NHA CBCS EXAM PREP WITH QUESTIONS AND CORRECT
ANSWERS// VERIFIED ANSWERS GRADED A+//LATEST UPDATE
2024/2025
What actions should be taken when a claim is billed for a level four
office visit and paid at a level three?
Submit an appeal with documentation
The standard medical abbreviation "ECG" refers to a test used to assess
which of the body systems?
cardiovascular system- test checks electricity of heart
According to HIPAA standards, what identifies the rendering provider
on the CMS-1500 claim form in Block 24J?
NPI
On the CMS-1500 claim form, blocks 14 through 33 contain information
about?
The patient's condition and the provider's information
Which block should the BCS complete on the CMS-1500 form for
procedures, services, or supplies?
24D
Which term describes when a plan pays 70% of the allowed and the
patient pays 30%?
Coinsurance is a percentage of the cost for covered services that is
approved by the insurance company
A provider charges $500 to a claim that had an allowable amount of
$400. What should happen to the non-allowed charge?
Write Off or adjustment
, Patient: Justin Austin; Social Security NO.: 555-22-1111; Medicare ID
NO.: 555-33-2222A; DOB: 05/22/1945. Claim information entered:
Austin, Jane; Social Security No.: 555-22-111; Medicare ID No.: 555-
33-2222A; DOB: 052245. What is a reason the claim was rejected?
The DOB is entered incorrectly - the format is two digits for the month
and four digits for the year.
A patient's health plan is referred to as the "payer of last resort." The
patient is covered by which health plan?
Medicaid
The physician bills $500 to a patient. After submitting the claim to the
insurance company, the claim is sent back with no payment. The patient
still owes $500 for the year. This amount is called what?
Deductible
Ambulatory surgery centers, home health care, and hospice
organizations use what form?
UB-04 Form
A physician ordered a comprehensive metabolic panel for a 70-year-old
patient who has Medicare as her primary insurance. Which form is
required so the patient knows she may be responsible for payment?
Advanced Beneficiary Notice is a form that is required for Medicare
recipients
Which of the following should the BCS complete to be reimbursed for
the provider's services?
CMS-1500 claim form
What is the maximum number of diagnoses that can be reported on the
CMS-1500 claim form before a further claim is required?
12
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller tutorWADE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
