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NHA - Certified Billing and Coding Specialist (CBCS) Study Guide Questions with Correct Answers

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NHA - Certified Billing and Coding Specialist (CBCS) Study Guide Questions with Correct Answers The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - Correct Answer️️ -Reinstated or recycled code In the anesthesia section of the CPT manual, what are con...

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

NHA - Certified Billing and Coding
Specialist (CBCS) Study Guide
Questions with Correct Answers

The symbol "O" in the Current Procedural Terminology reference is used to indicate

what? - Correct Answer✔️✔️-Reinstated or recycled code


In the anesthesia section of the CPT manual, what are considered qualifying

circumstances? - Correct Answer✔️✔️-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? - Correct Answer✔️✔️-12

What is considered proper supportive documentation for reporting CPT and ICD codes

for surgical procedures? - Correct Answer✔️✔️-Operative report

What action should be taken first when reviewing a delinquent claim? - Correct

Answer✔️✔️-Verify the age of the account

A claim can be denied or rejected for which of the following reasons? - Correct

Answer✔️✔️-Block 24D contains the diagnosis code

A coroner's autopsy is comprised of what examinations? - Correct Answer✔️✔️-Gross

Examination




1/18

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Medigap coverage is offered to Medicare beneficiaries by whom? - Correct Answer✔️✔️-

Private third-party payers

What part of Medicare covers prescriptions? - Correct Answer✔️✔️-Part C

What plane divides the body into left and right? - Correct Answer✔️✔️-Sagittal

Where can unlisted codes be found in the CPT manual? - Correct Answer✔️✔️-

Guidelines prior to each section

Ambulatory surgery centers, home health care, and hospice organizations use which

form to submit claims? - Correct Answer✔️✔️-UB-04 Claim Form

What color format is acceptable on the CMS-1500 claim form? - Correct Answer✔️✔️-

Red

Who is responsible to pay the deductible? - Correct Answer✔️✔️-Patient

A patient's health plan is referred to as the "payer of last resort." What is the name of

that health plan? - Correct Answer✔️✔️-Medicaid

Informed Consent - Correct Answer✔️✔️-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 - Correct Answer✔️✔️-A patient presents for treatment, such as

extending an arm to allow a venipuncture to be performed.




2/18

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS
RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Clearinghouse - Correct Answer✔️✔️-Agency that converts claims into standardized

electronic format, looks for errors, and formats them according to HIPAA and insurance

standards.

Individually Identifiable - Correct Answer✔️✔️-Documents that identify the person or

provide enough information so that the person can be identified.

De-identified Information - Correct Answer✔️✔️-Information that does not identify an

individual because unique and personal characteristics have been removed.

Consent - Correct Answer✔️✔️-A patient's permission evidenced by signature.

Authorizations - Correct Answer✔️✔️-Permission granted by the patient or the patient's

representative to release information for reasons other than treatment, payment, or

health care operations.

Reimbursement - Correct Answer✔️✔️-Payment for services rendered from a third-party

payer.

Auditing - Correct Answer✔️✔️-Review of claims for accuracy and completeness.

Fraud - Correct Answer✔️✔️-Making false statements of representations of material facts

to obtain some benefit or payment for which no entitlement would otherwise exist.

Upcoding - Correct Answer✔️✔️-Assigning a diagnosis or procedure code at a higher

level than the documentation supports, such as coding bronchitis as pneumonia.




3/18

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