NHA CBCS Exam 3 Questions And Answers
[Verified Answers] Plus Rationales Latest
2026/27 | Qs & Ans Instant Pdf Download
What does CBCS stand for?
A. Clinical Benefits Coding Standard
B. Certified Billing and Coding Specialist
C. Certified Bookkeeping Claims Specialist
D. Coding Business Certification Standard
Rationale: CBCS is the National Healthcareer Association
credential for billing and coding professionals.
Which coding set is primarily used for diagnoses?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM is used to classify diseases and
diagnoses.
Which coding set is used for physician procedures and
services?
A. ICD-10-CM
B. CPT
, C. UB-04
D. DRG
Rationale: CPT codes describe procedures and professional
services.
Which code set commonly includes medical supplies and DME?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II includes supplies, ambulance, and
durable medical equipment.
Which form is commonly used for professional claims?
A. UB-04
B. CMS-1500
C. I-9
D. W-4
Rationale: CMS-1500 is commonly used for provider billing
claims.
Which form is commonly used for facility claims?
A. CMS-1500
B. UB-04
, C. 1099
D. W-2
Rationale: UB-04 is commonly used for institutional claims.
What does PHI stand for?
A. Provider Health Index
B. Protected Health Information
C. Public Health Insurance
D. Patient Hospital Invoice
Rationale: PHI refers to identifiable health information.
HIPAA mainly addresses:
A. Parking access
B. Privacy and security of health information
C. Payroll processing
D. Building permits
Rationale: HIPAA protects patient information privacy and
security.
What is a deductible?
A. Monthly premium
B. Amount patient pays before insurance shares costs
C. Provider fee
D. Refund amount
, Rationale: Deductibles must usually be met before benefits
apply.
What is a copayment?
A. Percentage of bill
B. Fixed amount patient pays for covered service
C. Claim denial fee
D. Annual tax
Rationale: Copays are flat fees for certain services.
What is coinsurance?
A. Insurance premium
B. Percentage of covered amount patient pays
C. Office registration fee
D. Coding edit
Rationale: Coinsurance is cost-sharing by percentage.
Which Medicare part commonly covers inpatient hospital care?
A. Part B
B. Part A
C. Part D
D. Part C only
Rationale: Part A generally covers inpatient hospital services.
[Verified Answers] Plus Rationales Latest
2026/27 | Qs & Ans Instant Pdf Download
What does CBCS stand for?
A. Clinical Benefits Coding Standard
B. Certified Billing and Coding Specialist
C. Certified Bookkeeping Claims Specialist
D. Coding Business Certification Standard
Rationale: CBCS is the National Healthcareer Association
credential for billing and coding professionals.
Which coding set is primarily used for diagnoses?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM is used to classify diseases and
diagnoses.
Which coding set is used for physician procedures and
services?
A. ICD-10-CM
B. CPT
, C. UB-04
D. DRG
Rationale: CPT codes describe procedures and professional
services.
Which code set commonly includes medical supplies and DME?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II includes supplies, ambulance, and
durable medical equipment.
Which form is commonly used for professional claims?
A. UB-04
B. CMS-1500
C. I-9
D. W-4
Rationale: CMS-1500 is commonly used for provider billing
claims.
Which form is commonly used for facility claims?
A. CMS-1500
B. UB-04
, C. 1099
D. W-2
Rationale: UB-04 is commonly used for institutional claims.
What does PHI stand for?
A. Provider Health Index
B. Protected Health Information
C. Public Health Insurance
D. Patient Hospital Invoice
Rationale: PHI refers to identifiable health information.
HIPAA mainly addresses:
A. Parking access
B. Privacy and security of health information
C. Payroll processing
D. Building permits
Rationale: HIPAA protects patient information privacy and
security.
What is a deductible?
A. Monthly premium
B. Amount patient pays before insurance shares costs
C. Provider fee
D. Refund amount
, Rationale: Deductibles must usually be met before benefits
apply.
What is a copayment?
A. Percentage of bill
B. Fixed amount patient pays for covered service
C. Claim denial fee
D. Annual tax
Rationale: Copays are flat fees for certain services.
What is coinsurance?
A. Insurance premium
B. Percentage of covered amount patient pays
C. Office registration fee
D. Coding edit
Rationale: Coinsurance is cost-sharing by percentage.
Which Medicare part commonly covers inpatient hospital care?
A. Part B
B. Part A
C. Part D
D. Part C only
Rationale: Part A generally covers inpatient hospital services.
