NHA BILLING AND CODING TEST BANK
CBCS VERIFIED FINAL PAPER 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
⩥ audit. Answer: a review or formal examination of a provider's
accounting or a patient's medical records
⩥ carrier block. Answer: data entry area located in the upper right corner
of the CMS-1500 that allows for a four line address for the payer
⩥ clearinghouse. Answer: edits and routes electronic claims to the
insurance carrier for payment
⩥ CMS-1500. Answer: claim form used to submit paper claims for
services and procedures rendered by physicians and other health care
professionals on an outpatient basis
⩥ continuity of care. Answer: coordinating treatment and health services
between patients' health care providers
⩥ covered entities. Answer: health plans, health care clearinghouses, or
health care providers that conduct health information in electronic form
in connection with a transaction covered by HIPAA
, ⩥ denied claim status. Answer: claim status indicating a claim has been
processed, but contained incorrect or incomplete information; a claim
may also be denied for medical necessity
⩥ Durable Medical Equipment (DME). Answer: According to CMS,
DME is .."equipment that can withstand repeated uses; is primarily and
customarily used to serve a medical purpose; generally is not useful to a
person in absence of illness or injury; and is appropriate for use in the
home" DME s also referred to as durable medical equipment,
prosthetics, orthotics and supplies (DMEPOS)
⩥ DMEPOS acronym for. Answer: Durable medical equipment,
prosthetics, orthotics and supplies
⩥ Electronic billing. Answer: the process of submitting medical claims
electronically to an insurance carrier for reimbursement of services
rendered by a health care provider
⩥ Electronic Data interchange (EDI). Answer: a secure system to system
interchange of data in a standardized format
⩥ EDI acronym for. Answer: Electronic Data Interchange
CBCS VERIFIED FINAL PAPER 2026 FULL
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
⩥ audit. Answer: a review or formal examination of a provider's
accounting or a patient's medical records
⩥ carrier block. Answer: data entry area located in the upper right corner
of the CMS-1500 that allows for a four line address for the payer
⩥ clearinghouse. Answer: edits and routes electronic claims to the
insurance carrier for payment
⩥ CMS-1500. Answer: claim form used to submit paper claims for
services and procedures rendered by physicians and other health care
professionals on an outpatient basis
⩥ continuity of care. Answer: coordinating treatment and health services
between patients' health care providers
⩥ covered entities. Answer: health plans, health care clearinghouses, or
health care providers that conduct health information in electronic form
in connection with a transaction covered by HIPAA
, ⩥ denied claim status. Answer: claim status indicating a claim has been
processed, but contained incorrect or incomplete information; a claim
may also be denied for medical necessity
⩥ Durable Medical Equipment (DME). Answer: According to CMS,
DME is .."equipment that can withstand repeated uses; is primarily and
customarily used to serve a medical purpose; generally is not useful to a
person in absence of illness or injury; and is appropriate for use in the
home" DME s also referred to as durable medical equipment,
prosthetics, orthotics and supplies (DMEPOS)
⩥ DMEPOS acronym for. Answer: Durable medical equipment,
prosthetics, orthotics and supplies
⩥ Electronic billing. Answer: the process of submitting medical claims
electronically to an insurance carrier for reimbursement of services
rendered by a health care provider
⩥ Electronic Data interchange (EDI). Answer: a secure system to system
interchange of data in a standardized format
⩥ EDI acronym for. Answer: Electronic Data Interchange
