{"id":117319,"date":"2023-08-28T13:16:58","date_gmt":"2023-08-28T13:16:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117319"},"modified":"2023-08-28T13:17:00","modified_gmt":"2023-08-28T13:17:00","slug":"nha-cbcs-exam-review-questions-answered-verified-solutions-2023-2-exam-elaborations-nha-cbcs-exam-questions-and-answers-with-correct-solutions-2023-certified-exam-3-exam-elaborations-nha-cbcs","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/nha-cbcs-exam-review-questions-answered-verified-solutions-2023-2-exam-elaborations-nha-cbcs-exam-questions-and-answers-with-correct-solutions-2023-certified-exam-3-exam-elaborations-nha-cbcs\/","title":{"rendered":"NHA- CBCS EXAM REVIEW Questions Answered (Verified Solutions) 2023 2 Exam (elaborations) NHA CBCS EXAM Questions and Answers (with correct solutions) 2023 Certified exam 3 Exam (elaborations) NHA CBCS Certification study guide Exam Q&AS (with verified solutions) 130qs 4 Exam (elaborations) NHA CBCS Certification Practice Exam A Latest Update 202"},"content":{"rendered":"\n

NHA- CBCS EXAM REVIEW Questions Answered (Verified
Solutions) 2023
A _________________<\/em><\/strong><\/em><\/strong> would be the provider who would
perform an orchiopexy – correct answer \u2705UROLOGIST
The first section of the CPT manual is the
_________________________________<\/em><\/strong><\/em><\/strong>. – correct answer
\u2705EVALUATION AND MANAGEMENT CODES
________________<\/em><\/strong><\/em><\/strong> means the amount of reimbursement an
insurance payer and patient agrees to pay a provider. – correct answer
\u2705ALLOWED AMOUNT
A billing and coding specialist should determine first, the
_________<\/em><\/strong><\/em><\/strong> to determine an appropriate e\/m code. – correct
answer \u2705PLACE OF SERVICE
The appendix is located in the _________________________<\/em><\/strong><\/em><\/strong>
of the abdomen. – correct answer \u2705LOWER RIGHT QUADRANT<\/p>\n\n\n\n

NHA- CBCS EXAM REVIEW Questions Answered (Verified
Solutions) 2023
For a patient whose insurance coverage is from her partner, the
________________________<\/em><\/strong><\/em><\/strong> is required to bill her claim. –
correct answer \u2705POLICY NUMBER
An exposure to tuberculosis requires a
__________________________<\/em><\/strong><\/em><\/strong>. – correct answer \u2705V CODE
A billing and coding specialist should use
___________________________________<\/em><\/strong><\/em><\/strong> when transmitting
a claim for a minor without health insurance. – correct answer
\u2705GUARANTOR INFORMATION
The ________________________<\/em><\/strong><\/em><\/strong> investigates cases of fraud
and prepares a referral for prosecution. – correct answer \u2705OFFICE OF THE
INSPECTOR GENERAL
An insurance claim is considered a __________________<\/em><\/strong><\/em><\/strong>
when further reviewed by the insurance company, is not necessary before
submitting the claim. – correct answer \u2705CLEAN CLAIM<\/p>\n\n\n\n

NHA- CBCS EXAM REVIEW Questions Answered (Verified
Solutions) 2023
A billing and coding specialist should
______________________________________to identify areas of risk associated with billing compliance. – correct answer \u2705PERFORM INTERNAL AUDITS TO MONITOR THE BILLING PROCESS When _____________________________________<\/em><\/strong><\/em><\/strong>, then it is said to
be in a state of homeostasis. – correct answer \u2705THE BODY MAINTAINS
NORMAL BALANCE AND FUNCTION
The _______________________<\/em><\/strong><\/em><\/strong> is an example of an
electronic claim format. – correct answer \u2705ANSI ASC X12 837
The _____________________________information is included in an electronic remittance advice. – correct answer \u2705PATIENT’S DEDUCTIBLE The provider performed an _______________<\/em><\/strong><\/em><\/strong> if a lesion needed to
be removed with no pathology report and the billing and coding specialist is
coding from the integumentary system. – correct answer \u2705EXCISION<\/p>\n\n\n\n

NHA CBCS EXAM Questions and Answers (with correct
solutions) 2023 Certified exam
Which of the following Medicare policies determines if a particular item or
service is covered by Medicare? – correct answer \u2705National 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? – correct answer \u2705Denied
A billing and coding specialist should routinely analyze which of the following
to determine the number of outstanding claims? – correct answer \u2705Aging
report
Which of the following should a billing and coding specialist use to submit a
claim with supporting documents? – correct answer \u2705Claims attachment
Which of the following terms is used to communicate why a claim line item
was denied or paid differently than it was billing? – correct answer \u2705Claim
adjustment codes<\/p>\n\n\n\n

NHA CBCS EXAM Questions and Answers (with correct
solutions) 2023 Certified exam
On a CMS-1500 claim form, which of the following information should the
billing and coding specialist enter into Block 32? – correct answer \u2705Service
facility location information
A provider’s office receives a subpoena requesting medical documentation
from a patient’s medical record. After confirming the correct authorization,
which of the following actions should the billing and coding specialist take? –
correct answer \u2705Send the medical information pertaining to the dates of
service requested
Which of the following is the deadline for Medicare claim submission? –
correct answer \u270512 months from the date of service
Which of the following forms does a third-party payer require for physician
services? – correct answer \u2705CMS-1500
A patient who is an active member of the military recently returned from
overseas and is in need of specialty care. The patient does not have anyone
designed with power of attorney. Which of the following is considered a
HIPAA violation? – correct answer \u2705The billing and coding specialist sends
the patient’s records to the patient’s partner.<\/p>\n\n\n\n

NHA CBCS EXAM Questions and Answers (with correct
solutions) 2023 Certified exam
Which of the following terms refers to the difference between the billing and
allowed amounts? – correct answer \u2705Adjustment
Which of the following HMO managed care services requires a referral? –
correct answer \u2705Durable medical equipment
Which of the following explains why Medicare will deny a particular service
or procedure? – correct answer \u2705Advance Beneficiary Notice (ABN)
Which of the following types of claims is 120 days old? – correct answer
\u2705Delinquent
When reviewing an established patient’s insurance card, the billing and
coding specialist notices a minor change from the existing card on file. Which
of the following actions should the billing and coding specialist take? –
correct answer \u2705Photocopy both sides of the new card<\/p>\n\n\n\n

NHA CBCS EXAM Questions and Answers (with correct
solutions) 2023 Certified exam
A husband and wife each have group insurance through their employers. The
wife has an appointment with her provider. Which insurance should be used
as primary for the appointment? – correct answer \u2705The wife’s insurance
Which of the following would most likely result in a denial on a Medicare
claim? – correct answer \u2705An experimental chemotherapy medication for a
patient who has stage III renal cancer
Which of the following pieces of guarantor information is required when
establishing a patient’s financial record? – correct answer \u2705Phone number
A provider surgically punctures through the space between the patient’s ribs
using an aspirating needle to withdraw fluid from the chest cavity. Which of
the following is the name of this procedure? – correct answer
\u2705Pleurocentesis
A patient has AARP as secondary insurance. In which of the following blocks
on the CMS-1500 claim form should the information be entered? – correct
answer \u2705Block 9<\/p>\n\n\n\n

NHA CBCS Certification study guide Exam Q&AS (with
verified solutions) 130qs
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. – correct answer
\u2705Medical Ethics
Most billing related cases are based on HIPAA and the False Claims Act. –
correct answer \u2705Compliance Regulations
Health Insurance Portability and Accountability Act of 1996. – correct answer
\u2705HIPAA is an acronym for
Medical Procedures. – correct answer \u2705Category 1 CPT codes
Supplemental Codes for Performance Measures. – correct answer
\u2705Category 2 CPT codes
Emerging Technologies. – correct answer \u2705Category 3 CPT codes<\/p>\n\n\n\n

NHA CBCS Certification study guide Exam Q&AS (with
verified solutions) 130qs
Used for procedures that are always performed during the same operative
session, as another surgery in addition to the primary service\/procedure and
is never performed separately. – correct answer \u2705Add on Codes
00100-01999, 99100-99140. – correct answer \u2705Anesthesia is found
Are listed first in the CPT manual because they are used by all the different
specialties. – correct answer \u2705Evaluation and Management (E&M) codes
Used to enclose synonyms, alternative wording or and explanatory phrase. –
correct answer \u2705Brackets
Represents a new procedure or service code added since the previous
edition of the manual. – correct answer \u2705Bullets
The reason the patient came to see the physician. – correct answer \u2705Chief
Complaint (CC)<\/p>\n\n\n\n

NHA CBCS Certification study guide Exam Q&AS (with
verified solutions) 130qs
Exemption from modifier 51. – correct answer \u2705Circle with a line through it
(????)
Used to report services and procedures by physicians. – correct answer
\u2705CPT
99201-99499 – correct answer \u2705E&M codes
At the beginning of each section and used to provide specific coding rules for
that section. – correct answer \u2705Guidelines are found
The set of information the physician gathers from the patient concerning
his\/her past. – correct answer \u2705History (HX)
A chronological account of the development of the complaint from the first
sign or symptom that the patient experienced to the present. – correct
answer \u2705History of Present Illness (HPI)<\/p>\n\n\n\n

NHA CBCS Certification Practice Exam A Latest Update
2023 (Verified Solutions)
Which of the following is considered the final determination of the issues
involving the settlement of an insurance claim? – correct answer
\u2705Adjudication – is the process of putting an insurance claim through a series
of edits for final determination.
Chapter 4
A form that contains charges, DOS, CPT codes, fees, and copayment
information is called which of the following? – correct answer \u2705Encounter
form is a form that contains charges, DOS, CPT code, ICD codes, fees, and
copayment information.
page 67
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 \u2705Admitting these
duties clerk has Chapter 3
Which of the following privacy measures ensures protected health
information (PHI)? – correct answer \u2705Using data encryption software on
office workstations – encryption software ensures that electronically<\/p>\n\n\n\n

NHA CBCS Certification Practice Exam A Latest Update
2023 (Verified Solutions)
transmitted health information cannot be read by third parties. This privacy
measure guarantees PHI.
Chapter 1
Which of the following planes divide the body into left and right? – correct
answer \u2705Sagittal plane divides the body into right and left sections
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 \u2705Coordination of benefits ensures that the insured benefits
from all insured companies do not exceed 100% of allowable medical
expenses.
page 16
Which of the following actions should be taken first when reviewing a
delinquent claim? – correct answer \u2705Verify the age of the account is the
first action.
page 45<\/p>\n\n\n\n

NHA CBCS Certification Practice Exam A Latest Update
2023 (Verified Solutions)
Which of the following is the advantage of electronic claim submission? –
correct answer \u2705Claims are expedited – submitting claims electronically is
faster than submitting paper claims.
page 15
Which of the following components of an explanation of benefits expedites
the process of a phone appeal? – correct answer \u2705Claim control number
expedites the process of a phone appeal.
Chapter 4
The standard medical abbreviation “ECG” refers to a test used to assess
which of the following body systems? – correct answer \u2705Cardiovascular
system- which is a test that checks for problems with the electrical activity of
the heart.
Chapter 5
Which of the following actions by a billing coding specialist (bcs) would be
considered fraud? – correct answer \u2705Billing for a service not provided is
considered fraud and can result in fines for the bcs and the physician page 6<\/p>\n","protected":false},"excerpt":{"rendered":"

NHA- CBCS EXAM REVIEW Questions Answered (VerifiedSolutions) 2023A _________________ would be the provider who wouldperform an orchiopexy – correct answer \u2705UROLOGISTThe first section of the CPT manual is the_________________________________. – correct answer\u2705EVALUATION AND MANAGEMENT CODES________________ means the amount of reimbursement aninsurance payer and patient agrees to pay a provider. – correct answer\u2705ALLOWED AMOUNTA billing and […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117319","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117319","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117319"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117319\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117319"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117319"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117319"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}