NHA CBCS CERTIFICATION EXAM QUESTIONS AND ANSWERS 100% PASS
6 views 0 purchase
Module
NHA
Institution
NHA
NHA CBCS CERTIFICATION EXAM QUESTIONS
AND ANSWERS 100% PASS
Which of the following is considered the final determination of the issues involving
settlement of an insurance claim? - Correct Answer ️️ -Adjudication
A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment
i...
On the CMS-1500 claim form, blocks 14 through 33 contain information about which of
the following? - Correct Answer ✔️✔️-The patient's condition and the provider's
information
Which of the following includes procedures and best practices for correct coding? -
Correct Answer ✔️✔️-Coding Compliance Plan
When completing a CMS-1500 paper claim form, which of the following is an acceptable
action for the billing and coding specialist to take? - Correct Answer ✔️✔️-Use arial size
10 font
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 should the patient expect to pay? - Correct Answer ✔️✔️-$48
, Which of the following indicates a claim should be submitted on paper instead of
electronically? - Correct Answer ✔️✔️-The claim requires an attachment
According to HIPAA standards, which of the following identifies the rendering provider
on the CMS-1500 claim form in block 24j? - Correct Answer ✔️✔️-NPI
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)? -
Correct Answer ✔️✔️-Block 24D
Which of the following terms describes when a plan pays 70% of the allowed amount
and the patient pays 30%? - Correct Answer ✔️✔️-Coinsurance
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? - Correct Answer ✔️✔️-Adjustment column of the credits
Which of the following is a HIPAA compliance guideline affecting electronic health
records? - Correct Answer ✔️✔️-The electronic transmission and code set standards
require every provider to use the healthcare transactions ,code sets and identifiers
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
claim was rejected? - Correct Answer ✔️✔️-The DOB is entered incorrectly
Why does correct claim processing rely on accurately completed encounter forms? -
Correct Answer ✔️✔️-They streamline patient billing by summarizing the services
rendered for a given date of service
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 EmilyCharlene. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.13. You're not tied to anything after your purchase.
