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...
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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