NHA CBCS EXAM - 100% Guarantee Pass 1. A billing and coding spe...

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NHA CBCS EXAM

Expected Questions and Verified Answers 100% Guarantee Pass

• A billing and coding specialist is reviewing delinquent claims and discovers

that a third-party payer paid a claim that applied to the incorrect provider. The third-party payer will reimburse the payment once the improperly paid funds are we occupied which of the following terms is used to describe this claim?Ans>> Suspend

• billing and coding specialist is reviewing a remittance advance and encoun- ters a

denial of payment for CPT code 44950 (appendectomy). The specialist discovers the ICD 10 CM code assigned to the case was J32.1(chronic frontal sinusitis) which of the following is a reason for this claim denial?Ans>> Incorrectly linked codes were reported to the claim 1 / 3

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• The billing and coding specialist is reviewing it claim that was denied for services

provided during the postoperative period.The patient was diagnosed with pneumonia during a postoperative encounter for a knee joint replacement two weeks ago. Which of the following modifiers should a specialist add to the client prior to resubmitting Ans>> -24

• Which of the following actions should a biller and coder specialist take to assign a

diagnosis code to the highest level of specificity Ans>> Apply characters four through seven to a claim

• Which of the following information is required on a patient's account record-

Ans>> Name and address of Guarantor

• Which of the following is a valid ICD 10 CM principal 2 / 3

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Ans>> Code signs and symp- toms in the absence of a definitive diagnosis

• The star symbol in the CPT coding manual is used to indicate which of the

following Ans>> Telemedicine

• A billing and coding specialist is determining coordination of benefits for a patient

who is health insurance covered from both parents the patient's father's birthday is in March 18, 1982 and the mothers birthday is May 18, 1984 which of the following statements is correct for determining coverage Ans>> The parents who insurance policy has been acted the longest will be the primary insurer

• Which of the following links the ICD 10 CM and CPT codes for claims

processing Ans>> Diagnosis pointer

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