NHA CBCS Exam Study Guide Questions
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Rationales Latest 2026/27 | Qs & Ans
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1. What does CBCS stand for?
A. Certified Billing Coding Specialist
B. Certified Billing and Coding Specialist
C. Clinical Billing Coding Service
D. Certified Business Coding System
Rationale: CBCS is the NHA credential for billing and coding
professionals.
2. What is the main role of a medical biller and coder?
A. Dispense medication
B. Translate healthcare services into codes for claims
and reimbursement
C. Perform surgery
D. Interpret X-rays only
Rationale: Billers and coders assign codes and submit claims
accurately.
3. Which coding set is used for diagnoses in outpatient and
inpatient settings?
, A. CPT
B. ICD-10-CM
C. HCPCS Level II only
D. DRG only
Rationale: ICD-10-CM classifies diagnoses.
4. Which coding set is used for physician procedures and
services?
A. ICD-10-PCS
B. CPT
C. NDC
D. UB-04 only
Rationale: CPT codes describe procedures and professional
services.
5. Which coding system is used for supplies, equipment, and
some services?
A. ICD-10-CM
B. HCPCS Level II
C. SNOMED only
D. DRG only
Rationale: HCPCS Level II includes durable medical equipment
and supplies.
, 6. Which organization maintains CPT codes?
A. CMS
B. American Medical Association (AMA)
C. WHO
D. OSHA
Rationale: The AMA publishes CPT.
7. Which code set is used for inpatient hospital procedures?
A. CPT
B. ICD-10-PCS
C. HCPCS Level II
D. CDT only
Rationale: ICD-10-PCS is used for inpatient facility procedures.
8. What does CMS stand for?
A. Coding Management Services
B. Centers for Medicare & Medicaid Services
C. Clinical Medical Standards
D. Central Medicare System
Rationale: CMS administers Medicare and Medicaid programs.
9. What is a claim form commonly used for professional
services?
A. UB-04 only
B. CMS-1500
, C. W-2
D. OSHA-300
Rationale: CMS-1500 is commonly used for provider claims.
10. Which claim form is commonly used for
hospital/facility billing?
A. CMS-1500
B. UB-04 (CMS-1450)
C. 1099
D. I-9
Rationale: UB-04 is the facility billing form.
11. What is PHI under HIPAA?
A. Private Health Insurance only
B. Protected Health Information
C. Patient Hospital Invoice
D. Public Health Index
Rationale: PHI is individually identifiable health information.
12. HIPAA primarily protects:
A. Parking spaces
B. Privacy and security of patient information
C. Medication costs only
D. Building codes only
And Answers [Verified Answers] Plus
Rationales Latest 2026/27 | Qs & Ans
Instant Pdf Download
1. What does CBCS stand for?
A. Certified Billing Coding Specialist
B. Certified Billing and Coding Specialist
C. Clinical Billing Coding Service
D. Certified Business Coding System
Rationale: CBCS is the NHA credential for billing and coding
professionals.
2. What is the main role of a medical biller and coder?
A. Dispense medication
B. Translate healthcare services into codes for claims
and reimbursement
C. Perform surgery
D. Interpret X-rays only
Rationale: Billers and coders assign codes and submit claims
accurately.
3. Which coding set is used for diagnoses in outpatient and
inpatient settings?
, A. CPT
B. ICD-10-CM
C. HCPCS Level II only
D. DRG only
Rationale: ICD-10-CM classifies diagnoses.
4. Which coding set is used for physician procedures and
services?
A. ICD-10-PCS
B. CPT
C. NDC
D. UB-04 only
Rationale: CPT codes describe procedures and professional
services.
5. Which coding system is used for supplies, equipment, and
some services?
A. ICD-10-CM
B. HCPCS Level II
C. SNOMED only
D. DRG only
Rationale: HCPCS Level II includes durable medical equipment
and supplies.
, 6. Which organization maintains CPT codes?
A. CMS
B. American Medical Association (AMA)
C. WHO
D. OSHA
Rationale: The AMA publishes CPT.
7. Which code set is used for inpatient hospital procedures?
A. CPT
B. ICD-10-PCS
C. HCPCS Level II
D. CDT only
Rationale: ICD-10-PCS is used for inpatient facility procedures.
8. What does CMS stand for?
A. Coding Management Services
B. Centers for Medicare & Medicaid Services
C. Clinical Medical Standards
D. Central Medicare System
Rationale: CMS administers Medicare and Medicaid programs.
9. What is a claim form commonly used for professional
services?
A. UB-04 only
B. CMS-1500
, C. W-2
D. OSHA-300
Rationale: CMS-1500 is commonly used for provider claims.
10. Which claim form is commonly used for
hospital/facility billing?
A. CMS-1500
B. UB-04 (CMS-1450)
C. 1099
D. I-9
Rationale: UB-04 is the facility billing form.
11. What is PHI under HIPAA?
A. Private Health Insurance only
B. Protected Health Information
C. Patient Hospital Invoice
D. Public Health Index
Rationale: PHI is individually identifiable health information.
12. HIPAA primarily protects:
A. Parking spaces
B. Privacy and security of patient information
C. Medication costs only
D. Building codes only
