NHA CBCS CERTIFICATI ON

• | Page

NHA CBCS CERTIFICATI ON

GRADED A+

Question: The symbol "O" in the Current Procedural

Terminology reference is used to indicate what?

Correct answer: Reinstated or recycled code

Question: In the anesthesia section of the CPT manual,

what are considered qualifying circumstances?

Correct answer: Add-on codes

Question: 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

Question: What is considered proper supportive

documentation for reporting CPT and ICD codes for surgical procedures?

Correct answer: Operative report

• | Page

Question: What action should be taken first when

reviewing a delinquent claim?

Correct answer: Verify the age of the account

Question: A claim can be denied or rejected for which of

the following reasons?

Correct answer: Block 24D contains the diagnosis code

Question: A coroner's autopsy is comprised of what

examinations?

Correct answer: Gross Examination

Question: Medigap coverage is offered to Medicare

beneficiaries by whom?

Correct answer: Private third-party payers

Question: What part of Medicare covers prescriptions?

Correct answer: Part C

• | Page

Question: What plane divides the body into left and right?

Correct answer: Sagittal

Question: Where can unlisted codes be found in the CPT

manual?

Correct answer: Guidelines prior to each section

Question: Ambulatory surgery centers, home health care,

and hospice organizations use which form to submit claims?

Correct answer: UB-04 Claim Form

Question: What color format is acceptable on the CMS-

1500 claim form?

Correct answer: Red

Question: Who is responsible to pay the deductible?

Correct answer: Patient

• | Page

Question: 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

Question: 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.

Question: Implied Consent

Correct answer: A patient presents for treatment, such as

extending an arm to allow a venipuncture to be performed.

Question: Clearinghouse

Correct answer: Agency that converts claims into

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