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NHA CBCS CERTIFICATION EXAM AND PRACTICE
EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
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NHA CBCS CERTIFICATION EXAM
The billing and coding specialist should divide the evaluation and management code by which of the following? - ANSWER- Place of service
In which of the following departments should a patient be seen for psoriasis? - ANSWER- Dermatology
A nurse is reviewing a patient's 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? - ANSWER- The attending physician
Which of the following actions should be taken if an insurance company denies a service as not medically necessary? - ANSWER- Appeal the decision with a provider's report
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A billing and coding specialist should understand that the financial record source that is generated by a provider's office is called a - ANSWER- patient ledger account
Which of the following is used to code diseases, injuries, impairments, and other health related problems? - ANSWER- International Classification of Disease (ICD)
Threading a catheter with a balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures? - ANSWER- Angioplasty
A coroner's autopsy is comprised of which of the following examinations? - ANSWER- Gross examination
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
Which of the following blocks requires the patient's authorization to release medical information to process a claim?
- ANSWER- Block 12
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The unlisted codes can be found in which of the following locations in the CPT manual? - ANSWER- Guidelines prior to each section
Which of the following is the portion of the account balance the patient must pay after services are rendered and the annual deductible is met? - ANSWER- Coinsurance
When coding on the UB-04 form, the billing and coding specialist must sequence the diagnosis codes according to the ICD guidelines. Which of the following is the first listed diagnosis code? - ANSWER- Principal diagnosis
Which of the following actions by the billing and coding specialists prevents fraud? - ANSWER- Performing periodic audits
Which of the following does a patient sign to allow payment of claims directly to the provider? - ANSWER- Assignment of benefits
Which of the following actions should the billing and coding specialist take if he observes a colleague in an unethical situation? - ANSWER- Report the incident to a supervisor
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Which of the following is the purpose of precertification? - ANSWER- Verification of coverage
A provider performs an examination of a patient's throat during an office visit. Which of the following describes the level of the examination? - ANSWER- Problem focused examination
Which of the following is the verbal or written agreement that gives approval to some action, situation, or statement, and allows the release of patient information? - ANSWER- Constant agreement
A claim can be denied or rejected for which of the following reasons? - ANSWER- Block 24D contains the diagnosis code
On the CMS-1500 claim form, Blocks 1 through 13 include which of the following? - ANSWER- The patient demographics
To be compliant with HIPAA, which of the following positions should be assigned in each office? - ANSWER- Privacy officer
Which of the following information should the billing and coding specialist input into Block 33a on the CMS-1500 claim form? - ANSWER- National provider identification number
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