NHA CBCS CERTIFICATION Questions with Detailed
Verified Answers 100% Correct Answers Already
Graded A+
Quiz: Which of the following is considered the final determination of the issues
involving settlement of an insurance claim? Ans: Adjudication
Quiz: A form that contains charges, DOS, CPT codes, ICD codes, fees and
copayment information is called which of the following? Ans: Encounter form
Quiz: A patient comes to the hospital for an inpatient procedure. Which of
the following hospital staff members is responsible for the initial patient
interview, obtaining demographic and insurance information, and
documenting the chief complaint? Ans: Admitting clerk
Quiz: Which of the following privacy measures ensures protected health
information (phi)? Ans: Using data encryption software on office workstations
Quiz: Which of the following planes divides the body into left and right?
Ans: Sagittal
Quiz: Which of the following provisions ensures that an insured's benefits
from all insurance companies do not exceed 100% of allowable medical
expenses? Ans: Coordination of benefits
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,Quiz: Which of the following actions should be taken first when reviewing a
delinquent claim? Ans: Verify the age of the account
Quiz: Which of the following is the advantage of electronic claim
submission? Ans: Claims are expedited
Quiz: Which of the following components of an explanation of benefits
expedites the process of a phone appeal? Ans: Claim control number
Quiz: The standard medical abbreviation ECG refers to a test used to assess
which of the following body systems? Ans: Cardiovascular system
Quiz: Which of the following actions by a billing and coding specialist would
be considered fraud? Ans: Billing for services not provided
Quiz: The >< symbol is used to indicate a new and revised test other than
which of the following? Ans: Procedure descriptors
Quiz: On the CMS-1500 claim form, blocks 14 through 33 contain
information about which of the following? Ans: The patient's condition and
the provider's information
Quiz: Which of the following includes procedures and best practices for
correct coding? Ans: Coding Compliance Plan
© 2025 Get it right Stuvia US All rights reserved
, Quiz: When completing a CMS-1500 paper claim form, which of the
following is an acceptable action for the billing and coding specialist to take?
Ans: Use arial size 10 font
Quiz: A participating blue cross/blue shield (BC/BS) provider receives an
explanation of benefits for a patient account. The charged amount was $100.
BC/BS allowed $80 and applied $40 to the patient's annual deductible. BC/BS
paid the balance at 80%. How much should the patient expect to pay? Ans:
$48
Quiz: Which of the following indicates a claim should be submitted on paper
instead of electronically? Ans: The claim requires an attachment
Quiz: According to HIPAA standards, which of the following identifies the
rendering provider on the CMS-1500 claim form in block 24j? Ans: NPI
Quiz: Which of the following blocks should the billing and coding specialist
complete on the CMS-1500 claim form form for procedures, services or
supplies (CPT/HCPCS)? Ans: Block 24D
Quiz: Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%? Ans: Coinsurance
Quiz: A provider charged $500 to claim that had an allowable amount of
$400. In which of the following columns should the billing and coding specialist
apply the non-allowed charge? Ans: Adjustment column of the credits
© 2025 Get it right Stuvia US All rights reserved
Verified Answers 100% Correct Answers Already
Graded A+
Quiz: Which of the following is considered the final determination of the issues
involving settlement of an insurance claim? Ans: Adjudication
Quiz: A form that contains charges, DOS, CPT codes, ICD codes, fees and
copayment information is called which of the following? Ans: Encounter form
Quiz: A patient comes to the hospital for an inpatient procedure. Which of
the following hospital staff members is responsible for the initial patient
interview, obtaining demographic and insurance information, and
documenting the chief complaint? Ans: Admitting clerk
Quiz: Which of the following privacy measures ensures protected health
information (phi)? Ans: Using data encryption software on office workstations
Quiz: Which of the following planes divides the body into left and right?
Ans: Sagittal
Quiz: Which of the following provisions ensures that an insured's benefits
from all insurance companies do not exceed 100% of allowable medical
expenses? Ans: Coordination of benefits
© 2025 Get it right Stuvia US All rights reserved
,Quiz: Which of the following actions should be taken first when reviewing a
delinquent claim? Ans: Verify the age of the account
Quiz: Which of the following is the advantage of electronic claim
submission? Ans: Claims are expedited
Quiz: Which of the following components of an explanation of benefits
expedites the process of a phone appeal? Ans: Claim control number
Quiz: The standard medical abbreviation ECG refers to a test used to assess
which of the following body systems? Ans: Cardiovascular system
Quiz: Which of the following actions by a billing and coding specialist would
be considered fraud? Ans: Billing for services not provided
Quiz: The >< symbol is used to indicate a new and revised test other than
which of the following? Ans: Procedure descriptors
Quiz: On the CMS-1500 claim form, blocks 14 through 33 contain
information about which of the following? Ans: The patient's condition and
the provider's information
Quiz: Which of the following includes procedures and best practices for
correct coding? Ans: Coding Compliance Plan
© 2025 Get it right Stuvia US All rights reserved
, Quiz: When completing a CMS-1500 paper claim form, which of the
following is an acceptable action for the billing and coding specialist to take?
Ans: Use arial size 10 font
Quiz: A participating blue cross/blue shield (BC/BS) provider receives an
explanation of benefits for a patient account. The charged amount was $100.
BC/BS allowed $80 and applied $40 to the patient's annual deductible. BC/BS
paid the balance at 80%. How much should the patient expect to pay? Ans:
$48
Quiz: Which of the following indicates a claim should be submitted on paper
instead of electronically? Ans: The claim requires an attachment
Quiz: According to HIPAA standards, which of the following identifies the
rendering provider on the CMS-1500 claim form in block 24j? Ans: NPI
Quiz: Which of the following blocks should the billing and coding specialist
complete on the CMS-1500 claim form form for procedures, services or
supplies (CPT/HCPCS)? Ans: Block 24D
Quiz: Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%? Ans: Coinsurance
Quiz: A provider charged $500 to claim that had an allowable amount of
$400. In which of the following columns should the billing and coding specialist
apply the non-allowed charge? Ans: Adjustment column of the credits
© 2025 Get it right Stuvia US All rights reserved
