NHA BILLING AND CODING TEST BANK
CBCS VERIFIED TEST BANK 2026 UPDATED
QUESTIONS AND ANSWERS GRADED A+
⩥ TRICARE for Life. Answer: Program for beneficiaries who are both
Medicare and TRICARE eligible.
⩥ TRICARE Reserve Select (TRS). Answer: TRICARE coverage for
reservists.
⩥ Preauthorization. Answer: prior authorization from a payer for
services to be provided
⩥ Precertification. Answer: The process of obtaining the dollar amount
approved for a medical procedure or service before the procedure or
service is scheduled.
⩥ Predetermination. Answer: A written request for a verification of
benefits.
⩥ allograft. Answer: transplantation of healthy tissue from one person to
another person; also c
, ⩥ Premium. Answer: Amount you pay monthly, quarterly, semiannually
or annually to purchase different types of insurance
⩥ Deductible. Answer: Amount you must pay before you begin
receiving any benefits from your insurance company
⩥ clean claim. Answer: health insurance claim form that has been
completed correctly without any errors or omissions
⩥ fraud. Answer: A deliberate deception intended to secure an unfair or
unlawful gain
⩥ remark codes. Answer: numeric or alphabetic digits that indicate the
reason why a claim was not paid in full, how the claim was calculated,
or why the claim was denied. Also known as reason codes.
⩥ accept assignment. Answer: participating physician's agreement to
accept allowed charge as full payment
⩥ a billing and coding specialist is contracted by a patient who requests
a copy of the remittance advice for a recently adjudicated claim. Which
of the following actions should the specialist take?. Answer: Remove all
information other than what pertains to the patient
CBCS VERIFIED TEST BANK 2026 UPDATED
QUESTIONS AND ANSWERS GRADED A+
⩥ TRICARE for Life. Answer: Program for beneficiaries who are both
Medicare and TRICARE eligible.
⩥ TRICARE Reserve Select (TRS). Answer: TRICARE coverage for
reservists.
⩥ Preauthorization. Answer: prior authorization from a payer for
services to be provided
⩥ Precertification. Answer: The process of obtaining the dollar amount
approved for a medical procedure or service before the procedure or
service is scheduled.
⩥ Predetermination. Answer: A written request for a verification of
benefits.
⩥ allograft. Answer: transplantation of healthy tissue from one person to
another person; also c
, ⩥ Premium. Answer: Amount you pay monthly, quarterly, semiannually
or annually to purchase different types of insurance
⩥ Deductible. Answer: Amount you must pay before you begin
receiving any benefits from your insurance company
⩥ clean claim. Answer: health insurance claim form that has been
completed correctly without any errors or omissions
⩥ fraud. Answer: A deliberate deception intended to secure an unfair or
unlawful gain
⩥ remark codes. Answer: numeric or alphabetic digits that indicate the
reason why a claim was not paid in full, how the claim was calculated,
or why the claim was denied. Also known as reason codes.
⩥ accept assignment. Answer: participating physician's agreement to
accept allowed charge as full payment
⩥ a billing and coding specialist is contracted by a patient who requests
a copy of the remittance advice for a recently adjudicated claim. Which
of the following actions should the specialist take?. Answer: Remove all
information other than what pertains to the patient
