1|Pag e
NHA CBCS CERTIFICATION EXAM || ACTUAL EXAM
ALL QUESTIONS AND 100% CORRECT ANSWERS
WITH A GUARANTEED A+|| LATEST AND COMPLETE
UPDATE 2025 WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
Which of the following is considered the final determination of the issues
involving settlement of an insurance claim? - ANSWER: Adjudication
A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment
information is called which of the following? - ANSWER: Encounter form
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? -
ANSWER: Admitting clerk
Which of the following privacy measures ensures protected health information
(phi)? - ANSWER: Using data encryption software on office workstations
Which of the following planes divides the body into left and right? - ANSWER:
Sagittal
Which of the following provisions ensures that an insured's benefits from all
insurance companies do not exceed 100% of allowable medical expenses? -
ANSWER: Coordination of benefits
Which of the following actions should be taken first when reviewing a delinquent
claim? - ANSWER: Verify the age of the account
,2|Pag e
Which of the following is the advantage of electronic claim submission? -
ANSWER: Claims are expedited
Which of the following components of an explanation of benefits expedites the
process of a phone appeal? - ANSWER: Claim control number
The standard medical abbreviation ECG refers to a test used to assess which of the
following body systems? - ANSWER: Cardiovascular system
Which of the following actions by a billing and coding specialist would be
considered fraud? - ANSWER: Billing for services not provided
The >< symbol is used to indicate a new and revised test other than which of the
following? - ANSWER: Procedure descriptors
On the CMS-1500 claim form, blocks 14 through 33 contain information about
which of the following? - ANSWER: The patient's condition and the provider's
information
Which of the following includes procedures and best practices for correct coding? -
ANSWER: Coding Compliance Plan
When completing a CMS-1500 paper claim form, which of the following is an
acceptable action for the billing and coding specialist to take? - ANSWER: Use
arial size 10 font
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? - ANSWER: $48
, 3|Pag e
Which of the following indicates a claim should be submitted on paper instead of
electronically? - ANSWER: The claim requires an attachment
According to HIPAA standards, which of the following identifies the rendering
provider on the CMS-1500 claim form in block 24j? - ANSWER: NPI
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)? - ANSWER: Block 24D
Which of the following terms describes when a plan pays 70% of the allowed
amount and the patient pays 30%? - ANSWER: Coinsurance
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? - ANSWER: Adjustment column of the credits
Which of the following is a HIPAA compliance guideline affecting electronic
health records? - ANSWER: The electronic transmission and code set standards
require every provider to use the healthcare transactions ,code sets and identifiers
Patient: Jane Austin; Social Security # 555-22-1111; Medicare ID: 555-33-2222A;
DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security #.:
555-22-1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the
following is a reason this claim was rejected? - ANSWER: The DOB is entered
incorrectly
NHA CBCS CERTIFICATION EXAM || ACTUAL EXAM
ALL QUESTIONS AND 100% CORRECT ANSWERS
WITH A GUARANTEED A+|| LATEST AND COMPLETE
UPDATE 2025 WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
Which of the following is considered the final determination of the issues
involving settlement of an insurance claim? - ANSWER: Adjudication
A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment
information is called which of the following? - ANSWER: Encounter form
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? -
ANSWER: Admitting clerk
Which of the following privacy measures ensures protected health information
(phi)? - ANSWER: Using data encryption software on office workstations
Which of the following planes divides the body into left and right? - ANSWER:
Sagittal
Which of the following provisions ensures that an insured's benefits from all
insurance companies do not exceed 100% of allowable medical expenses? -
ANSWER: Coordination of benefits
Which of the following actions should be taken first when reviewing a delinquent
claim? - ANSWER: Verify the age of the account
,2|Pag e
Which of the following is the advantage of electronic claim submission? -
ANSWER: Claims are expedited
Which of the following components of an explanation of benefits expedites the
process of a phone appeal? - ANSWER: Claim control number
The standard medical abbreviation ECG refers to a test used to assess which of the
following body systems? - ANSWER: Cardiovascular system
Which of the following actions by a billing and coding specialist would be
considered fraud? - ANSWER: Billing for services not provided
The >< symbol is used to indicate a new and revised test other than which of the
following? - ANSWER: Procedure descriptors
On the CMS-1500 claim form, blocks 14 through 33 contain information about
which of the following? - ANSWER: The patient's condition and the provider's
information
Which of the following includes procedures and best practices for correct coding? -
ANSWER: Coding Compliance Plan
When completing a CMS-1500 paper claim form, which of the following is an
acceptable action for the billing and coding specialist to take? - ANSWER: Use
arial size 10 font
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? - ANSWER: $48
, 3|Pag e
Which of the following indicates a claim should be submitted on paper instead of
electronically? - ANSWER: The claim requires an attachment
According to HIPAA standards, which of the following identifies the rendering
provider on the CMS-1500 claim form in block 24j? - ANSWER: NPI
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)? - ANSWER: Block 24D
Which of the following terms describes when a plan pays 70% of the allowed
amount and the patient pays 30%? - ANSWER: Coinsurance
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? - ANSWER: Adjustment column of the credits
Which of the following is a HIPAA compliance guideline affecting electronic
health records? - ANSWER: The electronic transmission and code set standards
require every provider to use the healthcare transactions ,code sets and identifiers
Patient: Jane Austin; Social Security # 555-22-1111; Medicare ID: 555-33-2222A;
DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security #.:
555-22-1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the
following is a reason this claim was rejected? - ANSWER: The DOB is entered
incorrectly
