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NHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECT

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NHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECTNHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECT UROLOGIST Correct Answer: A _____________________________ would be the provider who would perform an orchiopexy EVALUATION AND MANAGEMENT CODES Correct Answer: The first section of...

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  • August 22, 2022
  • 9
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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NHA- CBCS EXAM REVIEW QUESTIONS AND ANSWERS ALL CORRECT

UROLOGIST Correct Answer: A _____________________________ would be the provider who would
perform an orchiopexy

EVALUATION AND MANAGEMENT CODES Correct Answer: The first section of the CPT manual is the
_____________________________________________.

ALLOWED AMOUNT Correct Answer: ____________________________ means the amount of
reimbursement an insurance payer and patient agrees to pay a provider.

PLACE OF SERVICE Correct Answer: A billing and coding specialist should determine first, the
_____________________ to determine an appropriate e/m code.

LOWER RIGHT QUADRANT Correct Answer: The appendix is located in the
_____________________________________ of the abdomen.

POLICY NUMBER Correct Answer: For a patient whose insurance coverage is from her partner, the
____________________________________ is required to bill her claim.

V CODE Correct Answer: An exposure to tuberculosis requires a
______________________________________.

GUARANTOR INFORMATION Correct Answer: A billing and coding specialist should use
_______________________________________________ when transmitting a claim for a minor without
health insurance.

OFFICE OF THE INSPECTOR GENERAL Correct Answer: The ____________________________________
investigates cases of fraud and prepares a referral for prosecution.

CLEAN CLAIM Correct Answer: An insurance claim is considered a ______________________________
when further reviewed by the insurance company, is not necessary before submitting the claim.

PERFORM INTERNAL AUDITS TO MONITOR THE BILLING PROCESS Correct Answer: A billing and coding
specialist should ____________________________________________to identify areas of risk
associated with billing compliance.

THE BODY MAINTAINS NORMAL BALANCE AND FUNCTION Correct Answer: When
___________________________________________, then it is said to be in a state of homeostasis.

ANSI ASC X12 837 Correct Answer: The ___________________________________ is an example of an
electronic claim format.

PATIENT'S DEDUCTIBLE Correct Answer: The ___________________________________information is
included in an electronic remittance advice.

, EXCISION Correct Answer: The provider performed an _____________________ if a lesion needed to be
removed with no pathology report and the billing and coding specialist is coding from the integumentary
system.

SHOULD EMAIL AN ELECTRONIC FILE FORMAT OF THE SUPPORTING DOCUMENT Correct Answer: If a
supporting document is to be submitted to the payer for a particular electronic claim the coding and
billing specialist _________________________.

OFFICE OF THE INSPECTOR GENERAL (OIG) Correct Answer: The
________________________________is tasked to conduct investigations and audits regarding patient
privacy violations.

SERVICE FACILITY LOCATION Correct Answer: On the CMS 1500 form the provider's name and address
should be placed in the block for _______________________________________by the billing and
coding specialist filling out the form for a satellite office.

CPT CODING MANUAL Correct Answer: The code 99214 place in the CMS 1500 form is found in the
___________________________________ .

WORLD HEALTH ORGANIZATION Correct Answer: The ICD codes were initiated by the
_______________________________________.

E000 Correct Answer: The supplemental classification of causes of injury and poisoning begins with the
alphanumeric codes ________________________.

ABN FORM Correct Answer: The ______________________ is required for a Medicare non-covered
procedure.

THE PAYMENT AMOUNT EQUALS THE BILLED AMOUNT Correct Answer: In an explanation of benefits
(EOB), ___________________________________________.

CALLING PATIENT BY INSURANCE NAME Correct Answer: The billing and coding specialist is allowed to
make an incidental disclosure within HIPAA guidelines by
__________________________________________.

ABN FORM Correct Answer: The patient signs an ________________________ when a -GA modifier is
used on a patient claim

NOTIFY THE PROVIDER Correct Answer: If an abuse occurs the billing and coding specialist should
________________________________________.

MEDICAL NECESSITY Correct Answer: The code linkage in the charge capture process should be verified
to ensure that there is ______________________________________.

TO ASSIST PROVIDERS WITH PREVENTING HEALTH CARE FRAUD AND ABUSE Correct Answer: The
primary purpose of HIPAA is _______________________________________________________.

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