NHA CBCS EXAM
STUDY GUIDE
The Ultimate Study Guide to Pass Your Exam
Includes 500+ Practice Questions with Detailed Answers
Inside, you'll get:
• Complete Exam Coverage —all the essential topics, laid out clearly and concisely.
• Insider Tips —learn from a seasoned pro, with strategies that give you a winning edge.
• Simplified Explanations —no jargon, no confusion—just clear, simple language.
• Be Exam-Ready —enter the exam room fully prepared and armed with the confidence to
succeed.
,1. Which of the following statements is true regarding the release of patient records?
A. Verbal requests for records from life insurance companies are appropriate.
B. Identification is not required when requesting access to patient records.
C. Providers cannot share a patient's medical information with other health care
professionals if the patient is mentally unstable.
D. Patient access to psychotherapy notes may be restricted
Ans>> Patient access to psychotherapy notes may be restricted
(Patients cannot access psychotherapy notes or information compiled for lawsuits.)
2. Which of the following actions by a billing and coding specialist would be
considered fraud?
A. Submitting a claim for services that are not medically necessary
B. Violating participating provider agreements with third-party payers
C. Billing for services not provided
D. Billing non-covered services as covered services
Ans>> Billing for services not provided
(Billing for services not provided is considered fraud and can result in fines for the billing and
coding specialist and the physician.)
3. Which of the following components of an explanation of benefits expedites the
process of a phone appeal?
,A. NPI number
B. Claim control number
C. Insured's ID number
D. Check number
Ans>> B. Claim control number
(The claim control number expedites the process of a phone appeal.)
4. On the CMS-1500 claim form, blocks 14 through 33 contain information about which
of the following?
Ans>> The patient's condition and the provider's informa- tion
(The patient's condition and the provider's information are found on the CMS-1500 at blocks
14 through 33.)
5. A billing and coding specialist should understand that the financial record source
that is generated by a provider's office is called a
Ans>> Patient ledger ac- count.
(A patient ledger account is a history of the patient's financial record.)
6. HIPPA transaction standards apply to which of the following entities?
A. Employers who provide workers' compensation plans
B. Automobile insurance agencies
C. Health care clearinghouses
D. Educational facilities
, Ans>> Health care clearinghouses
(Entities covered by HIPAA regulations include health care clearinghouses,
providers of health care services, and health care third-party payers who submit
transactions electronically.)
7. All dependents 10 yrs of age are required to have which of the following for
TRICARE?
A. Signature on file
B. Military identification
C. Assignment of benefits
D. Provider signature
Ans>> Military identification
(Military identification cards pertain to retirees, active duty sponsors, and their eligible family
members as a means of identification for TRICARE.
8. The standard medical abbreviation "ECG" refers to a test used to assess which of
the following body systems?
Ans>> Cardiovascular system
(An electrocardiogram is a test that checks for problems with the electrical activity of the
heart.)
9. Which of the following is an example of a violation of an adult patient's
confidentiality?
STUDY GUIDE
The Ultimate Study Guide to Pass Your Exam
Includes 500+ Practice Questions with Detailed Answers
Inside, you'll get:
• Complete Exam Coverage —all the essential topics, laid out clearly and concisely.
• Insider Tips —learn from a seasoned pro, with strategies that give you a winning edge.
• Simplified Explanations —no jargon, no confusion—just clear, simple language.
• Be Exam-Ready —enter the exam room fully prepared and armed with the confidence to
succeed.
,1. Which of the following statements is true regarding the release of patient records?
A. Verbal requests for records from life insurance companies are appropriate.
B. Identification is not required when requesting access to patient records.
C. Providers cannot share a patient's medical information with other health care
professionals if the patient is mentally unstable.
D. Patient access to psychotherapy notes may be restricted
Ans>> Patient access to psychotherapy notes may be restricted
(Patients cannot access psychotherapy notes or information compiled for lawsuits.)
2. Which of the following actions by a billing and coding specialist would be
considered fraud?
A. Submitting a claim for services that are not medically necessary
B. Violating participating provider agreements with third-party payers
C. Billing for services not provided
D. Billing non-covered services as covered services
Ans>> Billing for services not provided
(Billing for services not provided is considered fraud and can result in fines for the billing and
coding specialist and the physician.)
3. Which of the following components of an explanation of benefits expedites the
process of a phone appeal?
,A. NPI number
B. Claim control number
C. Insured's ID number
D. Check number
Ans>> B. Claim control number
(The claim control number expedites the process of a phone appeal.)
4. On the CMS-1500 claim form, blocks 14 through 33 contain information about which
of the following?
Ans>> The patient's condition and the provider's informa- tion
(The patient's condition and the provider's information are found on the CMS-1500 at blocks
14 through 33.)
5. A billing and coding specialist should understand that the financial record source
that is generated by a provider's office is called a
Ans>> Patient ledger ac- count.
(A patient ledger account is a history of the patient's financial record.)
6. HIPPA transaction standards apply to which of the following entities?
A. Employers who provide workers' compensation plans
B. Automobile insurance agencies
C. Health care clearinghouses
D. Educational facilities
, Ans>> Health care clearinghouses
(Entities covered by HIPAA regulations include health care clearinghouses,
providers of health care services, and health care third-party payers who submit
transactions electronically.)
7. All dependents 10 yrs of age are required to have which of the following for
TRICARE?
A. Signature on file
B. Military identification
C. Assignment of benefits
D. Provider signature
Ans>> Military identification
(Military identification cards pertain to retirees, active duty sponsors, and their eligible family
members as a means of identification for TRICARE.
8. The standard medical abbreviation "ECG" refers to a test used to assess which of
the following body systems?
Ans>> Cardiovascular system
(An electrocardiogram is a test that checks for problems with the electrical activity of the
heart.)
9. Which of the following is an example of a violation of an adult patient's
confidentiality?
