NHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECT

NHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECTNHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECT UROLOGIST Correct Answer: A _____________________________ would be the provider who would perform an orchiopexy EVALUATION AND MANAGEMENT CODES Correct Answer: The first section of the CPT manual is the _____________________________________________. ALLOWED AMOUNT Correct Answer: ____________________________ means the amount of reimbursement an insurance payer and patient agrees to pay a provider. PLACE OF SERVICE Correct Answer: A billing and coding specialist should determine first, the _____________________ to determine an appropriate e/m code. LOWER RIGHT QUADRANT Correct Answer: The appendix is located in the _____________________________________ of the abdomen. POLICY NUMBER Correct Answer: For a patient whose insurance coverage is from her partner, the ____________________________________ is required to bill her claim. V CODE Correct Answer: An exposure to tuberculosis requires a ______________________________________. GUARANTOR INFORMATION Correct Answer: A billing and coding specialist should use _______________________________________________ when transmitting a claim for a minor without health insurance. OFFICE OF THE INSPECTOR GENERAL Correct Answer: The ____________________________________ investigates cases of fraud and prepares a referral for prosecution. CLEAN CLAIM Correct Answer: An insurance claim is considered a ______________________________ when further reviewed by the insurance company, is not necessary before submitting the claim. PERFORM INTERNAL AUDITS TO MONITOR THE BILLING PROCESS Correct Answer: A billing and coding specialist should ____________________________________________to identify areas of risk associated with billing compliance. THE BODY MAINTAINS NORMAL BALANCE AND FUNCTION Correct Answer: When ___________________________________________, then it is said to be in a state of homeostasis. ANSI ASC X12 837 Correct Answer: The ___________________________________ is an example of an electronic claim format. PATIENT'S DEDUCTIBLE Correct Answer: The ___________________________________information is included in an electronic remittance advice. EXCISION Correct Answer: The provider performed an _____________________ if a lesion needed to be removed with no pathology report and the billing and coding specialist is coding from the integumentary system. SHOULD EMAIL AN ELECTRONIC FILE FORMAT OF THE SUPPORTING DOCUMENT Correct Answer: If a supporting document is to be submitted to the payer for a particular electronic claim the coding and billing specialist _________________________. OFFICE OF THE INSPECTOR GENERAL (OIG) Correct Answer: The ________________________________is tasked to conduct investigations and audits regarding patient privacy violations. SERVICE FACILITY LOCATION Correct Answer: On the CMS 1500 form the provider's name and address should be placed in the block for _______________________________________by the billing and coding specialist filling out the form for a satellite office. CPT CODING MANUAL Correct Answer: The code 99214 place in the CMS 1500 form is found in the ___________________________________ . WORLD HEALTH ORGANIZATION Correct Answer: The ICD codes were initiated by the _______________________________________. E000 Correct Answer: The supplemental classification of causes of injury and poisoning begins with the alphanumeric codes ________________________. ABN FORM Correct Answer: The ______________________ is required for a Medicare non-covered procedure. THE PAYMENT AMOUNT EQUALS THE BILLED AMOUNT Correct Answer: In an explanation of benefits (EOB), ___________________________________________. CALLING PATIENT BY INSURANCE NAME Correct Answer: The billing and coding specialist is allowed to make an incidental disclosure within HIPAA guidelines by __________________________________________. ABN FORM Correct Answer: The patient signs an ________________________ when a -GA modifier is used on a patient claim NOTIFY THE PROVIDER Correct Answer: If an abuse occurs the billing and coding specialist should ________________________________________. MEDICAL NECESSITY Correct Answer: The code linkage in the charge capture process should be verified to ensure that there is ______________________________________. TO ASSIST PROVIDERS WITH PREVENTING HEALTH CARE FRAUD AND ABUSE Correct Answer: The primary purpose of HIPAA is _______________________________________________________. NAME OF REFERRING PHYSICIAN OR OTHER SOURCE Correct Answer: The _______________________________ in the CMS 1500 form can be left blank and still result in a clean claim. INSURANCE CARD Correct Answer: During an initial visit, the ____________________________ of the patient should be collected. CENTERS FOR MEDICARE AND MEDICAID SERVICES Correct Answer: The ________________________________________sets the standards applicable to private insurance through its proposed and final rules EXPIRATION DATE Correct Answer: The release of Information form always includes the __________________________________________. CREDIT COLUMN Correct Answer: When posting the payment to an account, an insurance payment should be recorded on the ______________________________________. STONE IN THE GALLBLADDER Correct Answer: Cholelithiasis is associated with _____________________________ causing abdominal pain. DATE OF SERVICE Correct Answer: A billing and coding specialist working on an aging report within the payer area should sort next by _________________________________________. UNITS OF SERVICE Correct Answer: No data on the _____________________________________ could delay claim processing. SUPERIOR Correct Answer: The terminology when coding a directional area is _______________________________. RHINOPLASTY Correct Answer: A patient with nasal deformity undergoes _______________________________. THE ADJUSTMENT AMOUNT IS $75 Correct Answer: Office Visit allowed amount is $175. Co-payment is $15. The insurance paid $85. __________________________________________________. KIDNEY STONES Correct Answer: Nephrolithiasis is associated with ____________________________________. NPI OF THE PROVIDER WHO PROVIDED THE SERVICE Correct Answer: The ___________________________________________ is the billing provider NPI. DEDUCTIBLE Correct Answer: __________________________ is the amount that the patient is responsible for before insurance provides coverage.