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NHA CBCS CERTIFICATION Actual Exam 2024 Questions and Verified Answers A+ Grade 100% Guarantee (2024 / 2025) $13.49   Add to cart

Exam (elaborations)

NHA CBCS CERTIFICATION Actual Exam 2024 Questions and Verified Answers A+ Grade 100% Guarantee (2024 / 2025)

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  • NHA - Certified Billing And Coding Specialist
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  • NHA - Certified Billing And Coding Specialist

NHA CBCS CERTIFICATION Actual Exam 2024 Questions and Verified Answers A+ Grade 100% Guarantee (2024 / 2025) NHA CBCS CERTIFICATION Actual Exam 2024 Questions and Verified Answers A+ Grade 100% Guarantee (2024 / 2025) NHA CBCS Exam (2024 / 2025) Actual Questions and Verified Answers & Rationales /...

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  • August 9, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NHA - Certified Billing And Coding Specialist
  • NHA - Certified Billing And Coding Specialist
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NHA CBCS CERTIFICATION.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/NHA%20CBCS%20CE




NHA CBCS CERTIFICATION EXAM


1. Which of the following is considered the final determination of the issues involving

settlement of an insurance claim?

ANS Adjudication

2. A form that contains charges, DOS, CPT codes, ICD codes, fees and copay- ment

information is called which of the following?

ANS Encounter form

3. 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?

ANS Admitting clerk

4. Which of the following privacy measures ensures protected health informa- tion (phi)?

ANS Using data encryption software on office workstations

5. Which of the following planes divides the body into left and right?

ANS Sagittal

6. Which of the following provisions ensures that an insured's benefits from all





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insurance companies do not exceed 100% of allowable medical expens- es?

ANS Coordination of benefits

7. Which of the following actions should be taken first when reviewing a delinquent

claim?

ANS Verify the age of the account

8. Which of the following is the advantage of electronic claim submission?

ANS -

Claims are expedited

9. Which of the following components of an explanation of benefits expedites the process

of a phone appeal?

ANS Claim control number

10. The standard medical abbreviation ECG refers to a test used to assess which of the

following body systems?

ANS Cardiovascular system

11. Which of the following actions by a billing and coding specialist would be considered

fraud?

ANS Billing for services not provided

12. The >< symbol is used to indicate a new and revised test other than which of the





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following?

ANS Procedure descriptors

13. On the CMS-1500 claim form, blocks 14 through 33 contain information about which

of the following?

ANS The patient's condition and the provider's informa- tion

14. Which of the following includes procedures and best practices for correct coding?

ANS Coding Compliance Plan

15. When completing a CMS-1500 paper claim form, which of the following is an

acceptable action for the billing and coding specialist to take?

ANS Use arial size 10 font

16. A participating blue cross/blue shield (BC/BS) provider receives an expla- nation of

benefits for a patient account.The charged 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









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17. Which of the following indicates a claim should be submitted on paper instead of

electronically?

ANS The claim requires an attachment

18. According to HIPAA standards, which of the following identifies the ren- dering

provider on the CMS-1500 claim form in block 24j?

ANS NPI

19. Which of the following blocks should the billing and coding specialist com- plete on the

CMS-1500 claim form form for procedures, services or supplies (CPT/HCPCS)?

ANS Block 24D

20. Which of the following terms describes when a plan pays 70% of the allowed

amount and the patient pays 30%?

ANS Coinsurance

21. A provider charged $500 to claim that had an allowable amount of $400. In which of

the following columns should the billing and coding specialist apply the non-allowed

charge?

ANS Adjustment column of the credits

22. Which of the following is a HIPAA compliance guideline affecting electronic health







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