Certification study guide for NHA CBCS
Exam
Medical Ethics - ✔ ✔ Standards of conduct based on moral principals. Acting within ethical behavior
boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
Compliance Regulations - ✔ ✔ Most billing related cases are based on HIPAA and the False Claims
Act.
HIPAA is an acronym for - ✔ ✔ Health Insurance Portability and Accountability Act of 1996.
Category 1 CPT codes - ✔ ✔ Medical Procedures.
Category 2 CPT codes - ✔ ✔ Supplemental Codes for Performance Measures.
Category 3 CPT codes - ✔ ✔ Emerging Technologies.
Add on Codes - ✔ ✔ Used for procedures that are always performed during the same operative
session, as another surgery in addition to the primary service/procedure and is never performed
separately.
Anesthesia is found - ✔ ✔ 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes - ✔ ✔ Are listed first in the CPT manual because they are
used by all the different specialties.
, Brackets - ✔ ✔ Used to enclose synonyms, alternative wording or and explanatory phrase.
Bullets - ✔ ✔ Represents a new procedure or service code added since the previous edition of the
manual.
Chief Complaint (CC) - ✔ ✔ The reason the patient came to see the physician.
Circle with a line through it (� ) - ✔ ✔ Exemption from modifier 51.
CPT - ✔ ✔ Used to report services and procedures by physicians.
E&M codes - ✔ ✔ 99201-99499
Guidelines are found - ✔ ✔ At the beginning of each section and used to provide specific coding
rules for that section.
History (HX) - ✔ ✔ The set of information the physician gathers from the patient concerning his/her
past.
History of Present Illness (HPI) - ✔ ✔ A chronological account of the development of the complaint
from the first sign or symptom that the patient experienced to the present.
Indented Codes - ✔ ✔ Listed under associate and stand alone codes.
E Codes - ✔ ✔ For durable medical equipment for use in home.
Level 1 codes - ✔ ✔ Codes found in the CPT manual.
Exam
Medical Ethics - ✔ ✔ Standards of conduct based on moral principals. Acting within ethical behavior
boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
Compliance Regulations - ✔ ✔ Most billing related cases are based on HIPAA and the False Claims
Act.
HIPAA is an acronym for - ✔ ✔ Health Insurance Portability and Accountability Act of 1996.
Category 1 CPT codes - ✔ ✔ Medical Procedures.
Category 2 CPT codes - ✔ ✔ Supplemental Codes for Performance Measures.
Category 3 CPT codes - ✔ ✔ Emerging Technologies.
Add on Codes - ✔ ✔ Used for procedures that are always performed during the same operative
session, as another surgery in addition to the primary service/procedure and is never performed
separately.
Anesthesia is found - ✔ ✔ 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes - ✔ ✔ Are listed first in the CPT manual because they are
used by all the different specialties.
, Brackets - ✔ ✔ Used to enclose synonyms, alternative wording or and explanatory phrase.
Bullets - ✔ ✔ Represents a new procedure or service code added since the previous edition of the
manual.
Chief Complaint (CC) - ✔ ✔ The reason the patient came to see the physician.
Circle with a line through it (� ) - ✔ ✔ Exemption from modifier 51.
CPT - ✔ ✔ Used to report services and procedures by physicians.
E&M codes - ✔ ✔ 99201-99499
Guidelines are found - ✔ ✔ At the beginning of each section and used to provide specific coding
rules for that section.
History (HX) - ✔ ✔ The set of information the physician gathers from the patient concerning his/her
past.
History of Present Illness (HPI) - ✔ ✔ A chronological account of the development of the complaint
from the first sign or symptom that the patient experienced to the present.
Indented Codes - ✔ ✔ Listed under associate and stand alone codes.
E Codes - ✔ ✔ For durable medical equipment for use in home.
Level 1 codes - ✔ ✔ Codes found in the CPT manual.
