- | P a g e
NHA CBCS EXAM (2025 / 2026) ACTUAL
QUESTIONS AND VERIFIED ANSWERS &
RATIONALES / A+ GRADE 100% GUARANTEE
- The symbol "O" in the Current Procedural Terminology
reference is used to indicate what?
- THE CORRECT ANSWER is: Reinstated or recycled code
- In the anesthesia section of the CPT manual, what are
considered qualifying circumstances?
- THE CORRECT ANSWER is: Add-on codes
- 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?
- THE CORRECT ANSWER is: 12
- What is considered proper supportive documentation for
reporting CPT and ICD codes for surgical procedures?
- THE CORRECT ANSWER is: Operative report
- What action should be taken first when reviewing a
delinquent claim?
- | P a g e
- THE CORRECT ANSWER is: Verify the age of the account
- A claim can be denied or rejected for which of the following
reasons?
- THE CORRECT ANSWER is: Block 24D contains the
diagnosis code
- A coroner's autopsy is comprised of what examinations?
- THE CORRECT ANSWER is: Gross Examination
- Medigap coverage is offered to Medicare beneficiaries by
whom?
- THE CORRECT ANSWER is: Private third-party payers
- What part of Medicare covers prescriptions?
- THE CORRECT ANSWER is: Part C
- What plane divides the body into left and right?
- THE CORRECT ANSWER is: Sagittal
- Where can unlisted codes be found in the CPT manual?
- | P a g e
- THE CORRECT ANSWER is: Guidelines prior to each
section
- Ambulatory surgery centers, home health care, and hospice
organizations use which form to submit claims?
- THE CORRECT ANSWER is: UB-04 Claim Form
- What color format is acceptable on the CMS-1500 claim
form?
- THE CORRECT ANSWER is: Red
- Who is responsible to pay the deductible?
- THE CORRECT ANSWER is: Patient
- A patient's health plan is referred to as the "payer of last
resort." What is the name of that health plan?
- THE CORRECT ANSWER is: Medicaid
- Informed Consent
- THE CORRECT ANSWER is: 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.
- | P a g e
- Implied Consent
- THE CORRECT ANSWER is: A patient presents for
treatment, such as extending an arm to allow a venipuncture to be performed.
- Clearinghouse
- THE CORRECT ANSWER is: Agency that converts claims
into standardized electronic format, looks for errors, and formats them according to HIPAA and insurance standards.
- Individually Identifiable
- THE CORRECT ANSWER is: Documents that identify the
person or provide enough information so that the person can be identified.
- De-identified Information
- THE CORRECT ANSWER is: Information that does not
identify an individual because unique and personal characteristics have been removed.
- Consent
- THE CORRECT ANSWER is: A patient's permission
evidenced by signature.