(Answered)Certification study guide for
NHA CBCS Exam 2023
Medical Ethics - 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.
Compliance Regulations - Answer Most billing related cases are based on HIPAA
and the False Claims Act.
HIPAA is an acronym for - Answer Health Insurance Portability and Accountability
Act of 1996.
Category 1 CPT codes - Answer Medical Procedures.
Category 2 CPT codes - Answer Supplemental Codes for Performance Measures.
Category 3 CPT codes - Answer Emerging Technologies.
Add on Codes - 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.
Anesthesia is found - Answer 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes - Answer Are listed first in the CPT
manual because they are used by all the different specialties.
Brackets - Answer Used to enclose synonyms, alternative wording or and
explanatory phrase.
Bullets - Answer Represents a new procedure or service code added since the
previous edition of the manual.
Chief Complaint (CC) - Answer The reason the patient came to see the physician.
Circle with a line through it (🚫) - Answer Exemption from modifier 51.
CPT - Answer Used to report services and procedures by physicians.
E&M codes - Answer 99201-99499
Guidelines are found - Answer At the beginning of each section and used to provide
specific coding rules for that section.
History (HX) - Answer The set of information the physician gathers from the patient
concerning his/her past.
History of Present Illness (HPI) - Answer A chronological account of the development
of the complaint from the first sign or symptom that the patient experienced to the
present.
, (Answered)Certification study guide for
NHA CBCS Exam 2023
Indented Codes - Answer Listed under associate and stand alone codes.
E Codes - Answer For durable medical equipment for use in home.
Level 1 codes - Answer Codes found in the CPT manual.
Level 2 codes - Answer National codes for the physician and non-physician service
not found in the CPT Level 1.
Level 3 codes - Answer Used locally or regionally and have been eliminated by the
CMS since the implementation of HIPAA.
The List of Modifiers is found where in the CPT - Answer Appendix A and in the front
of the book.
Modifier 50 - Answer Bilateral procedure.
Modifier 24 - Answer Attach to E/M service code when service is provided during
postoperative period to indicate that the service is not part of postoperative care and
not included in the Surgical Package.
Modifier 26 - Answer Provider only provided the professional component.
Modifier 51 - Answer Used more than one procedure during the same surgical
episode.
Modifier 57 - Answer Modifier 57 is used on E/M services the day before or day of
major surgery when the initial decision to perform the surgery is identified.
Modifier 78 - Answer Physician must return to Operating Room to address
complication stemming from initial procedure.
Modifier 79 - Answer Procedure or service provided during postoperative period not
associated with initial procedure.
Modifiers - Answer Reporting indicators that indicate that the procedure or service
has been altered by specific circumstance but has not changed in it's definition of
code.
Parentheses - Answer Used to enclose supplementary words, non-essential
modifiers.
Past, Family and Social History (PFSH) - 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.
NHA CBCS Exam 2023
Medical Ethics - 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.
Compliance Regulations - Answer Most billing related cases are based on HIPAA
and the False Claims Act.
HIPAA is an acronym for - Answer Health Insurance Portability and Accountability
Act of 1996.
Category 1 CPT codes - Answer Medical Procedures.
Category 2 CPT codes - Answer Supplemental Codes for Performance Measures.
Category 3 CPT codes - Answer Emerging Technologies.
Add on Codes - 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.
Anesthesia is found - Answer 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes - Answer Are listed first in the CPT
manual because they are used by all the different specialties.
Brackets - Answer Used to enclose synonyms, alternative wording or and
explanatory phrase.
Bullets - Answer Represents a new procedure or service code added since the
previous edition of the manual.
Chief Complaint (CC) - Answer The reason the patient came to see the physician.
Circle with a line through it (🚫) - Answer Exemption from modifier 51.
CPT - Answer Used to report services and procedures by physicians.
E&M codes - Answer 99201-99499
Guidelines are found - Answer At the beginning of each section and used to provide
specific coding rules for that section.
History (HX) - Answer The set of information the physician gathers from the patient
concerning his/her past.
History of Present Illness (HPI) - Answer A chronological account of the development
of the complaint from the first sign or symptom that the patient experienced to the
present.
, (Answered)Certification study guide for
NHA CBCS Exam 2023
Indented Codes - Answer Listed under associate and stand alone codes.
E Codes - Answer For durable medical equipment for use in home.
Level 1 codes - Answer Codes found in the CPT manual.
Level 2 codes - Answer National codes for the physician and non-physician service
not found in the CPT Level 1.
Level 3 codes - Answer Used locally or regionally and have been eliminated by the
CMS since the implementation of HIPAA.
The List of Modifiers is found where in the CPT - Answer Appendix A and in the front
of the book.
Modifier 50 - Answer Bilateral procedure.
Modifier 24 - Answer Attach to E/M service code when service is provided during
postoperative period to indicate that the service is not part of postoperative care and
not included in the Surgical Package.
Modifier 26 - Answer Provider only provided the professional component.
Modifier 51 - Answer Used more than one procedure during the same surgical
episode.
Modifier 57 - Answer Modifier 57 is used on E/M services the day before or day of
major surgery when the initial decision to perform the surgery is identified.
Modifier 78 - Answer Physician must return to Operating Room to address
complication stemming from initial procedure.
Modifier 79 - Answer Procedure or service provided during postoperative period not
associated with initial procedure.
Modifiers - Answer Reporting indicators that indicate that the procedure or service
has been altered by specific circumstance but has not changed in it's definition of
code.
Parentheses - Answer Used to enclose supplementary words, non-essential
modifiers.
Past, Family and Social History (PFSH) - 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.
