NHA CBCS Practice Exam
Questions and Answers Top
Rated Latest Version
Question>> 1
Which provision in a commercial insurance plan specifies
that the insurer will cover a percentage of the cost of
covered services after the deductible has been met?
- Premium
- Copayment
- Coinsurance
- Out-of-pocket maximum
Answer>>
Coinsurance
Question>> 2
Mr. Johnson, a 68-year old patient, is enrolled in Medicare.
He needs a comprehensive understanding of his coverage
options. Which part of Medicare will cover his inpatient
hospital stay if he is admitted for a surgical procedure?
Answer>>
Medicare Part A
Question>> 3
Mr. Johnson, a 68-year-old Medicare beneficiary, is
Page 1 of 78
,considering purchasing a Medigap policy to cover some of
the healthcare costs that medicare does not cover. Which of
the following costs is typically covered by a Medigap policy?
- Long-term care
- Prescription drugs
- Coinsurance and copayments
- Dental care
Answer>>
Coinsurance and copayments
Question>> 4
Which act primarily governs the privacy and security of
patient health information in the United States?
Answer>>
Health Insurance Portability and Accountability Act (HIPPA)
Question>> 5
Dr. Smith preformed a minor surgical procedure on John
Doe at an outpatient surgery center. Which place of service
code should be used for this procedure?
Answer>>
24- procedures performed in an ambulatory surgery center
ASC)
Question>> 6
Which of the following best describes the primary
characteristic of an indemnity insurance plan?
Answer>>
Page 2 of 78
,Provides reimbursements to the policyholder for covered
medical expenses
Question>> 7
What is the purpose of an aging report in medical billing?
Answer>>
To track the status of outstanding claims and unpaid patient
balances
Question>> 8
Which organization is responsible for publishing and
updating the international classification of diseases (ICD)
coding manuals?
- American Medical Association (AMA)
- Centers for Medicare and Medicaid Services (CMS)
- World Health Organization (WHO)
- National Center for Health Statistics (NCHS)
Answer>>
World Health Organization (WHO)
Question>> 9
Sarah, a 45-year-old patient, visits her primary care physician
with complaints of persistent lower back pain. The physician
suspects a herniated disc and orders an MRI. When coding
this encounter, which clinical vocabulary system should be
used to accurately code the diagnosis and the MRI
procedure?
Answer>>
ICD-10-CM for diagnosis and CPT for procedure
Page 3 of 78
, Question>> 10
Which modifier should be used to indicate a distinct
procedural service that is not normally reported together
with the primary procedure but is appropriate under the
circumstances?
Answer>>
Modifier 59
Question>> 11
Which medical claim form is primary used for billing
outpatient and professional services?
Answer>>
CMS-1500
Question>> 12
When coding for a patient visit, which of the following tasks
is essential to ensure accurate and compliant coding?
Answer>>
Using the most recent version of the ICD and CPT codes
Question>> 13
Which type of commercial insurance plan typically requires
members to choose a primary care physician (PCP) and
obtain referrals for specialist services?
Answer>>
Health Maintenance Organization (HMO)
Page 4 of 78
Questions and Answers Top
Rated Latest Version
Question>> 1
Which provision in a commercial insurance plan specifies
that the insurer will cover a percentage of the cost of
covered services after the deductible has been met?
- Premium
- Copayment
- Coinsurance
- Out-of-pocket maximum
Answer>>
Coinsurance
Question>> 2
Mr. Johnson, a 68-year old patient, is enrolled in Medicare.
He needs a comprehensive understanding of his coverage
options. Which part of Medicare will cover his inpatient
hospital stay if he is admitted for a surgical procedure?
Answer>>
Medicare Part A
Question>> 3
Mr. Johnson, a 68-year-old Medicare beneficiary, is
Page 1 of 78
,considering purchasing a Medigap policy to cover some of
the healthcare costs that medicare does not cover. Which of
the following costs is typically covered by a Medigap policy?
- Long-term care
- Prescription drugs
- Coinsurance and copayments
- Dental care
Answer>>
Coinsurance and copayments
Question>> 4
Which act primarily governs the privacy and security of
patient health information in the United States?
Answer>>
Health Insurance Portability and Accountability Act (HIPPA)
Question>> 5
Dr. Smith preformed a minor surgical procedure on John
Doe at an outpatient surgery center. Which place of service
code should be used for this procedure?
Answer>>
24- procedures performed in an ambulatory surgery center
ASC)
Question>> 6
Which of the following best describes the primary
characteristic of an indemnity insurance plan?
Answer>>
Page 2 of 78
,Provides reimbursements to the policyholder for covered
medical expenses
Question>> 7
What is the purpose of an aging report in medical billing?
Answer>>
To track the status of outstanding claims and unpaid patient
balances
Question>> 8
Which organization is responsible for publishing and
updating the international classification of diseases (ICD)
coding manuals?
- American Medical Association (AMA)
- Centers for Medicare and Medicaid Services (CMS)
- World Health Organization (WHO)
- National Center for Health Statistics (NCHS)
Answer>>
World Health Organization (WHO)
Question>> 9
Sarah, a 45-year-old patient, visits her primary care physician
with complaints of persistent lower back pain. The physician
suspects a herniated disc and orders an MRI. When coding
this encounter, which clinical vocabulary system should be
used to accurately code the diagnosis and the MRI
procedure?
Answer>>
ICD-10-CM for diagnosis and CPT for procedure
Page 3 of 78
, Question>> 10
Which modifier should be used to indicate a distinct
procedural service that is not normally reported together
with the primary procedure but is appropriate under the
circumstances?
Answer>>
Modifier 59
Question>> 11
Which medical claim form is primary used for billing
outpatient and professional services?
Answer>>
CMS-1500
Question>> 12
When coding for a patient visit, which of the following tasks
is essential to ensure accurate and compliant coding?
Answer>>
Using the most recent version of the ICD and CPT codes
Question>> 13
Which type of commercial insurance plan typically requires
members to choose a primary care physician (PCP) and
obtain referrals for specialist services?
Answer>>
Health Maintenance Organization (HMO)
Page 4 of 78
