Exam (elaborations)
NHA NEW CBCS PRACTICE TESTS- study questions and answers already graded A+ 2025/2026
- Course
- Institution
NHA NEW CBCS PRACTICE TESTS- study questions and answers already graded A+ 2025/2026
[Show more]
Content preview
NHA NEW CBCS PRACTICE TESTS-study
1. -24 - ANS-Unrelated E/M Services by means of the Same Physician During a
Postoperative Period
2. -26 - ANS-Professional Component
3. -32 - ANS-Mandated Services
4. -50 - ANS-Bilateral Procedure
5. -fifty one - ANS-Multiple Procedures
6. -fifty eight - ANS-Staged or Related Procedure or Service by means of the equal
Physician at some stage in the Postoperative Period
7. -seventy eight - ANS-Return to Operating Room for a Related Procedure all through the
Postoperative Period
8. -79 - ANS-Unrelated Procedure by way of the Same Physician During the Postoperative
Period
9. -ninety - ANS-Reference (Outside) Laboratory
10. -ninety nine - ANS-Multiple Modifiers
11. $ninety five - ANS-the affected person's out of pocket rate for an office go to charge of
$130 wiht a copay of $30 and a unmet deductible of $sixty five. The patient's out of
pocket rate is
12. 0030T - ANS-a instance of a code that may be a Category II code or performance code
would be
13. 042 - ANS-an example of a class ICD-9 code is
14. 2 essential sections of CMS-1500 - ANS-Blocks 1-thirteen patient statistics
15. Blocks 14-33 refers to doctor infromation
16. 2 styles of accounting - ANS-unmarried and double access
17. 3 sections of Alphabetic index - ANS-Section 1: Index to Diseases: each term is followed
with the aid of the code or codes that observe to that time period
18. Section 2: Table of Drugs and Chemiclas: incorporates listing of drugs and chemical
compounds with corresponding poisoning codes and E codes.
19. 3 volumns of ICD-nine manal - ANS-Volumn 1-Diseases: Tabular List
20. Volumn 2-Diseases: Alphabetic Index
21. Volumn 1 and 2 are used in the inpatient and outpatient setting
22. Volumn 3- Procedures:Tabular List and Alphabetic Index
23. 3 approaches to achieve heath coverage - ANS-Group, personal, in line with-paid fitness
plan
24. eight am - ANS-a set agency can not make collection calls before what time
25. nine pm - ANS-the gathering enterprise changed into no longer able to call the patient
after what time in the evening
,26. a health insurance declare - ANS-a billable file of the prognosis and offerings provided
for a affected person is a
27. a plus sign - ANS-shows a upload-on codes
28. A triangle - ANS-image in the CPT manual that represents a alternate within the code
description for the reason that remaining edition. The change can be minor or vast and it
could be and addition, deletion or revision.
29. ABN - ANS-a report signed via the patient that suggests they may be accountable for
any fees no longer covered by means of Medicare
30. ABN - ANS-Advanced Beneficiary Notice
31. abstracting - ANS-the method of translating medical documentation into codes is called
32. Abuse - ANS-Defined as incidents or practices, not usually considered fradulaent which
might be inconsistant with the frequent clinical commercial enterprise or monetary
practices within the industry.
33. Be given venture - ANS-issuer is of the same opinion to just accept what the insurance
comany
34. approves as price in complete for the claim
35. accepting challenge - ANS-the issuer has the same opinion to the quantity the carrier
can pay for the services, this is referred to as
36. Accepting Assignment - ANS-the company is a PAR issuer for BCBS, consequently the
provider is of the same opinion to accept the price the insurance enterprise pays, that is
known as
37. Accounts Receivable - ANS-remarkable balances because of the office
38. accrual accounting - ANS-recording earnings as they're earned
39. add on codes - ANS-the + symbol suggests an upload on code, which is a CPT code
that can't be used with out another primary CPT code
40. upload-on codes - ANS-used for approaches this is usually done in the course of the
equal operative consultation as any other surgical treatment in addition to the number
one carrier/manner and is never performed separatley.
41. Never stand by myself, they're always suggested further to a number one process code.
42. Modifier -fifty one (multiple methods) exempt
43. adjudication - ANS-the declare changed into received at BCBS, as a easy claim, and
geared up for processing for payment, the procedure is known as
44. adjudication - ANS-the insurance technique of reviewing a claim for payment
45. adjustment - ANS-often referred to as the write off or bargain, that is the difference
among the total expenses and the allowed amount
46. Administrative Simplification-The purpose is to attention at the fitness care exercise
putting to reduce administrative price and burdens. - ANS-Two components:
47. 1. Development and implementation of standardized health-related financial and
administrative sports electronically.
48. 2. Implementation of privacy and safety approaches to prevent the misuse of health
information by using ensuring confidentiality.
49. Advance Beneficiary Notice - ANS-record furnished to a Medicare beneficiary by a
company previous o carrier being rendered letting the beneficiary knowof his/her duty to
pay if Medicare denies the claim
, 50. Aged Claims - ANS-claims which have now not been paid inside 30 days
51. allowed costs - ANS-the contractual amount the provider will obtained from the
insurance provider
52. AMA - ANS-employer that keeps the CPT manual
53. ambulatory care - ANS-out patient care
54. amount applied towards the deductible or patient responsibility - ANS-what facts can be
located at the EOB
55. an add on code - ANS-the Coder discovered a code for the removal of 10 pores and skin
tags, however the patient has 12 eliminated, the Coder needed to use another code to
cover the ultimate 2 pores and skin tags, is code is known as
56. Appeals Process - ANS-the method of asking the coverage organisation to review a
denied declare
57. arteries - ANS-takes blood away from the coronary heart
58. ask the affected person to observe up with the insurance corporation - ANS-the Biller
calls and finds the declare is in pending reputation, looking forward to affected person
statistics, the Biller must
59. Assessment - ANS-the doctor diagnosed the patient with CHF, this facts is located
wherein segment of the Progress notes
60. task of advantages - ANS-the authorization from the patient for charge for services to be
despatched immediately to the issuer
61. attending physician - ANS-staff physician in a health center
62. audit - ANS-formal exam of patient medical records and money owed
63. beneficiary - ANS-Medicare and Medicaid use this term to explain the insured
64. benificiary will pay - ANS-deductible, premiums, 20% coinsurance, non-covered offerings
65. bilaterally - ANS-the physician eliminated each ovaries, therefore the surgical operation
done a __________ surgical operation
66. bill the patient - ANS-the patient's EOB indicated that the offerings had been not
blanketed, what might the Biller do subsequent
67. birthday rule - ANS-the parent whose birthday is first in the calendar year, determines
which insurance is number one
68. birthday rule - ANS-what determines which insurance is primary for a affected person
who's blanketed on both discern's coverage?
69. Backside element - ANS-what place of the CMS 1500 consists of the provider's records
70. box 24 J - ANS-the locator container that imply which medical doctor saw the affected
person is
71. bullet - ANS-a new technique or provider code added because the preceding version of
the guide
72. BUN - ANS-blood, urea and nitrogren a blood check for kidney characteristic
73. package deal code - ANS-a set of related processes covered via one single code
74. call the coverage company - ANS-the Biller needed to know why the claim changed into
now not paid, and couldn't find the RA, what would be her next step
75. capillaries - ANS-the blood vessels with the thinnest partitions are known as
76. capitated fees - ANS-the medical doctor provides a full range of reduced in size sevice to
included patients for a FIXED amount on a periodic foundation/monthly
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 Ashley96. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
