Exam (elaborations)
CBCS Exam Practice Questions and Answers for NHA
- Course
- Institution
CBCS Exam Practice Questions and Answers for NHA
[Show more]
Content preview
CBCS Practice for NHAReinstated or recycled code - Answer -The symbol "O" in the Current Procedural Terminology reference
is used to indicate what?
Add-on codes - Answer -In the anesthesia section of the CPT manual, what are considered qualifying
circumstances?
Operative Report - Answer -What is considered proper supportive documentation for reporting CPT and
ICD codes for surgical procedures?
Guidelines prior to each section - Answer -Where can unlisted codes be found in the CPT manual.
17b - Answer -Where does the NPI number go on the CMS-1500 form?
Electronic Data Interchange - Answer -The transfer of electronic information in a standard form.
Explanation of Benefits (EOB) - Answer -Describes the services rendered, payment covered, and benefit
limits and denials.
Crossover Claim - Answer -Claim submitted by people covered by a primary and secondary insurance
plan.
,Authorizes the release of medical information. - Answer -By signing block 12 of CMS-1500 form, a
patient is doing what?
Medicare Part A - Answer -Provides hospitalization insurance to eligible individuals.
Medicare Part B - Answer -Voluntary supplemental medical insurance to help pay for physicians' and
other medical professionals' services, medical services, and medical-surgical supplies not covered by
Medicare Part A.
Medicare Advantage (MA) - Answer -Combined package of benefits under Medicare Parts A and B that
may offer extra coverage for services such as vision, hearing, dental, health and wellness, or prescription
drug coverage.
Medicare Part D - Answer -prescription drug coverage by Medicare
Medigap - Answer -A private health insurance that pays for most of the charges not covered by
Medicare Parts A and B.
PreAUTHORIZATION - Answer -Approval from the health plan for an inpatient hospital stay or surgery.
PreCERTIFICATION - Answer -A review that looks at whether the procedure could be performed safely
but less expensively in an outpatient setting.
PreDETERMINATION - Answer -A written request for a verification of benefits.
Who is usually the Gatekeeper? - Answer -The primary physician.
Formulary - Answer -A list of prescription drugs covered by an insurance plan.
Tier 1 - Answer -Providers and facilities in a PPO's network.
, Tier 2 - Answer -Providers and facilities within a broader, contracted network of the insurance company.
Tier 3 - Answer -Providers and facilities out of the network.
Tier 4 - Answer -Providers and facilities not on the formulary.
Preferred Provider - Answer -Tier 2 provider
Charge Description Master (CDM) - Answer -Information about health care services that patients have
received and financial transactions that have taken place.
Balance Billing - Answer -Billing patients for charges in excess of the Medicare fee schedule.
Batch - Answer -A group of submitted claims.
V Codes - Answer -Codes used to classify visits when circumstances other than disease or injury are the
reason for the appointment.
E Codes - Answer -Codes used to classify environmental events, circumstances, and conditions, such as
the cause of injury, poisoning, and other adverse events.
Category 1 CPT Code - Answer -Code that covers physicians' services and hospital outpatient coding.
Category 2 CPT Code - Answer -Code designed to serve as supplemental tracking codes that can be used
for performance measurement.
Category 3 CPT Code - Answer -Code used for temporary coding for new technology and services that
have not met the requirements needed to be added to the main section of the CPT book.
Abstracting - Answer -The extraction of specific data from a medical record, often for use in an external
database, such as a cancer registry.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Zanaya. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now