Certification study guide for NHA CBCS Exam
QUESTIONS AND ANSWERS
Medical Ethics Correct Answer: Standards of conduct based on moral principals. Acting within ethical
behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
Compliance Regulations Correct Answer: Most billing related cases are based on HIPAA and the False
Claims Act.
HIPAA is an acronym for Correct Answer: Health Insurance Portability and Accountability Act of 1996.
Category 1 CPT codes Correct Answer: Medical Procedures.
Category 2 CPT codes Correct Answer: Supplemental Codes for Performance Measures.
Category 3 CPT codes Correct Answer: Emerging Technologies.
Add on Codes Correct Answer: Used for procedures that are always performed during the same
operative session, as another surgery in addition to the primary service/procedure and is never
performed separately.
Anesthesia is found Correct Answer: 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes Correct Answer: Are listed first in the CPT manual because
they are used by all the different specialties.
Brackets Correct Answer: Used to enclose synonyms, alternative wording or and explanatory phrase.
Bullets Correct Answer: Represents a new procedure or service code added since the previous edition
of the manual.
Chief Complaint (CC) Correct Answer: The reason the patient came to see the physician.
Circle with a line through it (🚫) Correct Answer: Exemption from modifier 51.
CPT Correct Answer: Used to report services and procedures by physicians.
E&M codes Correct Answer: 99201-99499
Guidelines are found Correct Answer: At the beginning of each section and used to provide specific
coding rules for that section.
, History (HX) Correct Answer: The set of information the physician gathers from the patient concerning
his/her past.
History of Present Illness (HPI) Correct Answer: A chronological account of the development of the
complaint from the first sign or symptom that the patient experienced to the present.
Indented Codes Correct Answer: Listed under associate and stand alone codes.
E Codes Correct Answer: For durable medical equipment for use in home.
Level 1 codes Correct Answer: Codes found in the CPT manual.
Level 2 codes Correct Answer: National codes for the physician and non-physician service not found in
the CPT Level 1.
Level 3 codes Correct Answer: Used locally or regionally and have been eliminated by the CMS since the
implementation of HIPAA.
The List of Modifiers is found where in the CPT Correct Answer: Appendix A and in the front of the
book.
Modifier 50 Correct Answer: Bilateral procedure.
Modifier 24 Correct Answer: Attach to E/M service code when service is provided during postoperative
period to indicate that the service is not part of postoperative care and not included in the Surgical
Package.
Modifier 26 Correct Answer: Provider only provided the professional component.
Modifier 51 Correct Answer: Used more than one procedure during the same surgical episode.
Modifier 57 Correct Answer: Modifier 57 is used on E/M services the day before or day of major surgery
when the initial decision to perform the surgery is identified.
Modifier 78 Correct Answer: Physician must return to Operating Room to address complication
stemming from initial procedure.
Modifier 79 Correct Answer: Procedure or service provided during postoperative period not associated
with initial procedure.
Modifiers Correct Answer: Reporting indicators that indicate that the procedure or service has been
altered by specific circumstance but has not changed in it's definition of code.
Parentheses Correct Answer: Used to enclose supplementary words, non-essential modifiers.
Past, Family and Social History (PFSH) Correct Answer: Consists of patients personal experiences with
illnesses, surgeries, and injuries; Information of illnesses predominant in family' Patients educational
background, occupation, marital status and other factors.
QUESTIONS AND ANSWERS
Medical Ethics Correct Answer: Standards of conduct based on moral principals. Acting within ethical
behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
Compliance Regulations Correct Answer: Most billing related cases are based on HIPAA and the False
Claims Act.
HIPAA is an acronym for Correct Answer: Health Insurance Portability and Accountability Act of 1996.
Category 1 CPT codes Correct Answer: Medical Procedures.
Category 2 CPT codes Correct Answer: Supplemental Codes for Performance Measures.
Category 3 CPT codes Correct Answer: Emerging Technologies.
Add on Codes Correct Answer: Used for procedures that are always performed during the same
operative session, as another surgery in addition to the primary service/procedure and is never
performed separately.
Anesthesia is found Correct Answer: 00100-01999, 99100-99140.
Evaluation and Management (E&M) codes Correct Answer: Are listed first in the CPT manual because
they are used by all the different specialties.
Brackets Correct Answer: Used to enclose synonyms, alternative wording or and explanatory phrase.
Bullets Correct Answer: Represents a new procedure or service code added since the previous edition
of the manual.
Chief Complaint (CC) Correct Answer: The reason the patient came to see the physician.
Circle with a line through it (🚫) Correct Answer: Exemption from modifier 51.
CPT Correct Answer: Used to report services and procedures by physicians.
E&M codes Correct Answer: 99201-99499
Guidelines are found Correct Answer: At the beginning of each section and used to provide specific
coding rules for that section.
, History (HX) Correct Answer: The set of information the physician gathers from the patient concerning
his/her past.
History of Present Illness (HPI) Correct Answer: A chronological account of the development of the
complaint from the first sign or symptom that the patient experienced to the present.
Indented Codes Correct Answer: Listed under associate and stand alone codes.
E Codes Correct Answer: For durable medical equipment for use in home.
Level 1 codes Correct Answer: Codes found in the CPT manual.
Level 2 codes Correct Answer: National codes for the physician and non-physician service not found in
the CPT Level 1.
Level 3 codes Correct Answer: Used locally or regionally and have been eliminated by the CMS since the
implementation of HIPAA.
The List of Modifiers is found where in the CPT Correct Answer: Appendix A and in the front of the
book.
Modifier 50 Correct Answer: Bilateral procedure.
Modifier 24 Correct Answer: Attach to E/M service code when service is provided during postoperative
period to indicate that the service is not part of postoperative care and not included in the Surgical
Package.
Modifier 26 Correct Answer: Provider only provided the professional component.
Modifier 51 Correct Answer: Used more than one procedure during the same surgical episode.
Modifier 57 Correct Answer: Modifier 57 is used on E/M services the day before or day of major surgery
when the initial decision to perform the surgery is identified.
Modifier 78 Correct Answer: Physician must return to Operating Room to address complication
stemming from initial procedure.
Modifier 79 Correct Answer: Procedure or service provided during postoperative period not associated
with initial procedure.
Modifiers Correct Answer: Reporting indicators that indicate that the procedure or service has been
altered by specific circumstance but has not changed in it's definition of code.
Parentheses Correct Answer: Used to enclose supplementary words, non-essential modifiers.
Past, Family and Social History (PFSH) Correct Answer: Consists of patients personal experiences with
illnesses, surgeries, and injuries; Information of illnesses predominant in family' Patients educational
background, occupation, marital status and other factors.
