NHA CBCS CERTIFICATION REAL EXAM AND STUDY
GUIDE 200+ QUESTIONS AND CORRECT ANSWERS
2024-2025 LATEST UPDATE//ALREADY GRADED A+
Which of the following forms must the patient or representative sign to allow for the release of
protected health information? - CORRECT ANSWER-Authorization
What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as of Feb.
2012? - CORRECT ANSWER-12
When a patient has a condition that is both acute and chronic, how should it be reported? - CORRECT
ANSWER-Code both acute and chronic, sequencing the acute first
After a third-party payer validates a claim, which of the following takes place next? - CORRECT ANSWER-
Claim adjudication
Which of the following acts applies to the administrative simplification guidelines? - CORRECT ANSWER-
HIPAA
After reading a provider's notes about a new patient. A coding specialist decides to code for a longer
length of time than the actual office visit. Which of the following describes the specialist's action? -
CORRECT ANSWER-Fraud
A biller will electronically submit a claim to the carrier via which of the following? - CORRECT ANSWER-
Direct data entry
Which of the following is a type of claim that will be denied by the third-party payer? - CORRECT
ANSWER-Incomplete claim
Which of the following actions should the billing and coding specialist take to prevent fraud and abuse in
the medical office? - CORRECT ANSWER-Internal monitoring and auditing
,Which of the following is a verbal or written agreement that gives approval to release protected health
information? - CORRECT ANSWER-Consent
which of the following is a requirement of some third-party payers before a procedure is performed? -
CORRECT ANSWER-Preauthorization
Which of the following is the function of the respiratory system? - CORRECT ANSWER-Oxygenating blood
cells
The destruction of lesions using cryosurgery would use which of the following treatments? - CORRECT
ANSWER-Cold treatment
Z codes are used to identify which of the following? - CORRECT ANSWER-Immunizations
Which of the following types of health insurance plans best describes a government sponsored benefit
program? - CORRECT ANSWER-Tricare Prime
They symbol "o" in the CPT reference is used to indicate which of the following? - CORRECT ANSWER-
reinstated or recycled code
A beneficiary of a medicare/medicaid crossover claim submitted by a participating provider is
responsible for which of the following percentages? - CORRECT ANSWER-0%
Which of the following security features is required during the transmission of protected health
information and medical claims to 3rd party payers? - CORRECT ANSWER-Encryption
Which of the following coding manuals is used primarily to identify products, supplies and services? -
CORRECT ANSWER-HCPCS level II manual
Two providers from the same practice visit a patient in the ER using the same CPT code. The claim may
be denied due to which of the following reasons? - CORRECT ANSWER-Duplication of services
, Which of the following is the third stage of the life cycle of a claim? - CORRECT ANSWER-Claims
adjudication
Which of the following steps would be part of a physician's practice compliance program? - CORRECT
ANSWER-Internal monitoring and auditing
Which of the following information is required to include on an advance beneficiary notice? - CORRECT
ANSWER-The reason Medicare may not pay
Which of the following documents is required to disclose an adult patient information? - CORRECT
ANSWER-A signed release from the patient
A prospective billing account audit prevents fraud by reviewing and comparing a completed claim form
with which of the following documents? - CORRECT ANSWER-A billing worksheet from the patient
account
Which of the following modifiers should be used to indicate a professional service has been
discontinued prior to completion? - CORRECT ANSWER--53
Which of the following parts of the body system regulates the immunity? - CORRECT ANSWER-
Lymphatic system
In an outpatient setting, which of the following forms is used as a financial report of all services provided
to patient? - CORRECT ANSWER-Patient account record
A patient has met a medicare deductible of $150. The patient's coinsurance is 20% and the allowed
amount is $600. Which of the following is the patient's out of pocket expense? - CORRECT ANSWER-
$120
Which of the following billing patterns is a best-practice action? - CORRECT ANSWER-Documenting the
patient's chief complaint, history, exam, assessment and plan of care
GUIDE 200+ QUESTIONS AND CORRECT ANSWERS
2024-2025 LATEST UPDATE//ALREADY GRADED A+
Which of the following forms must the patient or representative sign to allow for the release of
protected health information? - CORRECT ANSWER-Authorization
What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as of Feb.
2012? - CORRECT ANSWER-12
When a patient has a condition that is both acute and chronic, how should it be reported? - CORRECT
ANSWER-Code both acute and chronic, sequencing the acute first
After a third-party payer validates a claim, which of the following takes place next? - CORRECT ANSWER-
Claim adjudication
Which of the following acts applies to the administrative simplification guidelines? - CORRECT ANSWER-
HIPAA
After reading a provider's notes about a new patient. A coding specialist decides to code for a longer
length of time than the actual office visit. Which of the following describes the specialist's action? -
CORRECT ANSWER-Fraud
A biller will electronically submit a claim to the carrier via which of the following? - CORRECT ANSWER-
Direct data entry
Which of the following is a type of claim that will be denied by the third-party payer? - CORRECT
ANSWER-Incomplete claim
Which of the following actions should the billing and coding specialist take to prevent fraud and abuse in
the medical office? - CORRECT ANSWER-Internal monitoring and auditing
,Which of the following is a verbal or written agreement that gives approval to release protected health
information? - CORRECT ANSWER-Consent
which of the following is a requirement of some third-party payers before a procedure is performed? -
CORRECT ANSWER-Preauthorization
Which of the following is the function of the respiratory system? - CORRECT ANSWER-Oxygenating blood
cells
The destruction of lesions using cryosurgery would use which of the following treatments? - CORRECT
ANSWER-Cold treatment
Z codes are used to identify which of the following? - CORRECT ANSWER-Immunizations
Which of the following types of health insurance plans best describes a government sponsored benefit
program? - CORRECT ANSWER-Tricare Prime
They symbol "o" in the CPT reference is used to indicate which of the following? - CORRECT ANSWER-
reinstated or recycled code
A beneficiary of a medicare/medicaid crossover claim submitted by a participating provider is
responsible for which of the following percentages? - CORRECT ANSWER-0%
Which of the following security features is required during the transmission of protected health
information and medical claims to 3rd party payers? - CORRECT ANSWER-Encryption
Which of the following coding manuals is used primarily to identify products, supplies and services? -
CORRECT ANSWER-HCPCS level II manual
Two providers from the same practice visit a patient in the ER using the same CPT code. The claim may
be denied due to which of the following reasons? - CORRECT ANSWER-Duplication of services
, Which of the following is the third stage of the life cycle of a claim? - CORRECT ANSWER-Claims
adjudication
Which of the following steps would be part of a physician's practice compliance program? - CORRECT
ANSWER-Internal monitoring and auditing
Which of the following information is required to include on an advance beneficiary notice? - CORRECT
ANSWER-The reason Medicare may not pay
Which of the following documents is required to disclose an adult patient information? - CORRECT
ANSWER-A signed release from the patient
A prospective billing account audit prevents fraud by reviewing and comparing a completed claim form
with which of the following documents? - CORRECT ANSWER-A billing worksheet from the patient
account
Which of the following modifiers should be used to indicate a professional service has been
discontinued prior to completion? - CORRECT ANSWER--53
Which of the following parts of the body system regulates the immunity? - CORRECT ANSWER-
Lymphatic system
In an outpatient setting, which of the following forms is used as a financial report of all services provided
to patient? - CORRECT ANSWER-Patient account record
A patient has met a medicare deductible of $150. The patient's coinsurance is 20% and the allowed
amount is $600. Which of the following is the patient's out of pocket expense? - CORRECT ANSWER-
$120
Which of the following billing patterns is a best-practice action? - CORRECT ANSWER-Documenting the
patient's chief complaint, history, exam, assessment and plan of care
