NHA CBCS Exams (Latest 2024/ 2025 Updates STUDY
BUNDLE WITH COMPLETE SOLUTIONS) | Questions and
Verified Answers| 100% Correct| Grade A
E Codes - ANSWERFor durable medical equipment for use in home
Chief Complaint (CC) - ANSWERThe reason the patient came to see the physician.
Past, Family and Social History (PFSH) - ANSWERConsists of patients personal
experiences with illnesses, surgeries, and injuries; Information of illnesses
predominant in family; Patients educational background, occupation, marital status
and other factors
Add on Codes - ANSWERUsed for procedures that are always performed during the
same operative session, as another surgery in addition to the primary
service/procedure and is never performed separately.
What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWERThe
Medicare Catastrophic Coverage Act of 1988
Electronic Data interchange (EDI) - ANSWERTransmitting electronic medical
insurance claims from providers to payers using the necessary information systems is
called
Medical Ethics are - ANSWERStandards of conduct based on moral principals. Acting
within ethical behavior boundries means carrying out one's responsibilities with
integrity, decency, respect, honesty, competence, fairness and trust.
Three Components for E*M Codes - ANSWER1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - ANSWERAt the beginning of each section and used to
provide specific coding rules for that section.
Co-payment - ANSWERA fixed fee collected at the time of the patients visit.
Review Linkage Protocol - ANSWERAppropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - ANSWERInvolves restricting patient information access to
those with proper authorization and maintaining the security of patient information.
What are the names of the three tables that appear in the Index to Diseases? -
ANSWERHypertension Neoplasm Table of Drugs and Chemicals
, Level 2 codes - ANSWERNational codes for physician and non-physician service not
found in the CPT Level 1
Inpatient - ANSWERA/An ___________ is a person admitted to a hospital or long-
term care facility(LTCF) for treatment with the expectation that the patient will
remain in the hospital for a period of 24 hours or more.
HIPAA is an acronym for - ANSWERHealth Insurance Portability and Accountability
Act of 1996.
Life Cycle of a Claim - ANSWERSubmission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - ANSWERCodes found in the CPT manual
Deductible - ANSWERThe out-of-pocket payment amount that a policyholder must
meet before insurance covers the service(s) is called?
Coinsurance - ANSWERA fixed percentage of covered charges applied to the patients
bill after the deductible has been met.
Liability Insurance - ANSWERCovers injuries caused by insured that occurred on the
insured's property.
Unspecified - ANSWER"No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
subpoena - ANSWERA writ requiring the appearance of a person at a trial or other
proceeding is a ___________.
Medicare - ANSWERWhat is the single largest healthcare program in the United
States?
Parentheses - ANSWERUsed to enclose supplementary words; non essential
modifiers
Indemnity insurance - ANSWERHealth indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans, and will
cover some (but not all) expenses
Rejected Claim - ANSWERA rejected claim is an electronically submitted claim that is
unprocessable due to missing or invalid information required by the payer.
77010 - 79999 - ANSWERRadiology
Medicaid Medically Needy - ANSWERprovide Medicaid to certain groups not
otherwise eligible for Medicaid.must cover:
BUNDLE WITH COMPLETE SOLUTIONS) | Questions and
Verified Answers| 100% Correct| Grade A
E Codes - ANSWERFor durable medical equipment for use in home
Chief Complaint (CC) - ANSWERThe reason the patient came to see the physician.
Past, Family and Social History (PFSH) - ANSWERConsists of patients personal
experiences with illnesses, surgeries, and injuries; Information of illnesses
predominant in family; Patients educational background, occupation, marital status
and other factors
Add on Codes - ANSWERUsed for procedures that are always performed during the
same operative session, as another surgery in addition to the primary
service/procedure and is never performed separately.
What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWERThe
Medicare Catastrophic Coverage Act of 1988
Electronic Data interchange (EDI) - ANSWERTransmitting electronic medical
insurance claims from providers to payers using the necessary information systems is
called
Medical Ethics are - ANSWERStandards of conduct based on moral principals. Acting
within ethical behavior boundries means carrying out one's responsibilities with
integrity, decency, respect, honesty, competence, fairness and trust.
Three Components for E*M Codes - ANSWER1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - ANSWERAt the beginning of each section and used to
provide specific coding rules for that section.
Co-payment - ANSWERA fixed fee collected at the time of the patients visit.
Review Linkage Protocol - ANSWERAppropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - ANSWERInvolves restricting patient information access to
those with proper authorization and maintaining the security of patient information.
What are the names of the three tables that appear in the Index to Diseases? -
ANSWERHypertension Neoplasm Table of Drugs and Chemicals
, Level 2 codes - ANSWERNational codes for physician and non-physician service not
found in the CPT Level 1
Inpatient - ANSWERA/An ___________ is a person admitted to a hospital or long-
term care facility(LTCF) for treatment with the expectation that the patient will
remain in the hospital for a period of 24 hours or more.
HIPAA is an acronym for - ANSWERHealth Insurance Portability and Accountability
Act of 1996.
Life Cycle of a Claim - ANSWERSubmission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - ANSWERCodes found in the CPT manual
Deductible - ANSWERThe out-of-pocket payment amount that a policyholder must
meet before insurance covers the service(s) is called?
Coinsurance - ANSWERA fixed percentage of covered charges applied to the patients
bill after the deductible has been met.
Liability Insurance - ANSWERCovers injuries caused by insured that occurred on the
insured's property.
Unspecified - ANSWER"No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
subpoena - ANSWERA writ requiring the appearance of a person at a trial or other
proceeding is a ___________.
Medicare - ANSWERWhat is the single largest healthcare program in the United
States?
Parentheses - ANSWERUsed to enclose supplementary words; non essential
modifiers
Indemnity insurance - ANSWERHealth indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans, and will
cover some (but not all) expenses
Rejected Claim - ANSWERA rejected claim is an electronically submitted claim that is
unprocessable due to missing or invalid information required by the payer.
77010 - 79999 - ANSWERRadiology
Medicaid Medically Needy - ANSWERprovide Medicaid to certain groups not
otherwise eligible for Medicaid.must cover:
