NHA CBCS E XAM 2024 ACTUAL EXAM COMPLETE 150+ QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ When a billing and coding specialist is completing the CMS -1500 claim form, which of the following information is required to process a medical claim - ANSWERCPT, ICD he allowed amount for a patient's office visit is $175. The copayment is $15 and the amount the insurance paid is $85. Which of the following is the amount of the adjustment - ANSWER$75 Which of the following suffixes refers to an abnormal c ondition - ANSWER -osis Which of the following entities contracts with Medicare to recoup money form inappropriately paid claims - ANSWERRecovery Audit Contractor Which of the following abbreviations is used to describe the reason a patient presents for a n encounter at the office visit - ANSWERCC A patient comes in the office with an injury form work. Which box on line 1 of the CMS -1500 claim from should the billing and coding specialist check off to transmit the calm for payment - ANSWERFECA Which of th e following physical status modifiers should the billing and coding specialist use to indicate a healthy patient who has no evidence of disease at the time of anesthesia administration - ANSWERP1 Which of the following practices does HIPPA Title II define as fraud - ANSWERAltering codes to increase payment A provider charges $30 for a treatment that has an allowed of $25. Which of the following statements regarding this $5 difference between the two amounts is correct - ANSWERThe insurance payer pays the $5 if the provider is a participating provider A patient who has coinsurance and has met their deductible has which of the following third -party payers - ANSWERPreferred provider organization(PP O) f a patient does not sign box 13 on the CMS -1500 form. Which of the following will receive payment - ANSWERProvider Which is the correct form - ANSWERThomas Jr. Martin F A patient has a diagnosis of chest pain. The billing and coding specialist shou ld link the diagnosis to the procedure in which of the following blocks on the CMS - 1500 form - ANSWER24D A provider's office is being investigated for fraud. Which of the following processes will be reviewed first - ANSWERCompliance Plan Which of the f ollowing entities works with Centers for Medicare and Medicaid services to prevent over payment - ANSWERMedicaid Integrity contractors Which of the following actions by a billing and coding specialist is insurance abuse - ANSWERUsing a health insurance identification number other than the patients to ensure payments Which of the following refers to payers electronically transferring date in order to facilitate coordination of benefits on a clean claim - ANSWERCrossover
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