4/12/25, 8:25 NHA CBCS EXAM REVIEW |
PM
NHA CBCS EXAM REVIEW EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
Leave the first rating
Save
Terms in this set (222)
Which of the following Medicare National Coverage Determination (NCD)
policies determines if a particular
item or service is covered by
Medicare?
A patient's employer has not Denied
submitted a premium payment.
Which of the following claim statuses
should the provider receive from the
third-party payer?
A billing and coding specialist Aging report
should routinely analyze which of
the following to determine the
number of outstanding claims?
Which of the following should a Claims attachment
billing and coding specialist use to
submit a claim with supporting
documents?
Which of the following terms is Claim adjustment codes
used to communicate why a claim
line item was denied or paid
differently than it was
billing?
On a CMS-1500 claim form, which Service facility location information
of the following information should
the billing and coding specialist
enter into Block 32?
A provider's office receives a Send the medical information pertaining to the dates of service requested
subpoena requesting medical
documentation from a patient's
medical record. After confirming the
correct authorization, which of the
following actions should the billing
and coding specialist take?
Which of the following is the 12 months from the date of service
deadline for Medicare claim
submission?
Which of the following forms CMS-1500
does a third-party payer require
for physician services?
1/
8
, 4/12/25, 8:25 NHA CBCS EXAM REVIEW |
PM
A patient who is an active member The billing and coding specialist sends the patient's records to the
of the military recently returned patient's partner.
from overseas and is in need of
specialty care. The patient does
not have anyone designed with
power of attorney. Which of the
following is considered a HIPAA
violation?
Which of the following terms refers Adjustment
to the difference between the
billing and allowed amounts?
Which of the following HMO Durable medical equipment
managed care services requires
a referral?
Which of the following explains why Advance Beneficiary Notice (ABN)
Medicare will deny a particular
service or procedure?
Which of the following types of Delinquent
claims is 120 days old?
When reviewing an established Photocopy both sides of the new card
patient's insurance card, the billing
and coding specialist notices a
minor change from the existing
card on file. Which of the following
actions should the billing and
coding specialist take?
A husband and wife each have The wife's insurance
group insurance through their
employers. The wife has an
appointment with her provider.
Which insurance should be used as
primary for the appointment?
Which of the following would most An experimental chemotherapy medication for a patient who has stage
likely result in a denial on a III renal cancer
Medicare claim?
Which of the following pieces of Phone number
guarantor information is required
when establishing a patient's
financial record?
A provider surgically punctures Pleurocentesis
through the space between the
patient's ribs using an aspirating
needle to withdraw fluid from the
chest cavity. Which of the following
is the name of this procedure?
A patient has AARP as Block 9
secondary insurance. In which
of the following blocks on the
CMS-1500 claim form should
the information be entered?
A Medicare non-participating (non- $230
PAR) provider's approved payment **A non-PAR who does not accept assignment, can collect a maximum of
amount is 15% (the limiting charge) over the non-PAR Medicare fee schedule
$200 for a lobectomy and the amount.
deductible has been met. Which of
2/
8
PM
NHA CBCS EXAM REVIEW EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
Leave the first rating
Save
Terms in this set (222)
Which of the following Medicare National Coverage Determination (NCD)
policies determines if a particular
item or service is covered by
Medicare?
A patient's employer has not Denied
submitted a premium payment.
Which of the following claim statuses
should the provider receive from the
third-party payer?
A billing and coding specialist Aging report
should routinely analyze which of
the following to determine the
number of outstanding claims?
Which of the following should a Claims attachment
billing and coding specialist use to
submit a claim with supporting
documents?
Which of the following terms is Claim adjustment codes
used to communicate why a claim
line item was denied or paid
differently than it was
billing?
On a CMS-1500 claim form, which Service facility location information
of the following information should
the billing and coding specialist
enter into Block 32?
A provider's office receives a Send the medical information pertaining to the dates of service requested
subpoena requesting medical
documentation from a patient's
medical record. After confirming the
correct authorization, which of the
following actions should the billing
and coding specialist take?
Which of the following is the 12 months from the date of service
deadline for Medicare claim
submission?
Which of the following forms CMS-1500
does a third-party payer require
for physician services?
1/
8
, 4/12/25, 8:25 NHA CBCS EXAM REVIEW |
PM
A patient who is an active member The billing and coding specialist sends the patient's records to the
of the military recently returned patient's partner.
from overseas and is in need of
specialty care. The patient does
not have anyone designed with
power of attorney. Which of the
following is considered a HIPAA
violation?
Which of the following terms refers Adjustment
to the difference between the
billing and allowed amounts?
Which of the following HMO Durable medical equipment
managed care services requires
a referral?
Which of the following explains why Advance Beneficiary Notice (ABN)
Medicare will deny a particular
service or procedure?
Which of the following types of Delinquent
claims is 120 days old?
When reviewing an established Photocopy both sides of the new card
patient's insurance card, the billing
and coding specialist notices a
minor change from the existing
card on file. Which of the following
actions should the billing and
coding specialist take?
A husband and wife each have The wife's insurance
group insurance through their
employers. The wife has an
appointment with her provider.
Which insurance should be used as
primary for the appointment?
Which of the following would most An experimental chemotherapy medication for a patient who has stage
likely result in a denial on a III renal cancer
Medicare claim?
Which of the following pieces of Phone number
guarantor information is required
when establishing a patient's
financial record?
A provider surgically punctures Pleurocentesis
through the space between the
patient's ribs using an aspirating
needle to withdraw fluid from the
chest cavity. Which of the following
is the name of this procedure?
A patient has AARP as Block 9
secondary insurance. In which
of the following blocks on the
CMS-1500 claim form should
the information be entered?
A Medicare non-participating (non- $230
PAR) provider's approved payment **A non-PAR who does not accept assignment, can collect a maximum of
amount is 15% (the limiting charge) over the non-PAR Medicare fee schedule
$200 for a lobectomy and the amount.
deductible has been met. Which of
2/
8
