NHA CBCS EXAM// WITH QUESTIONS AND CORRECT ANSWERS //
LATEST UPDATE 2024/2025// VERIFIED ANSWERS GRADED A+
E Codes - CORRECT ANSWER: For durable medical equipment for
use in home
Chief Complaint (CC) - CORRECT ANSWER: The reason the patient
came to see the physician.
Past, Family and Social History (PFSH) - CORRECT ANSWER:
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 - CORRECT ANSWER: 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? -
CORRECT ANSWER: The Medicare Catastrophic Coverage Act of
1988
Electronic Data interchange (EDI) - CORRECT ANSWER:
Transmitting electronic medical insurance claims from providers to
payers using the necessary information systems is called
,Medical Ethics are - CORRECT ANSWER: 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 - CORRECT ANSWER: 1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - CORRECT ANSWER: At the beginning of
each section and used to provide specific coding rules for that section.
Co-payment - CORRECT ANSWER: A fixed fee collected at the time
of the patients visit.
Review Linkage Protocol - CORRECT ANSWER: Appropriateness of
Codes, Payers rules about linkage, Documentation to support codes,
Compliance with regulation and guidelines
What is confidentiality? - CORRECT ANSWER: 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? - CORRECT ANSWER: Hypertension Neoplasm Table of
Drugs and Chemicals
, Level 2 codes - CORRECT ANSWER: National codes for physician
and non-physician service not found in the CPT Level 1
Inpatient - CORRECT ANSWER: 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 - CORRECT ANSWER: Health Insurance
Portability and Accountability Act of 1996.
Life Cycle of a Claim - CORRECT ANSWER: Submission,
Processing, Adjudication, Non-covered, Unauthorized, Medical
Necessity Checks, Payment / RA / ERA
Level 1 codes - CORRECT ANSWER: Codes found in the CPT
manual
Deductible - CORRECT ANSWER: The out-of-pocket payment
amount that a policyholder must meet before insurance covers the
service(s) is called?
Coinsurance - CORRECT ANSWER: A fixed percentage of covered
charges applied to the patients bill after the deductible has been met.
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