NHA CBCS Certification Study Guide
Exam | Questions & 100% Correct Answers
(Verified) | Latest Update | Grade A+
abstracting
🗸🗸🗸: the extraction of specific data from a medical record, often for use in an external
database, such as a cancer registry
abuse
🗸🗸🗸: practices that directly or indirectly result in unnecessary costs to the Medicare
program
account number
🗸🗸🗸: number that identifies specific episode of care, date of service, or patient
accounts receivable department
🗸🗸🗸: Department that keeps track of what third-party payers the provider is waiting to
hear from and what patients are due to make a payment.
activity/status date
1|Page
,🗸🗸🗸: Indicates the most recent activity of an item.
actual charge
🗸🗸🗸: the amount the provider charges for the health care service
Administration Simplification Compliance Act (ASCA)
🗸🗸🗸: specifically prohibits any payment by Medicare for services or medically
necessary supplies that are not submitted electronically
administrative services only (ASO) contract
🗸🗸🗸: Contract between employers and private insurers under which employers fund
the plans themselves, and the private insurers administer the plans for the employers.
Advance Beneficiary Notice of Noncoverage (ABN)
🗸🗸🗸: Form provided if a provider believes that a service may be declined because
Medicare might consider it unnecessary.
aging report
🗸🗸🗸: Measures the outstanding balances in each account.
allowable charge
2|Page
, 🗸🗸🗸: The amount an insurer will accept as full payment, minus applicable cost
sharing.
APC grouper
🗸🗸🗸: Helps coders determine the appropriate ambulatory payment classification
(APC) for an outpatient encounter.
assignment of benefits
🗸🗸🗸: Contract in which the provider directly bills the payer and accepts the allowable
charge.
auditing
🗸🗸🗸: review of claims for accuracy and completeness
authorization
🗸🗸🗸: Permission granted by the patient or the patient's representative to release
information for reasons other than treatment, payment, or health care operations.
balance billing
🗸🗸🗸: Billing patients for charges in excess of the Medicare fee schedule.
3|Page
Exam | Questions & 100% Correct Answers
(Verified) | Latest Update | Grade A+
abstracting
🗸🗸🗸: the extraction of specific data from a medical record, often for use in an external
database, such as a cancer registry
abuse
🗸🗸🗸: practices that directly or indirectly result in unnecessary costs to the Medicare
program
account number
🗸🗸🗸: number that identifies specific episode of care, date of service, or patient
accounts receivable department
🗸🗸🗸: Department that keeps track of what third-party payers the provider is waiting to
hear from and what patients are due to make a payment.
activity/status date
1|Page
,🗸🗸🗸: Indicates the most recent activity of an item.
actual charge
🗸🗸🗸: the amount the provider charges for the health care service
Administration Simplification Compliance Act (ASCA)
🗸🗸🗸: specifically prohibits any payment by Medicare for services or medically
necessary supplies that are not submitted electronically
administrative services only (ASO) contract
🗸🗸🗸: Contract between employers and private insurers under which employers fund
the plans themselves, and the private insurers administer the plans for the employers.
Advance Beneficiary Notice of Noncoverage (ABN)
🗸🗸🗸: Form provided if a provider believes that a service may be declined because
Medicare might consider it unnecessary.
aging report
🗸🗸🗸: Measures the outstanding balances in each account.
allowable charge
2|Page
, 🗸🗸🗸: The amount an insurer will accept as full payment, minus applicable cost
sharing.
APC grouper
🗸🗸🗸: Helps coders determine the appropriate ambulatory payment classification
(APC) for an outpatient encounter.
assignment of benefits
🗸🗸🗸: Contract in which the provider directly bills the payer and accepts the allowable
charge.
auditing
🗸🗸🗸: review of claims for accuracy and completeness
authorization
🗸🗸🗸: Permission granted by the patient or the patient's representative to release
information for reasons other than treatment, payment, or health care operations.
balance billing
🗸🗸🗸: Billing patients for charges in excess of the Medicare fee schedule.
3|Page
