NHA CBCS Certification Practice Exam A
1. Which of the following is considered the final determination of the issues
involving the settlement of an insurance claim?: Adjudication - is the process of
putting an insurance claim through a series of edits for final determination.
Chapter 4
2. A form that contains charges, DOS, CPT codes, fees, and copayment infor-
mation is called which of the following?: Encounter form is a form that contains
charges, DOS, CPT code, ICD codes, fees, and copayment information.
page 67
3. 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?: Admitting these duties clerk has Chapter 3
4. Which of the following privacy measures ensures protected health infor-
,mation (PHI)?: Using data encryption software on office workstations - encryption
software ensures that electronically transmitted health information cannot be read
by third parties. This privacy measure guarantees PHI.
Chapter 1
5. Which of the following planes divide the body into left and right?: Sagittal
plane divides the body into right and left sections
6. Which of the following provisions ensures that an insured's benefits from
all insurance companies do not exceed 100% of allowable medical expens-
es?: Coordination of benefits ensures that the insured benefits from all insured
companies do not exceed 100% of allowable medical expenses.
page 16
7. Which of the following actions should be taken first when reviewing a
delinquent claim?: Verify the age of the account is the first action.
page 45
8. Which of the following is the advantage of electronic claim submission?-
: Claims are expedited - submitting claims electronically is faster than submitting
,paper claims.
page 15
9. Which of the following components of an explanation of benefits expedites
the process of a phone appeal?: Claim control number expedites the process of
a phone appeal.
Chapter 4
10. The standard medical abbreviation "ECG" refers to a test used to assess
which of the following body systems?: Cardiovascular system- which is a test
that checks for problems with the electrical activity of the heart.
Chapter 5
, 11. Which of the following actions by a billing coding specialist (bcs) would
be considered fraud?: Billing for a service not provided is considered fraud and
can result in fines for the bcs and the physician page 6
12. The "> <" symbol is used to indicate new and revised text other than which
of the following?: Procedures descriptors Chapter 5
13. On the CMS-1500 claim form, blocks 14 through 33 contain information
about which of the following?: The patient's condition and the provider's informa-
tion are found on the CMS-1500 at blocks 14 - 33 page 21
14. Which of the following includes procedures and best practices for correct
coding?: Coding Compliance Plan contains rules, procedures, and best practices
to ensure accurate coding.
Chapter 5
15. When completing a CMS-1500 paper claim form, which of the following is
an acceptable action for the bcs to take?: Use Arial size 10 font or OCR size 10-,
or 12-point for paper claims.
1. Which of the following is considered the final determination of the issues
involving the settlement of an insurance claim?: Adjudication - is the process of
putting an insurance claim through a series of edits for final determination.
Chapter 4
2. A form that contains charges, DOS, CPT codes, fees, and copayment infor-
mation is called which of the following?: Encounter form is a form that contains
charges, DOS, CPT code, ICD codes, fees, and copayment information.
page 67
3. 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?: Admitting these duties clerk has Chapter 3
4. Which of the following privacy measures ensures protected health infor-
,mation (PHI)?: Using data encryption software on office workstations - encryption
software ensures that electronically transmitted health information cannot be read
by third parties. This privacy measure guarantees PHI.
Chapter 1
5. Which of the following planes divide the body into left and right?: Sagittal
plane divides the body into right and left sections
6. Which of the following provisions ensures that an insured's benefits from
all insurance companies do not exceed 100% of allowable medical expens-
es?: Coordination of benefits ensures that the insured benefits from all insured
companies do not exceed 100% of allowable medical expenses.
page 16
7. Which of the following actions should be taken first when reviewing a
delinquent claim?: Verify the age of the account is the first action.
page 45
8. Which of the following is the advantage of electronic claim submission?-
: Claims are expedited - submitting claims electronically is faster than submitting
,paper claims.
page 15
9. Which of the following components of an explanation of benefits expedites
the process of a phone appeal?: Claim control number expedites the process of
a phone appeal.
Chapter 4
10. The standard medical abbreviation "ECG" refers to a test used to assess
which of the following body systems?: Cardiovascular system- which is a test
that checks for problems with the electrical activity of the heart.
Chapter 5
, 11. Which of the following actions by a billing coding specialist (bcs) would
be considered fraud?: Billing for a service not provided is considered fraud and
can result in fines for the bcs and the physician page 6
12. The "> <" symbol is used to indicate new and revised text other than which
of the following?: Procedures descriptors Chapter 5
13. On the CMS-1500 claim form, blocks 14 through 33 contain information
about which of the following?: The patient's condition and the provider's informa-
tion are found on the CMS-1500 at blocks 14 - 33 page 21
14. Which of the following includes procedures and best practices for correct
coding?: Coding Compliance Plan contains rules, procedures, and best practices
to ensure accurate coding.
Chapter 5
15. When completing a CMS-1500 paper claim form, which of the following is
an acceptable action for the bcs to take?: Use Arial size 10 font or OCR size 10-,
or 12-point for paper claims.
