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NHA CBCS Review Exam/156 Questions with Verified Answers
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NHA CBCS Review Exam/156Questions with Verified Answers
E Codes - -For durable medical equipment for use in home
-Chief Complaint (CC) - -The reason the patient came to see the physician.
-Past, Family and Social History (PFSH) - -Consists of patients personal
experiences with illnesses, surgeries, and injuries; Information of illnesses
predominant in family; Patients educational background, occupation, marital
status and other factors
-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.
-What act mandated the reporting of ICD-9-CM diagnosis codes? - -The
Medicare Catastrophic Coverage Act of 1988
-Electronic Data interchange (EDI) - -Transmitting electronic medical
insurance claims from providers to payers using the necessary information
systems is called
-Medical Ethics are - -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.
-Three Components for E*M Codes - -1.History
2.Physical Exam
3.Medical Decision-Making
-Guidelines are Found? - -At the beginning of each section and used to
provide specific coding rules for that section.
-Co-payment - -A fixed fee collected at the time of the patients visit.
-Review Linkage Protocol - -Appropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and
guidelines
-What is confidentiality? - -Involves restricting patient information access to
those with proper authorization and maintaining the security of patient
information.
, -What are the names of the three tables that appear in the Index to
Diseases? - -Hypertension Neoplasm Table of Drugs and Chemicals
-Level 2 codes - -National codes for physician and non-physician service not
found in the CPT Level 1
-Inpatient - -A/An ___________ is a person admitted to a hospital or long-term
care facility(LTCF) for treatment with the expectation that the patient will
remain in the hospital for a period of 24 hours or more.
-HIPAA is an acronym for - -Health Insurance Portability and Accountability
Act of 1996.
-Life Cycle of a Claim - -Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
-Level 1 codes - -Codes found in the CPT manual
-Deductible - -The out-of-pocket payment amount that a policyholder must
meet before insurance covers the service(s) is called?
-Coinsurance - -A fixed percentage of covered charges applied to the
patients bill after the deductible has been met.
-Liability Insurance - -Covers injuries caused by insured that occurred on the
insured's property.
-Unspecified - -"No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
-subpoena - -A writ requiring the appearance of a person at a trial or other
proceeding is a ___________.
-Medicare - -What is the single largest healthcare program in the United
States?
-Parentheses - -Used to enclose supplementary words; non essential
modifiers
-Indemnity insurance - -Health indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans,
and will cover some (but not all) expenses
-Rejected Claim - -A rejected claim is an electronically submitted claim that
is unprocessable due to missing or invalid information required by the payer.
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