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NHA CBCS CERTIFICATION EXAM QUESTIONS AND ANSWERS 100% PASS
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NHA CBCS CERTIFICATION EXAM QUESTIONS AND ANSWERS 100% PASS 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 i...

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NHA CBCS CERTIFICATION EXAM QUESTIONS
AND ANSWERS 100% PASS


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 responsible for the initial patient interview, obtaining

demographic and insurance information, and documenting the chief complaint? -

Correct Answer ✔️✔️-Admitting clerk

Which of the following privacy measures ensures protected health information (phi)? -

Correct Answer ✔️✔️-Using data encryption software on office workstations

Which of the following planes divides the body into left and right? - Correct Answer ✔️✔️-

Sagittal

Which of the following provisions ensures that an insured's benefits from all insurance

companies do not exceed 100% of allowable medical expenses? - Correct Answer ✔️✔️-

Coordination of benefits

Which of the following actions should be taken first when reviewing a delinquent claim?

- Correct Answer ✔️✔️-Verify the age of the account

,Which of the following is the advantage of electronic claim submission? - Correct

Answer ✔️✔️-Claims are expedited

Which of the following components of an explanation of benefits expedites the process

of a phone appeal? - Correct Answer ✔️✔️-Claim control number

The standard medical abbreviation ECG refers to a test used to assess which of the

following body systems? - Correct Answer ✔️✔️-Cardiovascular system

Which of the following actions by a billing and coding specialist would be considered

fraud? - Correct Answer ✔️✔️-Billing for services not provided

The >< symbol is used to indicate a new and revised test other than which of the

following? - Correct Answer ✔️✔️-Procedure descriptors

On the CMS-1500 claim form, blocks 14 through 33 contain information about which of

the following? - Correct Answer ✔️✔️-The patient's condition and the provider's

information

Which of the following includes procedures and best practices for correct coding? -

Correct Answer ✔️✔️-Coding Compliance Plan

When completing a CMS-1500 paper claim form, which of the following is an acceptable

action for the billing and coding specialist to take? - Correct Answer ✔️✔️-Use arial size

10 font

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 should the patient expect to pay? - Correct Answer ✔️✔️-$48

, Which of the following indicates a claim should be submitted on paper instead of

electronically? - Correct Answer ✔️✔️-The claim requires an attachment

According to HIPAA standards, which of the following identifies the rendering provider

on the CMS-1500 claim form in block 24j? - Correct Answer ✔️✔️-NPI

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)? -

Correct Answer ✔️✔️-Block 24D

Which of the following terms describes when a plan pays 70% of the allowed amount

and the patient pays 30%? - Correct Answer ✔️✔️-Coinsurance

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? - Correct Answer ✔️✔️-Adjustment column of the credits

Which of the following is a HIPAA compliance guideline affecting electronic health

records? - Correct Answer ✔️✔️-The electronic transmission and code set standards

require every provider to use the healthcare transactions ,code sets and identifiers

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

claim was rejected? - Correct Answer ✔️✔️-The DOB is entered incorrectly

Why does correct claim processing rely on accurately completed encounter forms? -

Correct Answer ✔️✔️-They streamline patient billing by summarizing the services

rendered for a given date of service

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