NHA CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A
9 views 0 purchase
Module
NHA CBCS
Institution
NHA CBCS
NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A
Q: Which of the following actions by a billing and coding specialist would be considered fraud?
Answer:
Billing for services not provided
Q: The >< symbol is used to indicate a new and revised t...
which of the following actions by a billing and co
Written for
NHA CBCS
NHA CBCS
Seller
Follow
nurse_steph
Reviews received
Content preview
NHA CBCS (2024/ 2025) Exam | Questions and Ver ified Answers | 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS -1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The patient's condition and the provider's information Q: Which of the following includes procedures and best practices for correct coding? Answer: Coding Compliance Plan Q: When completing a CMS -1500 paper claim form, which of the following is an acceptable action for the billing and coding specialist to take? Answer: Use arial size 10 font Q: A participating blue cross/blue shield (BC/BS) provider receives an explanation of benefits for a patient account. The charged amount was $100. BC/BS allowed $80 and applied $40 to the patient's annual deductible. BC/BS paid the balance at 80%. How much sh ould the patient expect to pay? Answer: $48 Q: Which of the following indicates a claim should be submitted on paper instead of electronically? Answer: The claim requires an attachment Q: According to HIPAA standards, which of the following identifies the rendering provider on the CMS -1500 claim form in block 24j? Answer: NPI Q: Which of the following blocks should the billing and coding specialist complete on the CMS -1500 claim form form for procedures, services or supplies (CPT/HCPCS)? Answer: Block 24D Q: Which of the following terms describes when a plan pays 70% of the allowed amount and the patient pays 30%? Answer: Coinsurance Q: A provider charged $500 to claim that had an allowable amount of $400. In which of the following columns should the billing and coding specialist apply the non -allowed charge? Answer: Adjustment column of the credits Q: Which of the following is a HIPAA compliance guideline affecting electronic health records? Answer: The electronic transmission and code set standards require every provider to use the healthcare transactions ,code sets and identifiers Q: Patient: Jane Austin; Social Security # 555 -22-1111; Medicare ID: 555 -33-2222A; DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security #.: 555 -22-1111; Medicare ID No.: 555 -33-2222A; DOB: 052245. Which of the following is a reason this c laim was rejected? Answer: The DOB is entered incorrectly Q: Why does correct claim processing rely on accurately completed encounter forms? Answer: They streamline patient billing by summarizing the services rendered for a given date of service Q: A patient's health plan is referred to as the "payer of last resort." The patient is covered by which of the following health plans? Answer: Medicaid Q: Which of the following color formats is acceptable on the CMS -1500 claim form? Answer: Red Q: Which of the following is an example of a violation of an adult patient's confidentiality? Answer: Patient information was disclosed to the patient's parents without consent. Q: In the anesthesia section of the CPT manual, which of the following are considered qualifying circumstances? Answer: Add-on codes Q: Ambulatory surgery centers, home health care, and hospice organizations use the Answer: UB-04 claim form
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 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 nurse_steph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.95. You're not tied to anything after your purchase.
