NHA CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A
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NHA CBCS
NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A
Q: Which of the following actions by a billing and coding specialist would be considered fraud?
Answer:
Billing for services not provided
Q: The >< symbol is used to indicate a new and revised t...
which of the following actions by a billing and co
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NHA CBCS (2024/ 2025) Exam | Questions and Ver ified Answers | 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS -1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The patient's condition and the provider's information Q: Which of the following includes procedures and best practices for correct coding? Answer: Coding Compliance Plan Q: When completing a CMS -1500 paper claim form, which of the following is an acceptable action for the billing and coding specialist to take? Answer: Use arial size 10 font Q: 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 sh ould the patient expect to pay? Answer: $48 Q: Which of the following indicates a claim should be submitted on paper instead of electronically? Answer: The claim requires an attachment Q: According to HIPAA standards, which of the following identifies the rendering provider on the CMS -1500 claim form in block 24j? Answer: NPI Q: 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)? Answer: Block 24D Q: Which of the following terms describes when a plan pays 70% of the allowed amount and the patient pays 30%? Answer: Coinsurance Q: 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? Answer: Adjustment column of the credits Q: Which of the following is a HIPAA compliance guideline affecting electronic health records? Answer: The electronic transmission and code set standards require every provider to use the healthcare transactions ,code sets and identifiers Q: 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 c laim was rejected? Answer: The DOB is entered incorrectly Q: Why does correct claim processing rely on accurately completed encounter forms? Answer: They streamline patient billing by summarizing the services rendered for a given date of service Q: A patient's health plan is referred to as the "payer of last resort." The patient is covered by which of the following health plans? Answer: Medicaid Q: Which of the following color formats is acceptable on the CMS -1500 claim form? Answer: Red Q: Which of the following is an example of a violation of an adult patient's confidentiality? Answer: Patient information was disclosed to the patient's parents without consent. Q: In the anesthesia section of the CPT manual, which of the following are considered qualifying circumstances? Answer: Add-on codes Q: Ambulatory surgery centers, home health care, and hospice organizations use the Answer: UB-04 claim form
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