NHA BILLING AND CODING TEST BANK
CBCS VERIFIED EXAMINATION TEST 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ On the CMS-1500 Claims for, blocks 14 through 33 contain
information about which of the following? Answer: The patients
condition and the providers information
⩥ 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
⩥ The symbol "O" in the Current Procedural Terminology reference is
used to indicate which of the following? Answer: Reinstated or recycled
code
⩥ 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
⩥ The billing and coding specialist should divide the evaluation and
management code by which of the following? Answer: Place of service
,⩥ The standard medical abbreviation "ECG" refers to a test used to
access which of the following body systems? Answer: Cardiovascular
system
⩥ In the anesthesia section of the CPT manual, which of the following
are considered qualifying circumstances? Answer: add on codes
⩥ As of April 1st 2014, what is the maximum number of diagnosis that
can be reported on the CMS-1500 claim form before a further claim is
required? Answer: 12
⩥ When submitting a clean claim with a diagnosis of kidney stones,
which of the following procedure names is correct? Answer:
Nephrolithiasis
⩥ Which of the following is one of the purposes of an internal auditing
program in a physician's office? Answer: Verifying that the medical
records and the billing record match
⩥ Patient: Jane Austin; Social Security # 555-22-1111; Medicare ID:
555-33-2222A; DOB: 05/22/1945. Claim information entered: Austin,
Jane; Social Security #.: 555-22-1111; Medicare ID No.: 555-33-2222A;
DOB: 052245. Which of the following is a reason this claim was
rejected? Answer: The DOB is entered incorrectly
,⩥ Which of the following options is considered proper supportive
documentation for reporting CPT and ICD codes for surgical
procedures? Answer: Operative report
⩥ Which of the following actions should be taken first when reviewing
delinquent claims? Answer: Verify the age of the account
⩥ Which of the following components of an explanation of benefits
expedites the process of a phone appeal? Answer: Claim control number
⩥ A claim can be denied or rejected for which of the following reasons?
Answer: Bloc 24D contains the diagnosis code
⩥ To be compliant with HIPAA, which of the following positions should
be assigned in each office? Answer: Privacy officer
⩥ All e-mail correspondence to a third party payer containing patients'
protected health information (PHI) should be Answer: encrypted
⩥ 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 includes procedures and best practices for
correct coding? Answer: Coding compliance plan
, ⩥ HIPAA transaction standards apply to which of the following entities?
Answer: Health care clearinghouses
⩥ 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
⩥ A patient with a past due balance requests that his records be sent to
another provider. Which of the following actions should be taken?
Answer: Accommodate the request and send the records
⩥ A participating BlueCross/ BlueShield (BC/BS) provider receives an
explanation of benefits for a patient account. The charged amount was
$100. BC/BS allowed $40 to the patients annual deductible. BC/BS paid
the balance at 80%. How much should the patient expect to pay?
Answer: $48
⩥ The physician bills $500 to a patient. After submitting the claim to the
insurance company, the claim is sent back with no payment. The patient
still owes $500 for this year. Answer: Deductible
⩥ Which of the following is used to code diseases, injuries,
impairments, and other health related problems? Answer: International
Classification of Disease (ICD)
CBCS VERIFIED EXAMINATION TEST 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ On the CMS-1500 Claims for, blocks 14 through 33 contain
information about which of the following? Answer: The patients
condition and the providers information
⩥ 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
⩥ The symbol "O" in the Current Procedural Terminology reference is
used to indicate which of the following? Answer: Reinstated or recycled
code
⩥ 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
⩥ The billing and coding specialist should divide the evaluation and
management code by which of the following? Answer: Place of service
,⩥ The standard medical abbreviation "ECG" refers to a test used to
access which of the following body systems? Answer: Cardiovascular
system
⩥ In the anesthesia section of the CPT manual, which of the following
are considered qualifying circumstances? Answer: add on codes
⩥ As of April 1st 2014, what is the maximum number of diagnosis that
can be reported on the CMS-1500 claim form before a further claim is
required? Answer: 12
⩥ When submitting a clean claim with a diagnosis of kidney stones,
which of the following procedure names is correct? Answer:
Nephrolithiasis
⩥ Which of the following is one of the purposes of an internal auditing
program in a physician's office? Answer: Verifying that the medical
records and the billing record match
⩥ Patient: Jane Austin; Social Security # 555-22-1111; Medicare ID:
555-33-2222A; DOB: 05/22/1945. Claim information entered: Austin,
Jane; Social Security #.: 555-22-1111; Medicare ID No.: 555-33-2222A;
DOB: 052245. Which of the following is a reason this claim was
rejected? Answer: The DOB is entered incorrectly
,⩥ Which of the following options is considered proper supportive
documentation for reporting CPT and ICD codes for surgical
procedures? Answer: Operative report
⩥ Which of the following actions should be taken first when reviewing
delinquent claims? Answer: Verify the age of the account
⩥ Which of the following components of an explanation of benefits
expedites the process of a phone appeal? Answer: Claim control number
⩥ A claim can be denied or rejected for which of the following reasons?
Answer: Bloc 24D contains the diagnosis code
⩥ To be compliant with HIPAA, which of the following positions should
be assigned in each office? Answer: Privacy officer
⩥ All e-mail correspondence to a third party payer containing patients'
protected health information (PHI) should be Answer: encrypted
⩥ 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 includes procedures and best practices for
correct coding? Answer: Coding compliance plan
, ⩥ HIPAA transaction standards apply to which of the following entities?
Answer: Health care clearinghouses
⩥ 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
⩥ A patient with a past due balance requests that his records be sent to
another provider. Which of the following actions should be taken?
Answer: Accommodate the request and send the records
⩥ A participating BlueCross/ BlueShield (BC/BS) provider receives an
explanation of benefits for a patient account. The charged amount was
$100. BC/BS allowed $40 to the patients annual deductible. BC/BS paid
the balance at 80%. How much should the patient expect to pay?
Answer: $48
⩥ The physician bills $500 to a patient. After submitting the claim to the
insurance company, the claim is sent back with no payment. The patient
still owes $500 for this year. Answer: Deductible
⩥ Which of the following is used to code diseases, injuries,
impairments, and other health related problems? Answer: International
Classification of Disease (ICD)
