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NHA CBCS practice test #1 – 100 Questions and Answers
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NHA CBCS practice test #1 – 100Questions and Answers
Which of the following electronic forms is used to post payments? - -
Electronic remittance advice (ERA)
-If a clean claim is received March 1 of this year, which of the following is
the allowable last day of payment in order to meet Medicare compliance
requirements? - -March 30
-Threading a catheter with balloon into a coronary artery and expanding it
to repair arteries describes which of the following procedures? - -Angioplasty
-The authorization number for a service that was approved before the
service was rendered is indicated in which of the following blocks on the
CMS-1500 claim form? - -Block 23
-Which of the following blocks of the CMS-1500 claim form indicates an ICD
diagnosis code? - -Block 21
-A patient who has an HMO insurance plan needs to see a specialist for a
specific problem. From which of the following should the patient obtain an
referral? - -Primary Care Provider
-A provider surgically punctures through the space between the patient's
ribs using an aspirating needle to withdraw fluid from the chest cavity. Which
of the following is the name of this procedure? - -Pleurocentesis
-Which of the following standardized formats are used in the electronic filing
of claims? - -HIPAA standard transactions
-Which of the following blocks on the CMS-1500 claim form is used to accept
assignment of benefit? - -Block 27
-On the CMS-1500 claim form, blocks 14 through 33 contain information
about which of the following? - -The patient's condition and the provider's
information
-The explanation of benefits states the amount billed was $80. The allowed
amount is $60, and the patient is required to pay a $20 copayment. Which of
the following describes the insurance check amount to be posted? - -$40
-Which of the following should a billing coding specialist use to submit a
claim with supporting documents? - -Claims Attachment
, -When reviewing an established patient's insurance card, the billing and
coding specialist notices a minor change from the existing card on file. Which
of the following actions should the billing and coding specialist take? - -
Photo copy both sides of the card
-Which of the following accurately describes code symbols found in the CPT
manual? - -A product pending FDA approval is indicated as a lightning-bolt
symbol
-Which of the following Medicare policies determines if a particular item or
service is covered by Medicare? - -National Coverage Determination (NCD)
-Which of the following options is considered proper supportive
documentation for reporting CPT and ICD codes for surgical procedures? * - -
Operative report
-Which of the following is an example of a remark code from an explanation
of benefits document? - -Contractual allowance
-Which of the following forms should the billing and coding specialist
transmit to the insurance carrier for reimbursement of inpatient hospital
services? - -UB-04
-A claim is denied due to termination of coverage. Which of the following
actions should the billing and coding specialist take next? - -Follow up with
the patient to determine current name, address, and insurance carrier for
resubmission
-Which of the following national provider identifiers (NPIs) is required in
Block 33a of a CMS-1500 claim form? - -Billing provider
-Which of the following is a reason a claim would be denied? - -Incorrectly
linked codes
-The unlisted codes can be found in which locations in the CPT manual? - -
The guidelines prior to each section
-When the remittance advice is sent from the third-party payer to the
provider, which of the following actions should the billing and coding
specialist perform first? - -Ensure proper payment has been made
-Which of the following symbols indicates a revised code? - -Triangle
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