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NHA CBCS Certification Practice Exam A 2024/2025 graded A+
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NHA CBCS Certification Practice Exam A 2024/2025 graded A+
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NHA CBCS Certification Practice ExamA
Which of the following is considered the final determination of the issues involving the
settlement of an insurance claim? - ANSAdjudication - is the process of putting an insurance
claim through a series of edits for final determination.
Chapter 4
A form that contains charges, DOS, CPT codes, fees, and copayment information is called
which of the following? - ANSEncounter form is a form that contains charges, DOS, CPT
code, ICD codes, fees, and copayment information.
page 67
A patient comes to the hospital for an inpatient procedure. Which of the following hospital
staff members is responsible for the initial patient interview, obtaining demographic and
insurance information, and documenting the chief complaint? - ANSAdmitting these duties
clerk has Chapter 3
Which of the following privacy measures ensures protected health information (PHI)? -
ANSUsing data encryption software on office workstations - encryption software ensures that
electronically transmitted health information cannot be read by third parties. This privacy
measure guarantees PHI.
Chapter 1
Which of the following planes divide the body into left and right? - ANSSagittal plane divides
the body into right and left sections
Which of the following provisions ensures that an insured's benefits from all insurance
companies do not exceed 100% of allowable medical expenses? - ANSCoordination of
benefits ensures that the insured benefits from all insured companies do not exceed 100% of
allowable medical expenses.
page 16
Which of the following actions should be taken first when reviewing a delinquent claim? -
ANSVerify the age of the account is the first action.
page 45
Which of the following is the advantage of electronic claim submission? - ANSClaims are
expedited - submitting claims electronically is faster than submitting paper claims.
page 15
Which of the following components of an explanation of benefits expedites the process of a
phone appeal? - ANSClaim control number expedites the process of a phone appeal.
Chapter 4
, The standard medical abbreviation "ECG" refers to a test used to assess which of the
following body systems? - ANSCardiovascular system- which is a test that checks for
problems with the electrical activity of the heart.
Chapter 5
Which of the following actions by a billing coding specialist (bcs) would be considered fraud?
- ANSBilling for a service not provided is considered fraud and can result in fines for the bcs
and the physician page 6
The "> <" symbol is used to indicate new and revised text other than which of the following?
- ANSProcedures descriptors Chapter 5
On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the
following? - ANSThe patient's condition and the provider's information are found on the
CMS-1500 at blocks 14 - 33 page 21
Which of the following includes procedures and best practices for correct coding? -
ANSCoding Compliance Plan contains rules, procedures, and best practices to ensure
accurate coding.
Chapter 5
When completing a CMS-1500 paper claim form, which of the following is an acceptable
action for the bcs to take? - ANSUse Arial size 10 font or OCR size 10-, or 12-point for paper
claims.
Chapter 2
A participating BCBS provider received an explanation of benefits for a patient account. The
charge 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? -
ANS$48 page 38-39
Which of the following indicates a claim should be submitted on paper instead of
electronically? - ANSThe claim requires an attachment - should submit a paper form if the
claim requires an attachment.
Chapter 2
According to HIPAA standards, which of the following identifies the rendering provider on the
CMS-1500 claim form in Block 24J? - ANSNPI Page 23
Which of the following blocks should the bcs complete on the CMS-1500 form for
procedures, services, or supplies? - ANSBlock 24D.
Page 23
Which of the following terms describes when a plan pays 70% of the allowed and the patient
pays 30%? - ANSCoinsurance is a percentage of the cost for covered services that is
approved by the insurance company.
Page 39
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