NHA CBCS

NHA CBCS exam review 2024/2025 (questions and answers verified) Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - C ORRECT ANSWER-National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? - C ORRECT ANSWER-Denied A billing and coding specialist should routinely analyze which of the following to ...

NHA CBCS study guide Questions and Answers (2024 / 2025) (Verified Answers) When submitting claims, which of the following is the outcome if Block 13 is left blank? The third-party payer reimburses the patient, and the patient is responsible for reimbursing the provider Which of the following do physicians use to electronically submit claims? clearinghouse When billing a secondary insurance company, which block should the billing and coding specialist fill out on the CMS-1500 claim ...

NHA CBCS EXAM REVIEW | 222 QUESTIONS AND ANSWERS | LATEST 2024/25

NHA CBCS Practice Test Questions with 100% Correct Answers | Verified | Latest Update Which of the following sections of the medical record is used to determine the correct evaluation and management code used for billing and coding? history and physical A billing and coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits" box has been checked "yes." The checked box indicates which of the following? The provider receives payment directly from the payer ...

NHA CBCS certification final exam with 100% correct answers 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 respons...

NHA CBCS EXAM REVIEW QUESTIONS AND ANSWERS 100% SOLVED Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? - Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding cla...

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A child is brought into a facility by their mother. The child is covered under both parents' insurance policies. The child's father was born on 10/1/1980 and their mother was born on 10/2/1981. Which of the following statements is true regarding the primary policy holder for the child? - ANSWER The father is the primary policy holder because his birthday falls first in the calendar year. A billing and coding specialist is submitting a claim for a school-age child who was brought to the clin...

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Certification study guide for NHA CBCS Exam A+