NHA CBCS EXAM 2024 ACTUAL EXAM COMPLETE 200
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
E Codes - ANSWER: For durable medical equipment for use in home
Chief Complaint (CC) - ANSWER: The reason the patient came to see the physician.
Past, Family and Social History (PFSH) - 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
Add on Codes - 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.
What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWER: The
Medicare Catastrophic Coverage Act of 1988
Electronic Data interchange (EDI) - ANSWER: Transmitting electronic medical
insurance claims from providers to payers using the necessary information systems is
called
Medical Ethics are - 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.
Three Components for E*M Codes - ANSWER: 1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - ANSWER: At the beginning of each section and used to
provide specific coding rules for that section.
Co-payment - ANSWER: A fixed fee collected at the time of the patients visit.
Review Linkage Protocol - ANSWER: Appropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - ANSWER: Involves restricting patient information access to
those with proper authorization and maintaining the security of patient information.
What are the names of the three tables that appear in the Index to Diseases? -
ANSWER: Hypertension Neoplasm Table of Drugs and Chemicals
, Level 2 codes - ANSWER: National codes for physician and non-physician service not
found in the CPT Level 1
HIPAA is an acronym for - ANSWER: Health Insurance Portability and Accountability
Act of 1996.
Life Cycle of a Claim - ANSWER: Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - ANSWER: Codes found in the CPT manual
Coinsurance - ANSWER: A fixed percentage of covered charges applied to the
patients bill after the deductible has been met.
Liability Insurance - ANSWER: Covers injuries caused by insured that occurred on the
insured's property.
Unspecified - ANSWER: "No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
Parentheses - ANSWER: Used to enclose supplementary words; non essential
modifiers
Indemnity insurance - ANSWER: Health indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans, and will
cover some (but not all) expenses
Rejected Claim - ANSWER: A rejected claim is an electronically submitted claim that
is unprocessable due to missing or invalid information required by the payer.
Medicaid Medically Needy - ANSWER: provide Medicaid to certain groups not
otherwise eligible for Medicaid.must cover:
•Pregnant women:
•Children under 18:
•States have option to cover:
•Children up to 21:
•Parents and other caretaker
relatives:
•Elderly:
•Individuals with disabilities:
Brackets - ANSWER: Used to enclose synonyms, alternative wording or and
explanatory phrase
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
E Codes - ANSWER: For durable medical equipment for use in home
Chief Complaint (CC) - ANSWER: The reason the patient came to see the physician.
Past, Family and Social History (PFSH) - 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
Add on Codes - 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.
What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWER: The
Medicare Catastrophic Coverage Act of 1988
Electronic Data interchange (EDI) - ANSWER: Transmitting electronic medical
insurance claims from providers to payers using the necessary information systems is
called
Medical Ethics are - 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.
Three Components for E*M Codes - ANSWER: 1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - ANSWER: At the beginning of each section and used to
provide specific coding rules for that section.
Co-payment - ANSWER: A fixed fee collected at the time of the patients visit.
Review Linkage Protocol - ANSWER: Appropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - ANSWER: Involves restricting patient information access to
those with proper authorization and maintaining the security of patient information.
What are the names of the three tables that appear in the Index to Diseases? -
ANSWER: Hypertension Neoplasm Table of Drugs and Chemicals
, Level 2 codes - ANSWER: National codes for physician and non-physician service not
found in the CPT Level 1
HIPAA is an acronym for - ANSWER: Health Insurance Portability and Accountability
Act of 1996.
Life Cycle of a Claim - ANSWER: Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - ANSWER: Codes found in the CPT manual
Coinsurance - ANSWER: A fixed percentage of covered charges applied to the
patients bill after the deductible has been met.
Liability Insurance - ANSWER: Covers injuries caused by insured that occurred on the
insured's property.
Unspecified - ANSWER: "No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
Parentheses - ANSWER: Used to enclose supplementary words; non essential
modifiers
Indemnity insurance - ANSWER: Health indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans, and will
cover some (but not all) expenses
Rejected Claim - ANSWER: A rejected claim is an electronically submitted claim that
is unprocessable due to missing or invalid information required by the payer.
Medicaid Medically Needy - ANSWER: provide Medicaid to certain groups not
otherwise eligible for Medicaid.must cover:
•Pregnant women:
•Children under 18:
•States have option to cover:
•Children up to 21:
•Parents and other caretaker
relatives:
•Elderly:
•Individuals with disabilities:
Brackets - ANSWER: Used to enclose synonyms, alternative wording or and
explanatory phrase
