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NHA Billing and Coding Specialist Certification (CBCS) EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
NHA Billing and Coding Specialist Certification (CBCS) Practice Exam – Exam Coverage
1) Medical Coding Systems
2) Insurance & Reimbursement
3) Medical Billing Process
4) Revenue Cycle Management
5) Compliance & Regulatory Guidelines
6) Healthcare Documentation
7) Claims, Denials & Appeals
8) Patient Financial Responsibilities
NHA CBCS Practice Exam – MCQs (1–50)
1. What does ICD-10-CM primarily classify?
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A. Medical equipment only
B. Diagnoses and conditions
C. Physician fees only
D. Insurance plans only
Answer: B
Rationale: ICD-10-CM is used to classify diagnoses, diseases, injuries, and health conditions.
2. What coding set is primarily used for reporting physician procedures and services?
A. ICD-10-PCS
B. CPT
C. DRG
D. NDC
Answer: B
Rationale: CPT codes are used to report physician and outpatient procedures/services.
3. HCPCS Level II codes are commonly used for:
A. Inpatient diagnosis coding only
B. Supplies, drugs, and certain services
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C. Pathology reports only
D. Surgical anatomy only
Answer: B
Rationale: HCPCS Level II covers supplies, durable medical equipment, medications, and
certain non-physician services.
4. Which insurance term refers to the amount the patient must pay before insurance begins to
pay?
A. Copay
B. Premium
C. Deductible
D. Allowable
Answer: C
Rationale: A deductible is the amount a patient must pay before insurance benefits apply.
5. Which form is commonly used for professional/physician claims?
A. CMS-1500
B. W-2
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C. UB-04 only
D. EOB
Answer: A
Rationale: The CMS-1500 form is commonly used for professional services claims.
6. What is the primary purpose of medical coding?
A. To replace provider documentation
B. To translate healthcare services and diagnoses into standardized codes
C. To collect patient copays only
D. To determine a physician’s salary
Answer: B
Rationale: Coding converts medical services and diagnoses into standardized alphanumeric
codes.
7. What is the main purpose of insurance verification before an appointment?
A. To determine provider vacation days
B. To confirm active coverage and benefits
C. To assign diagnosis codes
D. To create a surgical report
NHA Billing and Coding Specialist Certification (CBCS) EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
NHA Billing and Coding Specialist Certification (CBCS) Practice Exam – Exam Coverage
1) Medical Coding Systems
2) Insurance & Reimbursement
3) Medical Billing Process
4) Revenue Cycle Management
5) Compliance & Regulatory Guidelines
6) Healthcare Documentation
7) Claims, Denials & Appeals
8) Patient Financial Responsibilities
NHA CBCS Practice Exam – MCQs (1–50)
1. What does ICD-10-CM primarily classify?
, Page 2 of 91
A. Medical equipment only
B. Diagnoses and conditions
C. Physician fees only
D. Insurance plans only
Answer: B
Rationale: ICD-10-CM is used to classify diagnoses, diseases, injuries, and health conditions.
2. What coding set is primarily used for reporting physician procedures and services?
A. ICD-10-PCS
B. CPT
C. DRG
D. NDC
Answer: B
Rationale: CPT codes are used to report physician and outpatient procedures/services.
3. HCPCS Level II codes are commonly used for:
A. Inpatient diagnosis coding only
B. Supplies, drugs, and certain services
, Page 3 of 91
C. Pathology reports only
D. Surgical anatomy only
Answer: B
Rationale: HCPCS Level II covers supplies, durable medical equipment, medications, and
certain non-physician services.
4. Which insurance term refers to the amount the patient must pay before insurance begins to
pay?
A. Copay
B. Premium
C. Deductible
D. Allowable
Answer: C
Rationale: A deductible is the amount a patient must pay before insurance benefits apply.
5. Which form is commonly used for professional/physician claims?
A. CMS-1500
B. W-2
, Page 4 of 91
C. UB-04 only
D. EOB
Answer: A
Rationale: The CMS-1500 form is commonly used for professional services claims.
6. What is the primary purpose of medical coding?
A. To replace provider documentation
B. To translate healthcare services and diagnoses into standardized codes
C. To collect patient copays only
D. To determine a physician’s salary
Answer: B
Rationale: Coding converts medical services and diagnoses into standardized alphanumeric
codes.
7. What is the main purpose of insurance verification before an appointment?
A. To determine provider vacation days
B. To confirm active coverage and benefits
C. To assign diagnosis codes
D. To create a surgical report
