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NHA - Certified Billing and Coding Specialist (CBCS) Exam Study Guide Questions and Answers
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NHA - Certified Billing and Coding Specialist (CBCS) Exam Study Guide Questions and Answers
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NHA - Certified Billing and CodingSpecialist (CBCS) Study Guide
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - Answer -
Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - Answer -
Add-on codes
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500
claim form before a further claim is required? - Answer -12
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures? - Answer -Operative report
What action should be taken first when reviewing a delinquent claim? - Answer -Verify the age of the
account
A claim can be denied or rejected for which of the following reasons? - Answer -Block 24D contains the
diagnosis code
, A coroner's autopsy is comprised of what examinations? - Answer -Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - Answer -Private third-party payers
What part of Medicare covers prescriptions? - Answer -Part C
What plane divides the body into left and right? - Answer -Sagittal
Where can unlisted codes be found in the CPT manual? - Answer -Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit
claims? - Answer -UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - Answer -Red
Who is responsible to pay the deductible? - Answer -Patient
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
Answer -Medicaid
Informed Consent - Answer -Providers explain medical or diagnostic procedures, surgical interventions,
and the benefits and risks involved, giving patients an opportunity to ask questions before medical
intervention is provided.
Implied Consent - Answer -A patient presents for treatment, such as extending an arm to allow a
venipuncture to be performed.
Clearinghouse - Answer -Agency that converts claims into standardized electronic format, looks for
errors, and formats them according to HIPAA and insurance standards.
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