1|Page
2025/2026 NHA CERTIFIED BILLING AND CODING
SPECIALIST (CBCS) EXAM CURRENTLY TESTING
QUESTIONS WITH DETAILED CORRECT ANSWERS
(VERIFIED) FOR GUARANTEED PASS /ALREADY
TOP-RATED A+.
CBCS
Ace the NHA Certified Billing and Coding Specialist (CBCS) exam
with this comprehensive guide, designed to master ICD-10, CPT, and
HCPCS coding systems alongside insurance claim protocols. This
resource provides realistic practice and detailed questions that reflect
the latest industry standards and certification requirements.
What accurately describes the difference between informed
and implied consent? ...... ANSWER ....... informed
consent is required in writing after explanation of a
procedure, with time to ask questions. While implied
consent is assumed.
What is documentation? ...... ANSWER .......
Documentation is a complete, accurate, up-to-date record
of the care a patient received at the health care facility.
what the book has written: (is the record of clinical
observations and care a patient receives at a health care
facility. is used to communicate relevant patient information
among health care professionals. it also serves as the basis of
,2|Page
information conveyed to third party payers, who are
responsible for reimbursing providers)
third party payers ...... ANSWER ....... Insurance
companies, Medicare, Medicaid, and other commercial
companies that are the payers of inpatient and outpatient
medical expenses for the patient
Documentation must be ...... ANSWER ....... Detailed,
Current and Accurate
HITECH Act ...... ANSWER ....... Health Information
Technology for Economic and Clinical Health Act
HITECH ...... ANSWER ....... supports electronic
health records
Disclosure refers to the way health information is ......
ANSWER ....... given to an outside person or
organization. (Disclosure refers to the dissemination of
personal health information, which is covered by the
HIPAA privacy Rule.)
,3|Page
Protected Health Information (PHI) ...... ANSWER .......
Individually identifiable health information that is
transmitted or maintained by electronic media.
PHI: Minimum Necessary Standard ...... ANSWER .......
when disclosing information, providers and other covered
entities must limit uses, disclosures & requests to only the
amount needed to accomplish a specific purpose.
Notice of Privacy Practices ...... ANSWER ....... A
notification by providers required by the HIPAA Privacy
Rule that provides an understandable explanation of
patients' rights with respect to their personal health
information and the privacy practices of their providers
What is the difference between consent and authorization?
...... ANSWER ....... Consent: used only when
permission is for treatment, payment, or health care
operations (patient permission by signature)
Authorization: Is permission granted by the patient or the
patient's representative to release information for reasons
other than treatment, payment, or health care operations.
, 4|Page
True or False:
Physicians have the option to decide whether to explain
privacy rules to their patients. ...... ANSWER ....... False
(its false because physicians are legally obligated to explain
privacy rules to their patients.
Auditing refers to ...... ANSWER ....... Reviewing
claims for accuracy and completeness
(Many facilities have internal auditing systems. to review
claims for accuracy and completeness.)
one of the main things audits look for is? ...... ANSWER
....... nonspecific or inaccurate use of diagnosis and
procedures codes.
The first step in filling out a claim correctly is knowing?
...... ANSWER ....... how to use the codes sets
The adopted code sets for procedures, diagnoses and drugs
are: ...... ANSWER ....... HCPCS, CPT-4, CDT, ICD-
9, ICD-10, NDC
2025/2026 NHA CERTIFIED BILLING AND CODING
SPECIALIST (CBCS) EXAM CURRENTLY TESTING
QUESTIONS WITH DETAILED CORRECT ANSWERS
(VERIFIED) FOR GUARANTEED PASS /ALREADY
TOP-RATED A+.
CBCS
Ace the NHA Certified Billing and Coding Specialist (CBCS) exam
with this comprehensive guide, designed to master ICD-10, CPT, and
HCPCS coding systems alongside insurance claim protocols. This
resource provides realistic practice and detailed questions that reflect
the latest industry standards and certification requirements.
What accurately describes the difference between informed
and implied consent? ...... ANSWER ....... informed
consent is required in writing after explanation of a
procedure, with time to ask questions. While implied
consent is assumed.
What is documentation? ...... ANSWER .......
Documentation is a complete, accurate, up-to-date record
of the care a patient received at the health care facility.
what the book has written: (is the record of clinical
observations and care a patient receives at a health care
facility. is used to communicate relevant patient information
among health care professionals. it also serves as the basis of
,2|Page
information conveyed to third party payers, who are
responsible for reimbursing providers)
third party payers ...... ANSWER ....... Insurance
companies, Medicare, Medicaid, and other commercial
companies that are the payers of inpatient and outpatient
medical expenses for the patient
Documentation must be ...... ANSWER ....... Detailed,
Current and Accurate
HITECH Act ...... ANSWER ....... Health Information
Technology for Economic and Clinical Health Act
HITECH ...... ANSWER ....... supports electronic
health records
Disclosure refers to the way health information is ......
ANSWER ....... given to an outside person or
organization. (Disclosure refers to the dissemination of
personal health information, which is covered by the
HIPAA privacy Rule.)
,3|Page
Protected Health Information (PHI) ...... ANSWER .......
Individually identifiable health information that is
transmitted or maintained by electronic media.
PHI: Minimum Necessary Standard ...... ANSWER .......
when disclosing information, providers and other covered
entities must limit uses, disclosures & requests to only the
amount needed to accomplish a specific purpose.
Notice of Privacy Practices ...... ANSWER ....... A
notification by providers required by the HIPAA Privacy
Rule that provides an understandable explanation of
patients' rights with respect to their personal health
information and the privacy practices of their providers
What is the difference between consent and authorization?
...... ANSWER ....... Consent: used only when
permission is for treatment, payment, or health care
operations (patient permission by signature)
Authorization: Is permission granted by the patient or the
patient's representative to release information for reasons
other than treatment, payment, or health care operations.
, 4|Page
True or False:
Physicians have the option to decide whether to explain
privacy rules to their patients. ...... ANSWER ....... False
(its false because physicians are legally obligated to explain
privacy rules to their patients.
Auditing refers to ...... ANSWER ....... Reviewing
claims for accuracy and completeness
(Many facilities have internal auditing systems. to review
claims for accuracy and completeness.)
one of the main things audits look for is? ...... ANSWER
....... nonspecific or inaccurate use of diagnosis and
procedures codes.
The first step in filling out a claim correctly is knowing?
...... ANSWER ....... how to use the codes sets
The adopted code sets for procedures, diagnoses and drugs
are: ...... ANSWER ....... HCPCS, CPT-4, CDT, ICD-
9, ICD-10, NDC
