4/12/25, 8:27 NHA CBCS Final Practice Test Flashcards |
PM
NHA CBCS FINAL PRACTICE TEST EXAM
QUESTIONS VERIFIED SOLUTIONS
(1 review)
Save
Terms in this set (125)
Which of the following is a key protection D- Disclosure
standard of the HIPAA Privacy Rule that
requires covered entities and business
associates to limit the use or release of
protected health information (PHI)?
A- Incidental use
B- Authorization
C- Minimum necessary
D- Disclosure
A billing and coding specialist is A- Add supplemental documentation with the claim.
preparing a claim that includes code
A9698. Which of the following actions
should the specialist take to ensure the
claim will be paid the first time it is
submitted?
A- Add supplemental documentation with
the claim.
B- Append the appropriate physical
status modifier to the code.
C- Submit all claims for A9698 once a
month as required.
D- Remove the code A9698 and submit
the claim.
1/22
,4/12/25, 8:27 NHA CBCS Final Practice Test Flashcards |
PM
Which of the following describes B- Denied
the status of a claim that is in
process and does not include
required
preauthorization for a service?
A- Delinquent
B- Denied
C- Suspended
D- Adjudicated
A third-party payer requests a patient's C- Signed release of information form
information related to a claim. A billing
and coding specialist should ensure that
which of the following is included in the
patient's file before providing the
information?
A- Consent form
B- Preauthorization form
C- Signed release of information form
D- Signed subpoena
Lightning bolt symbol that precedes a c- The code indicates a service is pending FDA approval.
code indicates which of the following?
a- The code is for a new procedure
or service.
b- The code description has been
revised.
c- The code indicates a service is pending
FDA approval.
d- The code is exempt from modifier -51.
A billing and coding specialist is using an A- An account that has a balance of $600 and is 135 days old
accounts receivable aging report to
determine which accounts should be sent
to collections. According to best
practices, which of the following accounts
should the specialist send to collections?
A- An account that has a balance of $600
and is 135 days old
B- An account that has a balance of
$1,500 and is 60 days old
C- An account that has a balance of $60
and is 45 days old
D- An account that has a balance of $500
and is 110 days old
Which of the following CPT® codes C- 84153
should a billing and coding specialist use
to indicate a total prostate-specific
antigen (PSA) test?
A- 84154
B- 84152
C- 84153
D- 86304
2/22
, 4/12/25, 8:27 NHA CBCS Final Practice Test Flashcards |
PM
Which of the following is the purpose of a B- To identify errors that will prevent a claim from being paid
claims clearinghouse?
A- To determine the reimbursement
amount
B- To identify errors that will prevent a
claim from being paid
C- To determine a patient's deductible
amount
D- To identify fraudulent practices
Which of the following describes a claim B- Delinquent
that is 120 days old?
A- Clean
B- Delinquent
C- Open
D- Closed
Which of the following government A- Office of Inspector General (OIG)
agencies is responsible for combating
fraud and abuse in health insurance
and health care delivery?
A- Office of Inspector General (OIG)
B- Compliance officer
C- Department of Health and Human
Services (HHS)
D- Centers for Medicare and Medicaid
Services (CMS)
Which of the following plans requires D- Health maintenance organization (HMO) plan
providers to adhere to managed care
provisions?
A- Indemnity plan
B- Self-insured plan
C- Fee-for-service plan
D- Health maintenance organization
(HMO) plan
The fourth character of an ICD-10-CM C- Anatomic site
diagnosis code indicates which of the
following?
A- Body system
B- Extension
C- Anatomic site
D- Category
Which of the following codes are used A- ICD-10-CM codes
to code diseases, injuries, impairments,
and other health-related problems?
A- ICD-10-CM codes
B- CPT® codes
C- HCPCS codes
D- CDT codes
3/22
PM
NHA CBCS FINAL PRACTICE TEST EXAM
QUESTIONS VERIFIED SOLUTIONS
(1 review)
Save
Terms in this set (125)
Which of the following is a key protection D- Disclosure
standard of the HIPAA Privacy Rule that
requires covered entities and business
associates to limit the use or release of
protected health information (PHI)?
A- Incidental use
B- Authorization
C- Minimum necessary
D- Disclosure
A billing and coding specialist is A- Add supplemental documentation with the claim.
preparing a claim that includes code
A9698. Which of the following actions
should the specialist take to ensure the
claim will be paid the first time it is
submitted?
A- Add supplemental documentation with
the claim.
B- Append the appropriate physical
status modifier to the code.
C- Submit all claims for A9698 once a
month as required.
D- Remove the code A9698 and submit
the claim.
1/22
,4/12/25, 8:27 NHA CBCS Final Practice Test Flashcards |
PM
Which of the following describes B- Denied
the status of a claim that is in
process and does not include
required
preauthorization for a service?
A- Delinquent
B- Denied
C- Suspended
D- Adjudicated
A third-party payer requests a patient's C- Signed release of information form
information related to a claim. A billing
and coding specialist should ensure that
which of the following is included in the
patient's file before providing the
information?
A- Consent form
B- Preauthorization form
C- Signed release of information form
D- Signed subpoena
Lightning bolt symbol that precedes a c- The code indicates a service is pending FDA approval.
code indicates which of the following?
a- The code is for a new procedure
or service.
b- The code description has been
revised.
c- The code indicates a service is pending
FDA approval.
d- The code is exempt from modifier -51.
A billing and coding specialist is using an A- An account that has a balance of $600 and is 135 days old
accounts receivable aging report to
determine which accounts should be sent
to collections. According to best
practices, which of the following accounts
should the specialist send to collections?
A- An account that has a balance of $600
and is 135 days old
B- An account that has a balance of
$1,500 and is 60 days old
C- An account that has a balance of $60
and is 45 days old
D- An account that has a balance of $500
and is 110 days old
Which of the following CPT® codes C- 84153
should a billing and coding specialist use
to indicate a total prostate-specific
antigen (PSA) test?
A- 84154
B- 84152
C- 84153
D- 86304
2/22
, 4/12/25, 8:27 NHA CBCS Final Practice Test Flashcards |
PM
Which of the following is the purpose of a B- To identify errors that will prevent a claim from being paid
claims clearinghouse?
A- To determine the reimbursement
amount
B- To identify errors that will prevent a
claim from being paid
C- To determine a patient's deductible
amount
D- To identify fraudulent practices
Which of the following describes a claim B- Delinquent
that is 120 days old?
A- Clean
B- Delinquent
C- Open
D- Closed
Which of the following government A- Office of Inspector General (OIG)
agencies is responsible for combating
fraud and abuse in health insurance
and health care delivery?
A- Office of Inspector General (OIG)
B- Compliance officer
C- Department of Health and Human
Services (HHS)
D- Centers for Medicare and Medicaid
Services (CMS)
Which of the following plans requires D- Health maintenance organization (HMO) plan
providers to adhere to managed care
provisions?
A- Indemnity plan
B- Self-insured plan
C- Fee-for-service plan
D- Health maintenance organization
(HMO) plan
The fourth character of an ICD-10-CM C- Anatomic site
diagnosis code indicates which of the
following?
A- Body system
B- Extension
C- Anatomic site
D- Category
Which of the following codes are used A- ICD-10-CM codes
to code diseases, injuries, impairments,
and other health-related problems?
A- ICD-10-CM codes
B- CPT® codes
C- HCPCS codes
D- CDT codes
3/22
