NHA - CERTIFIED BILLING AND CODING SPECIALIST
(CBCS) STUDY GUIDE/ EXAM REVIEW QUESTIONS AND
ANSWERS, VERIFIED.
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - -
Reinstated or recycled code
In the anesthesia section of the CPT manual, what are consid...
1 NHA - CERTIFIED BILLING AND CODING SPECIALIST
(CBCS) STUDY GUIDE/ EXAM REVIEW QUESTIONS AND
ANSWERS, VERIFIED.
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ✅✅-
Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ✅✅-Add-
on codes
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500
claim form before a further claim is required? - ✅✅-12
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures? - ✅✅-Operative report
What action should be taken first when reviewing a delinquent claim? - ✅✅-Verify the age of the
account
A claim can be denied or rejected for which of the following reasons? - ✅✅-Block 24D contains the
diagnosis code
A coroner's autopsy is comprised of what examinations? - ✅✅-Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - ✅✅-Private third-party payers
What part of Medicare covers prescriptions? - ✅✅-Part C
What plane divides the body into left and right? - ✅✅-Sagittal
, Where can unlisted codes be found in the CPT manual? - ✅✅-Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit
claims? - ✅✅-UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - ✅✅-Red
Who is responsible to pay the deductible? - ✅✅-Patient
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
✅✅-Medicaid
Informed Consent - ✅✅-Providers explain medical or diagnostic procedures, surgical interventions, and
the benefits and risks involved, giving patients an opportunity to ask questions before medical
intervention is provided.
Implied Consent - ✅✅-A patient presents for treatment, such as extending an arm to allow a
venipuncture to be performed.
Clearinghouse - ✅✅-Agency that converts claims into standardized electronic format, looks for errors,
and formats them according to HIPAA and insurance standards.
Individually Identifiable - ✅✅-Documents that identify the person or provide enough information so
that the person can be identified.
De-identified Information - ✅✅-Information that does not identify an individual because unique and
personal characteristics have been removed.
Consent - ✅✅-A patient's permission evidenced by signature.
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