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CBCS - NHA PRACTICE EXAM QUESTIONS AND ANSWERS
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A child is brought into a facility by their The father is the primary policy holder because his birthday falls first in the
mother. The child is covered on both calendar year.
parents insurance policies. The child's
father was born on 10/1/1980 and their
mother was born on 10/2/1981. Which of
the following statements is true regarding
the primary policyholder for the child?
A billing and coding specialist is biological mother
submitting a claim for a school-age child
who was brought to the clinic by their
maternal grandmother. The child's parents
are divorced and remarried, and the
child's mother has legal custody of the
child. The specialist should recognize that
the child's primary insurance coverage is
provided through which of the
following
insured individuals?
Which of the following is the purpose of An aging report indicates the status of outstanding claims that need to be paid.
running an insurance aging report each
month?
A billing and coding specialist observes a The specialist should report the incident to a supervisor.
colleague perform an unethical act.
Which of the following actions should the
specialist take?
Which of the following statement is true Patient access to psychotherapy notes is restricted
regarding the release of patient records?
A billing and coding specialist is -F1 left-hand, second digit
preparing a claim for a patient who had a
procedure performed on their left index
finger. Which of the following CPT
modifiers indicate the correct digit?
A billing and coding specialist is Temporary disability
processing a claim for a patient
who broke their arm while repairing
cars at their workplace. There is no
nerve
damage, the arm is placed in a cast for
six weeks, and the patient is cleared to
return to work and six weeks. Which of
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the
following types of workers' compensation
applies to this patient?
Which of the following codes are Acquired absence of limb
included in the ICD-10-CM code set ?
A billing and coding specialist is Coronary artery bypass graft
preparing for provider. The provider note
indicates the surgeon performed a CABG.
The specialist should identify that CABG
stands for which of the following?
A billing and coding specialist is notify the patient between 3 and 10 days prior to depositing each check on the
arranging a payment plan with a patient indicated date
who wants to leave postdated checks
with the office. The patient proposes
leaving one check postdated for 3
months, one for 4 months, and
another one for 5 months in the future.
According to the federal collection law,
which of the following actions should
the specialist take?
Which of the following qualifies a patient Individuals who are under age 65 and have a disability
for eligibility under Medicare as the
primary third-party payer?
Which of the following is a ICD-10-CM A '3-character code'
category code?
A billing and coding specialist is Establish coordination of benefits
determine third-party payer
responsibilities for a 70-year-old
patient who has Medicare coverage. The
patient's spouse have insurance with
blue cross
blue shield through their employer.
Which of the following actions should
the
specialist take?
When a patient has a condition that is Code both the acute and chronic conditions, sequencing the acute condition first.
both acute and chronic, how should it be
coded?
When reviewing an established Photocopy both sides of the new card
patient's insurance card, a billing and
coding
specialist notices a minor change from
the existing card on file. Which of the
following action should the specialist
take?
On a remittance advice form, which of provider
the following is responsible for writing off
the difference between the amount
billed,
and the amount allowed by
the agreement?
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