Cbcs Study guides, Class notes & Summaries

NHA CBCS EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION RATED A.

NHA Billing and Coding practice test (CBCS) (2023/2024) Newest Questions and Answers (Verified Answers)

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? -Answer - National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? -Answer - Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? -Answer - Aging report

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 insur...

The attending physician - A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information - On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination - A provider performs an examination of a patient's throat durin...

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 insur...

The attending physician Correct Answer: A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information Correct Answer: On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination Correct Answer: A provider perfo...

The attending physician Correct Answer: A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information Correct Answer: On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination Correct Answer: A provider perfo...

Medical Ethics - ️️Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - ️️Most billing related cases are based on HIPAA and the False Claims Act. HIPAA is an acronym for - ️️Health Insurance Portability and Accountability Act of 1996. Category 1 CPT codes - ️️Medical Procedures. Category 2 CP...