NHA – Certified Billing and Coding Specialist
CBCS Exam
Which of the following describes the reason for a claim rejection because of
Medicare ncci edits?
(ANS- Improper code combinations
A claim is submitted with a transposed insurance member ID number and returned
to the provider. Which of the following describes the status that should be assigned
to the claim by the carrier?
(ANS- invalid
Medigap coverage is offered to Medicare beneficiaries by which of the following?
(ANS- Private third-party payers
Which of the following provisions ensures that an insureds benefits from all
insurance companies do not exceed 100% of allowable medical expenses?
(ANS- coordination of benefits
A coroner’s autopsy is comprised of what examinations?
(ANS- Gross examination
Which of the following statements is true regarding the release of patients records?
(ANS- Patient access to psychotherapy notes may be restricted
Which of the following actions by a billing and coding specialist would be
considered fraud?
(ANS- billing for services not provided
Which of the following components of an explanation of benefits expedites the
process of a phone appeal?
(ANS- claim control number<\/p>\n\n\n\n
On the cms-1500 claim form, blocks 14 through 33 contain information about
which of the following?
(ANS- The patient’s condition and the provider’s information
A billing and coding specialist should understand that the financial records source
that is generated by a providers office is called a
(ANS- Patient ledger account
Which of the following medical terms refers to the sac that causes the heart
(ANS- Pericardium
Hipaa transaction standards apply to which of the following entities?
(ANS- Health care clearinghouses
All dependents 10 years of age or older are required to have which of the following
for tricare?
(ANS- Military identification
The standard medical abbreviation ECG refers to a test used to assess which of the
following body systems?
(ANS- cardiovascular system
Which of the following is an example of a violation of an adult patient
confidentiality?
(ANS- Patient information was disclosed to the patient’s parent without consent
Claims that are submitted without an NPI number will delay payment to the
provider because
(ANS- the number is needed to identify the provider
Which of the following sections of the medical record is used to determine the
correct evaluation and management code used for billing and coding?
(ANS- history and physical<\/p>\n","protected":false},"excerpt":{"rendered":"
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