NHA CBCS Practice Test Questions And
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
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What does CBCS stand for?
A. Certified Business Coding Specialist
B. Certified Billing and Coding Specialist
C. Clinical Billing Claims Specialist
D. Certified Benefits Coding System
Rationale: CBCS is the National Healthcareer Association
credential for billing and coding professionals.
Which code set is used primarily for diagnosis coding?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM is used to classify diagnoses and
conditions.
Which code set is used for physician procedures and services?
A. ICD-10-CM
B. CPT
, C. UB-04
D. DRG
Rationale: CPT codes describe medical procedures and
professional services.
Which code set is commonly used for supplies and durable
medical equipment?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II codes include supplies, ambulance,
and DME items.
Which claim form is commonly used for professional/provider
billing?
A. UB-04
B. CMS-1500
C. W-9
D. OSHA-300
Rationale: CMS-1500 is used for many outpatient/provider
claims.
Which claim form is commonly used for facility/hospital
billing?
, A. CMS-1500
B. UB-04
C. I-9
D. 1099
Rationale: UB-04 is the institutional claim form.
What does HIPAA protect?
A. Parking rights only
B. Patient health information privacy and security
C. Staff scheduling only
D. Building maintenance only
Rationale: HIPAA sets standards for PHI privacy and security.
What does PHI stand for?
A. Personal Health Invoice
B. Protected Health Information
C. Provider Health Index
D. Public Hospital Information
Rationale: PHI refers to identifiable health information.
What is a deductible?
A. Monthly premium
B. Amount patient pays before insurance shares costs
C. Provider adjustment
D. Copayment only
, Rationale: Deductibles are patient out-of-pocket thresholds.
What is a copayment?
A. Refund amount
B. Fixed amount patient pays for a covered service
C. Insurance tax
D. Claim denial fee
Rationale: Copays are flat fees due at time of service in many
plans.
What is coinsurance?
A. Full insurance payment
B. Percentage of allowed amount patient pays
C. Premium discount
D. Billing code modifier
Rationale: Coinsurance is a shared cost percentage.
Which Medicare part generally covers inpatient hospital care?
A. Part B
B. Part A
C. Part D
D. Part C only
Rationale: Medicare Part A commonly covers inpatient facility
services.
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
Download
What does CBCS stand for?
A. Certified Business Coding Specialist
B. Certified Billing and Coding Specialist
C. Clinical Billing Claims Specialist
D. Certified Benefits Coding System
Rationale: CBCS is the National Healthcareer Association
credential for billing and coding professionals.
Which code set is used primarily for diagnosis coding?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM is used to classify diagnoses and
conditions.
Which code set is used for physician procedures and services?
A. ICD-10-CM
B. CPT
, C. UB-04
D. DRG
Rationale: CPT codes describe medical procedures and
professional services.
Which code set is commonly used for supplies and durable
medical equipment?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II codes include supplies, ambulance,
and DME items.
Which claim form is commonly used for professional/provider
billing?
A. UB-04
B. CMS-1500
C. W-9
D. OSHA-300
Rationale: CMS-1500 is used for many outpatient/provider
claims.
Which claim form is commonly used for facility/hospital
billing?
, A. CMS-1500
B. UB-04
C. I-9
D. 1099
Rationale: UB-04 is the institutional claim form.
What does HIPAA protect?
A. Parking rights only
B. Patient health information privacy and security
C. Staff scheduling only
D. Building maintenance only
Rationale: HIPAA sets standards for PHI privacy and security.
What does PHI stand for?
A. Personal Health Invoice
B. Protected Health Information
C. Provider Health Index
D. Public Hospital Information
Rationale: PHI refers to identifiable health information.
What is a deductible?
A. Monthly premium
B. Amount patient pays before insurance shares costs
C. Provider adjustment
D. Copayment only
, Rationale: Deductibles are patient out-of-pocket thresholds.
What is a copayment?
A. Refund amount
B. Fixed amount patient pays for a covered service
C. Insurance tax
D. Claim denial fee
Rationale: Copays are flat fees due at time of service in many
plans.
What is coinsurance?
A. Full insurance payment
B. Percentage of allowed amount patient pays
C. Premium discount
D. Billing code modifier
Rationale: Coinsurance is a shared cost percentage.
Which Medicare part generally covers inpatient hospital care?
A. Part B
B. Part A
C. Part D
D. Part C only
Rationale: Medicare Part A commonly covers inpatient facility
services.
