{"id":120892,"date":"2023-10-01T18:07:26","date_gmt":"2023-10-01T18:07:26","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120892"},"modified":"2023-10-01T18:07:28","modified_gmt":"2023-10-01T18:07:28","slug":"nha-cbcs-final-exam-questions-and-answers-verified-answers-2022-2023-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/01\/nha-cbcs-final-exam-questions-and-answers-verified-answers-2022-2023-2\/","title":{"rendered":"NHA CBCS Final Exam Questions and Answers | Verified Answers 2022\/2023"},"content":{"rendered":"\n<p>1 \/ 9<br>CBCS Final Exam Questions<br>&amp; Answers 2022\/2023<br>1.When a billing and coding specialist is completing the CMS-1500<br>claim form, which of the following information is required to process a<br>medical claim (Answer) CPT, ICD<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>The allowed amount for a patient&#8217;s office visit is $175. The copayment is$15 and the amount the insurance paid is $85. Which of the following is the<br>amount of the adjustment (Answer) $75<br>3.Which of the following suffixes refers to an abnormal condition (Answer)<br>-osis<br>4.Which of the following entities contracts with Medicare to recoup<br>money form inappropriately paid claims (Answer) Recovery Audit<br>Contractor<br>5.Which of the following abbreviations is used to describe the reason<br>a patient presents for an encounter at the office visit (Answer) CC<br>6.A patient comes in the office with an injury form work. Which box on line<br>1 of the CMS-1500 claim from should the billing and coding specialist<br>check off to transmit the calm for payment (Answer) FECA<br>7.Which of the following physical status modifiers should the billing and<br>coding specialist use to indicate a healthy patient who has no evidence<br>of disease at the time of anesthesia administration (Answer) P1<br>8.Which of the following practices does HIPPA Title II define as fraud<br>(Answer) Alter- ing codes to increase payment<br>9.A provider charges $30 for a treatment that has an allowed of $25.<\/li>\n<\/ol>\n\n\n\n<p>2 \/ 9<br>Which of the following statements regarding this $5 difference between<br>the two amounts is correct (Answer) The insurance payer pays the $5 if<br>the provider is a par- ticipating provider.<br>10.A patient who has coinsurance and has met their deductible has<br>which of the following third-party payers (Answer) Preferred provider<br>organization(PPO)<br>11.If a patient does not sign box 13 on the CMS-1500 form. Which of<br>the following will receive payment (Answer) Provider<br>12.Which is the correct form (Answer) Thomas Jr. Martin F<br>13.A patient has a diagnosis of chest pain. The billing and coding<br>specialist should link the diagnosis to the procedure in which of the<br>following blocks on the CMS- 1500 form (Answer) 24D<br>14.A provider&#8217;s office is being investigated for fraud. Which of the<br>following processes will be reviewed first (Answer) Compliance Plan<\/p>\n\n\n\n<p>3 \/ 9<br>15.Which of the following entities works with Centers for Medicare and<br>Medicaid services to prevent overpayment (Answer) Medicaid Integrity<br>contractors<br>16.Which of the following actions by a billing and coding specialist is<br>insurance abuse (Answer) Using a health insurance identification<br>number other than the patients to ensure payments<br>17.Which of the following refers to payers electronically transferring date<br>in order to facilitate coordination of benefits on a clean claim (Answer)<br>Crossover<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"18\">\n<li>Which of the following is responsible for the health care of its<br>policyhold- ers and identifies health insurance, facilities, providers, or<br>health systems?-<br>: Managed care Organization<br>19.A patient who has TRICARE is seen in the office for a diagnostic test.<br>The test is $500, and the allowable amount is $250. The patient has a 20%<br>cost share, a deductible of $1000, and a catastrophic cap benefit that have<br>all been met. How much should the billing specialist adjust on this visit<br>(Answer) $200<br>20.Which of the following is the amount that the patient is financially<br>respon- sible for before the insurance policy provides coverage (Answer)<br>Deductible<br>21.The balances listed on an insurance aging report represent which of<br>the following (Answer) Outstanding amounts owed to the practice<br>22.To ensure all claims are being submitted and received, a billing and<br>coding specialist should document all claims processing on which of<br>the following (Answer) An aging insurance report<br>23.Which of the following terms describes a procedure that visualizes<br>the inside of a knee (Answer) Arthrography<br>24.The field &#8221; Insured&#8217;s ID Number&#8221; located on the CMS-1500 claim form<br>i<strong>s used to report which of the following pieces of information (Answer)<\/strong><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>1 \/ 9CBCS Final Exam Questions&amp; Answers 2022\/20231.When a billing and coding specialist is completing the CMS-1500claim form, which of the following information is required to process amedical claim (Answer) CPT, ICD 2 \/ 9Which of the following statements regarding this $5 difference betweenthe two amounts is correct (Answer) The insurance payer pays the $5 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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 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