Page | 1
NHA CBCS CERTIFICATION 2025/
2026 BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
A billing and coding specialist needs to know how much Medicare
paid on a claim before billing the secondary insurance. To which
of the following should the specialist refer to? - correct answer -
Remittance advice
Accepting assignment on the CMS-1500 claim form indicates
which of the following? - correct answer -The physician agrees to
accept payment under the terms of the payer's program
Referring Provider - correct answer -DN
Ordering Provider - correct answer -DK
Supervising Provider - correct answer -DQ
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Which of the following electronic forms is used to post payments?
- correct answer -Electronic Remittance advice (ERA)
A patient who has a HMO insurance plan needs to see a
specialist for a specific problem. From which of the following
should the patient obtain a referral? - correct answer -Primary
care provider
A provider surgically punctures through the space between the
patients ribs using an aspirating needle to withdraw fluid from the
chest cavity. Which of the following is the name of this procedure?
- correct answer -Pleurocenteis
Which of the following standardized formats are used in the
electronic filling of claims? - correct answer -HIPAA standard
transactions
Which of the following blocks on the CMS-1500 form is used to
accept the assignment of benefits? - correct answer -Block 27
, Page | 3
The EOB states the amount billed was $80. The allowed amount
is $60, and the patient is required to pay a $20 copayment. Which
of the following describes the insurance check amount to be
posted? - correct answer -$40
Which of the following should a billing and coding specialist use to
submit a claim with supporting documents? - correct answer -
Claims attachment
When reviewing an established patient's insurance card, the
billing and coding specialist notices a minor change from the
existing card on file. Which of the following action should the
billing and coding specialist take? - correct answer -Photocopy
both sides of the new card
Which of the following accurately describes code symbols found
in the CPT manual? - correct answer -A product pending FDA
approval is indicated with a lightning bolt symbol
Which of the following medicare policies determines if a particular
item or service is covered by Medicare? - correct answer -
National Coverage Determination (NCD)
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Which of the following is a example of a remark code from a
Explanation of Benefits document? - correct answer -Contractual
allowance
A claim is denied due to termination of coverage. Which of the
following actions should the billing and coding specialist take
next? - correct answer -Follow up with the patient to determine
name, address and insurance carrier for resubmission
Which of the following national provider identifiers (NPI) is
required in Block33a on the CMS-1500 claim form? - correct
answer -Billing provider
When the remittance advice is sent from the third-party payer to
the provider, which of the following actions should the billing and
coding specialist perform first? - correct answer -Ensure proper
payment has been made
Which of the following symbols indicates a revised code? - correct
answer -Triangle
NHA CBCS CERTIFICATION 2025/
2026 BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
A billing and coding specialist needs to know how much Medicare
paid on a claim before billing the secondary insurance. To which
of the following should the specialist refer to? - correct answer -
Remittance advice
Accepting assignment on the CMS-1500 claim form indicates
which of the following? - correct answer -The physician agrees to
accept payment under the terms of the payer's program
Referring Provider - correct answer -DN
Ordering Provider - correct answer -DK
Supervising Provider - correct answer -DQ
, Page | 2
Which of the following electronic forms is used to post payments?
- correct answer -Electronic Remittance advice (ERA)
A patient who has a HMO insurance plan needs to see a
specialist for a specific problem. From which of the following
should the patient obtain a referral? - correct answer -Primary
care provider
A provider surgically punctures through the space between the
patients ribs using an aspirating needle to withdraw fluid from the
chest cavity. Which of the following is the name of this procedure?
- correct answer -Pleurocenteis
Which of the following standardized formats are used in the
electronic filling of claims? - correct answer -HIPAA standard
transactions
Which of the following blocks on the CMS-1500 form is used to
accept the assignment of benefits? - correct answer -Block 27
, Page | 3
The EOB states the amount billed was $80. The allowed amount
is $60, and the patient is required to pay a $20 copayment. Which
of the following describes the insurance check amount to be
posted? - correct answer -$40
Which of the following should a billing and coding specialist use to
submit a claim with supporting documents? - correct answer -
Claims attachment
When reviewing an established patient's insurance card, the
billing and coding specialist notices a minor change from the
existing card on file. Which of the following action should the
billing and coding specialist take? - correct answer -Photocopy
both sides of the new card
Which of the following accurately describes code symbols found
in the CPT manual? - correct answer -A product pending FDA
approval is indicated with a lightning bolt symbol
Which of the following medicare policies determines if a particular
item or service is covered by Medicare? - correct answer -
National Coverage Determination (NCD)
, Page | 4
Which of the following is a example of a remark code from a
Explanation of Benefits document? - correct answer -Contractual
allowance
A claim is denied due to termination of coverage. Which of the
following actions should the billing and coding specialist take
next? - correct answer -Follow up with the patient to determine
name, address and insurance carrier for resubmission
Which of the following national provider identifiers (NPI) is
required in Block33a on the CMS-1500 claim form? - correct
answer -Billing provider
When the remittance advice is sent from the third-party payer to
the provider, which of the following actions should the billing and
coding specialist perform first? - correct answer -Ensure proper
payment has been made
Which of the following symbols indicates a revised code? - correct
answer -Triangle
