Page |1
NHA CBCS EXAM 2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE
PACK| ACE YOUR GRADES.
Which of the following entities works with Centers for Medicare and
Medicaid services to prevent over payment - ANSWERS_Medicaid
Integrity
Contractors
Which of the following actions by a billing and coding specialist is
Insurance abuse - ANSWERS_Using a health insurance identification
Number other than the patients to ensure payments
Which of the following refers to payers electronically transferring
date
In order to facilitate coordination of benefits on a clean claim -
ANSWERS_Crossover
How many key components must be taken into account when
Selecting a CPT code for a new-patient office visit -
ANSWERS_Three
A patient who has nephrolithiasis should be treated for which of
The following conditions - ANSWERS_Kidney stones
A billing and coding specialist should verify code linkage in the
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Charge capture process to ensure which of the following -
ANSWERS_Medical necessity
On an explanation of benefits form, which of the following should a
Billing and coding specialist use to determine why the insurance
company
Denied an insurance claim - ANSWERS_Remark Code
Which of the following terms describes weakness or decrease in size
of
Body tissues and structures caused by pathology or by disease of the
Muscle over a long period of time - ANSWERS_Atrophy
Which of the following should a billing and coding specialist
establish
To keep track of the status of each claim that is billed -
ANSWERS_Aging
Report
A provider evaluates his patient on his first day of admission to a
Facility. On the third day of service, the provider re-evaluates the
patient.
The billing and coding specialist should code the second encounter
from
Which of the following categories - ANSWERS_9251-99255
Inpatient
Consultation
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Which of the following is withheld from coverage by some third party
payers - ANSWERS_Exclusions
A billing and coding specialist is reviewing a signed release of
Information form that does not have a date. Which of the following is
Correct regarding this release - ANSWERS_This release is not valid
Which of the following is included in a release of information form -
ANSWERS_Patient diagnosis
Which of the following is an example of fraud -
ANSWERS_Submitting claims for unnecessary services
Once fraud has been determined, which of the following entities
Investigates the case and prepares a referral for prosecution -
ANSWERS_Office of Inspector General
Which of the following should treat a patient who is scheduled to
Undergo a surgical procedure and return home the same day -
ANSWERS_Outpatient departments
Under the Health Insurance Portability and Accountability Act
(HIPAA), which of the following scenarios requires patient
authorization
For the re- lease of health information - ANSWERS_Referring a
patient to
NHA CBCS EXAM 2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE
PACK| ACE YOUR GRADES.
Which of the following entities works with Centers for Medicare and
Medicaid services to prevent over payment - ANSWERS_Medicaid
Integrity
Contractors
Which of the following actions by a billing and coding specialist is
Insurance abuse - ANSWERS_Using a health insurance identification
Number other than the patients to ensure payments
Which of the following refers to payers electronically transferring
date
In order to facilitate coordination of benefits on a clean claim -
ANSWERS_Crossover
How many key components must be taken into account when
Selecting a CPT code for a new-patient office visit -
ANSWERS_Three
A patient who has nephrolithiasis should be treated for which of
The following conditions - ANSWERS_Kidney stones
A billing and coding specialist should verify code linkage in the
, Page |2
Charge capture process to ensure which of the following -
ANSWERS_Medical necessity
On an explanation of benefits form, which of the following should a
Billing and coding specialist use to determine why the insurance
company
Denied an insurance claim - ANSWERS_Remark Code
Which of the following terms describes weakness or decrease in size
of
Body tissues and structures caused by pathology or by disease of the
Muscle over a long period of time - ANSWERS_Atrophy
Which of the following should a billing and coding specialist
establish
To keep track of the status of each claim that is billed -
ANSWERS_Aging
Report
A provider evaluates his patient on his first day of admission to a
Facility. On the third day of service, the provider re-evaluates the
patient.
The billing and coding specialist should code the second encounter
from
Which of the following categories - ANSWERS_9251-99255
Inpatient
Consultation
, Page |3
Which of the following is withheld from coverage by some third party
payers - ANSWERS_Exclusions
A billing and coding specialist is reviewing a signed release of
Information form that does not have a date. Which of the following is
Correct regarding this release - ANSWERS_This release is not valid
Which of the following is included in a release of information form -
ANSWERS_Patient diagnosis
Which of the following is an example of fraud -
ANSWERS_Submitting claims for unnecessary services
Once fraud has been determined, which of the following entities
Investigates the case and prepares a referral for prosecution -
ANSWERS_Office of Inspector General
Which of the following should treat a patient who is scheduled to
Undergo a surgical procedure and return home the same day -
ANSWERS_Outpatient departments
Under the Health Insurance Portability and Accountability Act
(HIPAA), which of the following scenarios requires patient
authorization
For the re- lease of health information - ANSWERS_Referring a
patient to
