother. The child is covered under both parents' insurance policies. The child's father was born on 10/1/1980 and their mother was born on 10/2/1981. Which of the following statements is true regarding the primary policy holder for the child? - correct answerThe father is the primary policy holder because his birthday falls first in the calendar year.
A billing and coding specialist is submitting a claim for a school-age child who was brought to the clinic by their maternal grandmother. The child's parents are divorced and remarried, and the child's mother has legal custody of the child. The specialist should recognize that the child's primary insurance coverage
is provided through which of the following insured individuals? - correct answerBiologic mother
Which of the following is the purpose of running an insurance aging report each month? - correct answerTo determine which claims are outstanding from third-party payers
A billing and coding specialist observes a colleague perform an unethical act. Which of the following actions should the specialist take? - correct answerReport the incident to a supervisor
Which of the following statements is true regarding the release of patients records? - correct answerPatient access to psychotherapy notes is restricted
A billing and coding specialist is preparing a claim for a patient who had a procedure performed on their left index finger. Which of the following modifiers indicates the correct digit? - correct answer-F1
-FA: used for left thumb
-F6: used for right index finger
-F4: used for the left pinky
A billing and coding specialist is processing a claim for a patient who broke their arm while repairing cars
at their workplace. There is no nerve damage, the arm is placed in a cast for 6 weeks, and the patient is cleared to return to work in 6 weeks. Which of the following types of workers' compensation applies to this patient? - correct answerTemporary disability Based on the CPT integumentary coding guidelines, Mohs micrographic surgery involves the provider filling which of the following roles? - correct answerBoth the surgeon and pathologist
A billing and coding specialist is preparing a claim for a provider. The operative note indicates the surgeon performed a CABG. The specialist should identify that CABG stands for which of the following? - correct answerCoronary Artery Bypass Graft
A billing and coding specialist is arranging a payment plan with a patient who wants to leave postdated checks with the office. The patient proposes leaving one check postdated for 3 months, one for 4 months, and another one for 5 months in the future. According to federal collection law, which of the following actions should the specialist take? - correct answerNotify the patient between 3 and 10 days prior to depositing each check on the indicated date.
Which of the following qualifies a patient for eligibility under Medicare as the primary third-party payer?
- correct answerIndividuals who are under age 65 and have a disability
Which of the following is an example of a diagnostic category code? - correct answerI10
(Diagnostic category codes contains three characters)
A billing and coding specialist is determining third-party payer responsibilities for a 70-year-old patient who has Medicare coverage. The patient's spouse has insurance with Blue Cross Blue Shield through their employer. Which of the following actions should the specialist take? - correct answerEstablish coordination of benefits
When a patient has a condition that is both acute and chronic, how should it be coded? - correct answerCode both the acute and chronic conditions, sequencing the acute condition first.
When reviewing an established patient's insurance card, a billing and coding specialist notices a minor change from the existing card on file. Which of the following actions should the specialist take? - correct answerPhotocopy both sides of the new card
On a remittance advice form, which of the following is responsible for writing off the difference between
the amount billed and the amount allowed by the agreement? - correct answerProvider A provider's office receives a subpoena requesting medical documentation from a patient's medical record. After confirming the correct authorization, which of the following actions should a billing and coding specialist take? - correct answerSend the medical information pertaining to the dates of service requested.
A billing and coding specialist is working on a claim in which reimbursement was reduced due to services
being bundled. Which of the following types of modifiers should be assigned to indicate multiple procedures were performed to prevent bundling? - correct answerCategory I modifier
(category I modifier provides the means to report or indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code).
A billing and coding specialist is reviewing an encounter note that indicates a biopsy was performed. The
specialist requires which of the following additional details to fully code this procedure? - correct answerBenign vs. malignant status
A billing and coding specialist is determining the level of service for an office visit for a new patient. Which of the following codes represents a detailed history and detailed exam with moderate medical decision-making? - correct answer99204
Which of the following is true regarding Medicaid eligibility? - correct answerPatient eligibility is determined at each visit.
Which of the following pieces of guarantor information is required when establishing a patient's financial record? - correct answerPhone number
A billing and coding specialist is reviewing a delinquent claim. Which of the following actions should the specialist take first? - correct answerVerify the age of the account.
When a patient signs an Acknowledgement of Notice of Privacy Practice, it indicates which of the following? - correct answerThe patient accepts the policies and procedures regarding how protected health information (PHI) is handled.
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