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NHA CBCS EXAM 2024 EXPECTED QUESTIONS WITH VERIFIED ANSWERS GUARANTEE PASS GRADED A
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NHA CBCS EXAM 2024 EXPECTED QUESTIONS WITH VERIFIED ANSWERS GUARANTEE PASS GRADED A
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NHA CBCS EXAM 2024 EXPECTED QUESTIONSWITH VERIFIED ANSWERS GUARANTEE PASS
GRADED A
Which of the following Medicare policies
determines if a particular item or service is
covered by Medicare? - ....ANSWER >>>>National
Coverage Determination (NCD)
A patient's employer has not submitted a
premium payment. Which of the following claim
statuses should the provider receive from the
third-party payer? - ....ANSWER >>>>Denied
A billing and coding specialist should routinely
analyze which of the following to determine the
number of outstanding claims? - ....ANSWER
>>>>Aging report
Which of the following should a billing and coding
specialist use to submit a claim with supporting
documents? - ....ANSWER >>>>Claims attachment
,Which of the following terms is used to
communicate why a claim line item was denied
or paid differently than it was billing? -
....ANSWER >>>>Claim adjustment codes
On a CMS-1500 claim form, which of the following
information should the billing and coding
specialist enter into Block 32? - ....ANSWER
>>>>Service facility location information
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 the billing and coding specialist
take? - ....ANSWER >>>>Send the medical
information pertaining to the dates of service
requested
Which of the following is the deadline for
Medicare claim submission? - ....ANSWER >>>>12
months from the date of service
,Which of the following forms does a third-party
payer require for physician services? -
....ANSWER >>>>CMS-1500
A patient who is an active member of the military
recently returned from overseas and is in need of
specialty care. The patient does not have anyone
designed with power of attorney. Which of the
following is considered a HIPAA violation? -
....ANSWER >>>>The billing and coding specialist
sends the patient's records to the patient's
partner.
Which of the following terms refers to the
difference between the billing and allowed
amounts? - ....ANSWER >>>>Adjustment
Which of the following HMO managed care
services requires a referral? - ....ANSWER
>>>>Durable medical equipment
Which of the following explains why Medicare will
deny a particular service or procedure? -
....ANSWER >>>>Advance Beneficiary Notice (ABN)
, Which of the following types of claims is 120 days
old? - ....ANSWER >>>>Delinquent
When reviewing an established patient's
insurance card, the billing and coding specialist
notices a minor change from the existing card on
file. Which of the following actions should the
billing and coding specialist take? - ....ANSWER
>>>>Photocopy both sides of the new card
A husband and wife each have group insurance
through their employers. The wife has an
appointment with her provider. Which insurance
should be used as primary for the appointment? -
....ANSWER >>>>The wife's insurance
Which of the following would most likely result in
a denial on a Medicare claim? - ....ANSWER
>>>>An experimental chemotherapy medication
for a patient who has stage III renal cancer
Which of the following pieces of guarantor
information is required when establishing a
patient's financial record? - ....ANSWER
>>>>Phone number
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