NHA CBCS CERTIFICATION EXAM 2024/2025 NEWEST !!! ACTUAL COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS ) ALREADY
GRADED A+ / 2024/2025NHA BILLING AND CODING SPECIALIST EXAM
(NEW!!)/COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS ) ALREADY GRADED A+.
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
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
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
Why does correct claim processing rely on accurately completed
encounter forms? - ANSWER-They streamline patient billing by
summarizing the services rendered for a given date of service
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