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NHA CBCS CERTIFICATION exam//with questions and correct answers//latest update 2024/2025
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NHA CBCS CERTIFICATION exam//with questions and correct answers//latest update 2024/2025
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NHA CBCS CERTIFICATION exam//withquestions and correct answers//latest
update 2024/2025
Which of the following is considered the final determination of the
issues involving settlement of an insurance claim? - CORRECT
ANSWER: Adjudication
A form that contains charges, DOS, CPT codes, ICD codes, fees and
copayment information is called which of the following? - CORRECT
ANSWER: Encounter form
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? - CORRECT ANSWER: Admitting
clerk
Which of the following privacy measures ensures protected health
information (phi)? - CORRECT ANSWER: Using data encryption
software on office workstations
Which of the following planes divides the body into left and right? -
CORRECT ANSWER: Sagittal
,Which of the following provisions ensures that an insured's benefits
from all insurance companies do not exceed 100% of allowable medical
expenses? - CORRECT ANSWER: Coordination of benefits
Which of the following actions should be taken first when reviewing a
delinquent claim? - CORRECT ANSWER: Verify the age of the
account
Which of the following is the advantage of electronic claim submission?
- CORRECT ANSWER: Claims are expedited
Which of the following components of an explanation of benefits
expedites the process of a phone appeal? - CORRECT ANSWER:
Claim control number
The standard medical abbreviation ECG refers to a test used to assess
which of the following body systems? - CORRECT ANSWER:
Cardiovascular system
Which of the following actions by a billing and coding specialist would
be considered fraud? - CORRECT ANSWER: Billing for services not
provided
The >< symbol is used to indicate a new and revised test other than
which of the following? - CORRECT ANSWER: Procedure
descriptors
,On the CMS-1500 claim form, blocks 14 through 33 contain information
about which of the following? - CORRECT ANSWER: The patient's
condition and the provider's information
Which of the following includes procedures and best practices for
correct coding? - CORRECT ANSWER: Coding Compliance Plan
When completing a CMS-1500 paper claim form, which of the
following is an acceptable action for the billing and coding specialist to
take? - CORRECT ANSWER: Use arial size 10 font
A participating blue cross/blue shield (BC/BS) provider receives an
explanation 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? - CORRECT ANSWER: $48
Which of the following indicates a claim should be submitted on paper
instead of electronically? - CORRECT ANSWER: The claim requires
an attachment
According to HIPAA standards, which of the following identifies the
rendering provider on the CMS-1500 claim form in block 24j? -
CORRECT ANSWER: NPI
, Which of the following blocks should the billing and coding specialist
complete on the CMS-1500 claim form form for procedures, services or
supplies (CPT/HCPCS)? - CORRECT ANSWER: Block 24D
Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%? - CORRECT ANSWER:
Coinsurance
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? - CORRECT ANSWER:
Adjustment column of the credits
Which of the following is a HIPAA compliance guideline affecting
electronic health records? - CORRECT ANSWER: The electronic
transmission and code set standards require every provider to use the
healthcare transactions ,code sets and identifiers
Patient: Jane Austin; Social Security # 555-22-1111; Medicare ID: 555-
33-2222A; DOB: 05/22/1945. Claim information entered: Austin, Jane;
Social Security #.: 555-22-1111; Medicare ID No.: 555-33-2222A;
DOB: 052245. Which of the following is a reason this claim was
rejected? - CORRECT ANSWER: The DOB is entered incorrectly
Why does correct claim processing rely on accurately completed
encounter forms? - CORRECT ANSWER: They streamline patient
billing by summarizing the services rendered for a given date of service
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