NHA questions with correct answers

NHA - CERTIFIED BILLING AND
CODING SPECIALIST (CBCS) STUDY
GUIDE QUESTIONS WITH CORRECT
ANSWERS 2025/2026
TheAsymbolA"O"AinAtheACurrentAProceduralATerminologyAreferenceAisAusedAtoAindicateAwhat?A-
AcorrectAanswersReinstatedAorArecycledAcode



InAtheAanesthesiaAsectionAofAtheACPTAmanual,AwhatAareAconsideredAqualifyingAcircumstances?A
-AcorrectAanswersAdd-onAcodes

AsAofAAprilA1,A2014AwhatAisAtheAmaximumAnumberAofAdiagnosesAthatAcanAbeAreportedAonAtheA
CMS-1500AclaimAformAbeforeAaAfurtherAclaimAisArequired?A-AcorrectAanswers12

WhatAisAconsideredAproperAsupportiveAdocumentationAforAreportingACPTAandAICDAcodesAforAsu
rgicalAprocedures?A-AcorrectAanswersOperativeAreport

WhatAactionAshouldAbeAtakenAfirstAwhenAreviewingAaAdelinquentAclaim?A-
AcorrectAanswersVerifyAtheAageAofAtheAaccount



AAclaimAcanAbeAdeniedAorArejectedAforAwhichAofAtheAfollowingAreasons?A-
AcorrectAanswersBlockA24DAcontainsAtheAdiagnosisAcode



AAcoroner'sAautopsyAisAcomprisedAofAwhatAexaminations?A-
AcorrectAanswersGrossAExamination



MedigapAcoverageAisAofferedAtoAMedicareAbeneficiariesAbyAwhom?A-
AcorrectAanswersPrivateAthird-partyApayers



WhatApartAofAMedicareAcoversAprescriptions?A-AcorrectAanswersPartAC

WhatAplaneAdividesAtheAbodyAintoAleftAandAright?A-AcorrectAanswersSagittal

WhereAcanAunlistedAcodesAbeAfoundAinAtheACPTAmanual?A-
AcorrectAanswersGuidelinesApriorAtoAeachAsection



AmbulatoryAsurgeryAcenters,AhomeAhealthAcare,AandAhospiceAorganizationsAuseAwhichAformAto
AsubmitAclaims?A-AcorrectAanswersUB-04AClaimAForm



WhatAcolorAformatAisAacceptableAonAtheACMS-1500AclaimAform?A-AcorrectAanswersRed

WhoAisAresponsibleAtoApayAtheAdeductible?A-AcorrectAanswersPatient

AApatient'sAhealthAplanAisAreferredAtoAasAtheA"payerAofAlastAresort."AWhatAisAtheAnameAofAthatAh
ealthAplan?A-AcorrectAanswersMedicaid

, InformedAConsentA-
AcorrectAanswersProvidersAexplainAmedicalAorAdiagnosticAprocedures,AsurgicalAinterventions,Aa


ndAtheAbenefitsAandArisksAinvolved,AgivingApatientsAanAopportunityAtoAaskAquestionsAbeforeAm
edicalAinterventionAisAprovided.

ImpliedAConsentA-
AcorrectAanswersAApatientApresentsAforAtreatment,AsuchAasAextendingAanAarmAtoAallowAaAvenip


unctureAtoAbeAperformed.

ClearinghouseA-
AcorrectAanswersAgencyAthatAconvertsAclaimsAintoAstandardizedAelectronicAformat,AlooksAforAe


rrors,AandAformatsAthemAaccordingAtoAHIPAAAandAinsuranceAstandards.

IndividuallyAIdentifiableA-
AcorrectAanswersDocumentsAthatAidentifyAtheApersonAorAprovideAenoughAinformationAsoAthatA


theApersonAcanAbeAidentified.

De-identifiedAInformationA-
AcorrectAanswersInformation AthatAdoesAnotAidentifyAanAindividualAbecauseAuniqueAandAperson


alAcharacteristicsAhaveAbeenAremoved.

ConsentA-AcorrectAanswersAApatient'sApermissionAevidencedAbyAsignature.

AuthorizationsA-
AcorrectAanswersPermissionAgrantedAbyAtheApatientAorAtheApatient'sArepresentativeAtoAreleaseA


informationAforAreasonsAotherAthanAtreatment,Apayment,AorAhealthAcareAoperations.

ReimbursementA-AcorrectAanswersPaymentAforAservicesArenderedAfromAaAthird-partyApayer.

AuditingA-AcorrectAanswersReviewAofAclaimsAforAaccuracyAandAcompleteness.

FraudA-
AcorrectAanswersMakingAfalseAstatementsAofArepresentationsAofAmaterialAfactsAtoAobtainAsome


AbenefitAorApaymentAforAwhichAnoAentitlementAwouldAotherwiseAexist.



UpcodingA-
AcorrectAanswersAssigningAaAdiagnosisAorAprocedureAcodeAatAaAhigherAlevelAthanAtheAdocumen


tationAsupports,AsuchAasAcodingAbronchitisAasApneumonia.

UnbundlingA-
AcorrectAanswersUsingAmultipleAcodesAthatAdescribeAdifferentAcomponentsAofAaAtreatmentAins


teadAofAusingAaAsingleAcodeAthatAdescribesAallAstepsAofAtheAprocedure.

AbuseA-
AcorrectAanswersPracticesAthatAdirectlyAorAindirectlyAresultAinAunnecessaryAcostsAtoAtheAMedic


areAprogram.