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#1 NHA CBCS 2024 EXAM WITH COMPLETE SOLUTIONS
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#1 NHA CBCS 2024 EXAM WITH COMPLETE SOLUTIONS
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#1 NHA CBCS 2024 EXAM WITHCOMPLETE SOLUTIONS
Which of the following describes the reason for a claim rejection because of
Medicare ncci edits? - -Improper code combinations
-A claim is submitted with a transposed insurance member ID number and
returned to the provider. Which of the following describes the status that
should be assigned to the claim by the carrier? - -invalid
-Medigap coverage is offered to Medicare beneficiaries by which of the
following? - -Private third-party payers
-Which of the following provisions ensures that an insureds benefits from all
insurance companies do not exceed 100% of allowable medical expenses? -
-coordination of benefits
-A coroner's autopsy is comprised of what examinations? - -Gross
examination
-Which of the following statements is true regarding the release of patients
records? - -Patient access to psychotherapy notes may be restricted
-Which of the following actions by a billing and coding specialist would be
considered fraud? - -billing for services not provided
-Which of the following components of an explanation of benefits expedites
the process of a phone appeal? - -claim control number
-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
-A billing and coding specialist should understand that the financial records
source that is generated by a providers office is called a - -Patient ledger
account
-Which of the following medical terms refers to the sac that causes the heart
- -Pericardium
-Hipaa transaction standards apply to which of the following entities? - -
Health care clearinghouses
, -All dependents 10 years of age or older are required to have which of the
following for tricare? - -Military identification
-The standard medical abbreviation ECG refers to a test used to assess
which of the following body systems? - -cardiovascular system
-Which of the following is an example of a violation of an adult patient
confidentiality? - -Patient information was disclosed to the patient's parent
without consent
-Claims that are submitted without an NPI number will delay payment to the
provider because - -the number is needed to identify the provider
-Which of the following sections of the medical record is used to determine
the correct evaluation and management code used for billing and coding? - -
history and physical
-Which of the following actions should be taken if an insurance company
denies a service as not medically necessary? - -Appeal the decision with a
provider's report
-Which of the following is the portion of the account balance the patient
must pay after services are rendered in the annual deductible is met? - -
coinsurance
-Which of the following is the function of the respiratory system? - -
Oxygenating blood cells
-Which of the following describes a delinquent claim? - -The claim is
overdue for payment
-Which of the following actions should be billing and coding specialist take if
he observes a colleague and on ethical situation? - -Report the incident to a
supervisor
-A participating Blue Cross Blue Shield provider receives an explanation of
benefits for a patient account. The charge amount was $100. Blue Cross Blue
Shield allowed $80 and applied $40 to the patient's annual deductible. Blue
Cross Blue Shield paid the balance at 80%. How much should the patient
expect to pay? - -$48
-Which of the following statements is correct regarding a deductible? - -The
deductible is the patient's responsibility
-A physician ordered a comprehensive metabolic panel for 70-year-old
patient who has Medicare as her primary insurance. Which of the following
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