NHA CBCS Exam Latest 2024 Actual Questions and Verified Answers & Rationales (2024 / 2025) A+ Grade 100% Guarantee Verified by Experts
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NHA - Certified Billing And Coding Specialist
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NHA - Certified Billing And Coding Specialist
NHA CBCS Exam Latest 2024 Actual Questions and Verified Answers & Rationales (2024 / 2025) A+ Grade 100% Guarantee Verified by Experts Which of the following describes the reason for a claim rejection because of Medicare NCCI edits? Answer Improper Code Combinations
(Medicare NCCI edits will trigg...
NHA CBCS Exam Actual Questions and Verified Answers & Rational... file:///C:/Users/HP/Desktop/New%20fo/NHA%20CBCS%20Exam%
NHA CBCS EXAM ACTUAL QUESTIONS & VERIFIED ANSWERS &
RATIONALE’S A+ GRADE
1. Which of the following describes the reason for a claim rejection becauseof Medicare
NCCI edits?
Answer Improper Code Combinations
(Medicare NCCI edits will trigger a claim rejection for improper code combinations)
2. A claim is submitted with a transposed insurance member ID number andreturned to
the provider. Which of the following describes the status that should be assigned to the
claim by the carrier?
Answer Invalid
(Invalid claim contains illogical or incorrect information and is returned to the provider
unprocessed)
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3. Medigap coverage is offered to Medicare beneficiaries by which of thefollowing
Answer Private Third-Party Payers
(Private third-party payers offer supplement coverage to Medicare beneficiaries whopay their
Medicare premium.)
4. Which of the following provisions ensures that an insured's benefits fromall
insurance companies do not exceed 100% of allowable medical expens- es?
Answer Coordination of benefits
(Coordination of benefits ensures that the insured benefits from all insured compa-nies do not
exceed 100% of allowable medical expenses)
5. A coroner's autopsy is comprised of which of the
Answer Gross Examination
(Gross examination is an integral part of an autopsy.)
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6. Which of the following statements is true regarding the release of patientrecords?
A. Verbal requests for records from life insurance companies are appropriate.
B. Identification is not required when requesting access to patient records.
C. Providers cannot share a patient's medical information with other healthcare
professionals if the patient is mentally unstable.
D. Patient access to psychotherapy notes may be restricted
Answer Patient access topsychotherapy notes may be restricted
(Patients cannot access psychotherapy notes or information compiled for lawsuits.)
7. Which of the following actions by a billing and coding specialist would beconsidered
fraud?
A. Submitting a claim for services that are not medically necessary
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B. Violating participating provider agreements with third-party payers
C. Billing for services not provided
D. Billing non-covered services as covered services
Answer Billing for services notprovided
(Billing for services not provided is considered fraud and can result in fines for thebilling and
coding specialist and the physician.)
8. Which of the following components of an explanation of benefits expeditesthe process
of a phone appeal?
A. NPI number
B. Claim control number
C. Insured's ID number
D. Check number
Answer B. Claim control number
(The claim control number expedites the process of a phone appeal.)
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