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NHA NEW CBCS PRACTICE TESTS- study questions and answers already graded A+ 2025/2026
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NHA NEW CBCS PRACTICE TESTS- study questions and answers already graded A+ 2025/2026
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NHA NEW CBCS PRACTICE TESTS-study
1. -24 - ANS-Unrelated E/M Services by means of the Same Physician During a
Postoperative Period
2. -26 - ANS-Professional Component
3. -32 - ANS-Mandated Services
4. -50 - ANS-Bilateral Procedure
5. -fifty one - ANS-Multiple Procedures
6. -fifty eight - ANS-Staged or Related Procedure or Service by means of the equal
Physician at some stage in the Postoperative Period
7. -seventy eight - ANS-Return to Operating Room for a Related Procedure all through the
Postoperative Period
8. -79 - ANS-Unrelated Procedure by way of the Same Physician During the Postoperative
Period
9. -ninety - ANS-Reference (Outside) Laboratory
10. -ninety nine - ANS-Multiple Modifiers
11. $ninety five - ANS-the affected person's out of pocket rate for an office go to charge of
$130 wiht a copay of $30 and a unmet deductible of $sixty five. The patient's out of
pocket rate is
12. 0030T - ANS-a instance of a code that may be a Category II code or performance code
would be
13. 042 - ANS-an example of a class ICD-9 code is
14. 2 essential sections of CMS-1500 - ANS-Blocks 1-thirteen patient statistics
15. Blocks 14-33 refers to doctor infromation
16. 2 styles of accounting - ANS-unmarried and double access
17. 3 sections of Alphabetic index - ANS-Section 1: Index to Diseases: each term is followed
with the aid of the code or codes that observe to that time period
18. Section 2: Table of Drugs and Chemiclas: incorporates listing of drugs and chemical
compounds with corresponding poisoning codes and E codes.
19. 3 volumns of ICD-nine manal - ANS-Volumn 1-Diseases: Tabular List
20. Volumn 2-Diseases: Alphabetic Index
21. Volumn 1 and 2 are used in the inpatient and outpatient setting
22. Volumn 3- Procedures:Tabular List and Alphabetic Index
23. 3 approaches to achieve heath coverage - ANS-Group, personal, in line with-paid fitness
plan
24. eight am - ANS-a set agency can not make collection calls before what time
25. nine pm - ANS-the gathering enterprise changed into no longer able to call the patient
after what time in the evening
,26. a health insurance declare - ANS-a billable file of the prognosis and offerings provided
for a affected person is a
27. a plus sign - ANS-shows a upload-on codes
28. A triangle - ANS-image in the CPT manual that represents a alternate within the code
description for the reason that remaining edition. The change can be minor or vast and it
could be and addition, deletion or revision.
29. ABN - ANS-a report signed via the patient that suggests they may be accountable for
any fees no longer covered by means of Medicare
30. ABN - ANS-Advanced Beneficiary Notice
31. abstracting - ANS-the method of translating medical documentation into codes is called
32. Abuse - ANS-Defined as incidents or practices, not usually considered fradulaent which
might be inconsistant with the frequent clinical commercial enterprise or monetary
practices within the industry.
33. Be given venture - ANS-issuer is of the same opinion to just accept what the insurance
comany
34. approves as price in complete for the claim
35. accepting challenge - ANS-the issuer has the same opinion to the quantity the carrier
can pay for the services, this is referred to as
36. Accepting Assignment - ANS-the company is a PAR issuer for BCBS, consequently the
provider is of the same opinion to accept the price the insurance enterprise pays, that is
known as
37. Accounts Receivable - ANS-remarkable balances because of the office
38. accrual accounting - ANS-recording earnings as they're earned
39. add on codes - ANS-the + symbol suggests an upload on code, which is a CPT code
that can't be used with out another primary CPT code
40. upload-on codes - ANS-used for approaches this is usually done in the course of the
equal operative consultation as any other surgical treatment in addition to the number
one carrier/manner and is never performed separatley.
41. Never stand by myself, they're always suggested further to a number one process code.
42. Modifier -fifty one (multiple methods) exempt
43. adjudication - ANS-the declare changed into received at BCBS, as a easy claim, and
geared up for processing for payment, the procedure is known as
44. adjudication - ANS-the insurance technique of reviewing a claim for payment
45. adjustment - ANS-often referred to as the write off or bargain, that is the difference
among the total expenses and the allowed amount
46. Administrative Simplification-The purpose is to attention at the fitness care exercise
putting to reduce administrative price and burdens. - ANS-Two components:
47. 1. Development and implementation of standardized health-related financial and
administrative sports electronically.
48. 2. Implementation of privacy and safety approaches to prevent the misuse of health
information by using ensuring confidentiality.
49. Advance Beneficiary Notice - ANS-record furnished to a Medicare beneficiary by a
company previous o carrier being rendered letting the beneficiary knowof his/her duty to
pay if Medicare denies the claim
, 50. Aged Claims - ANS-claims which have now not been paid inside 30 days
51. allowed costs - ANS-the contractual amount the provider will obtained from the
insurance provider
52. AMA - ANS-employer that keeps the CPT manual
53. ambulatory care - ANS-out patient care
54. amount applied towards the deductible or patient responsibility - ANS-what facts can be
located at the EOB
55. an add on code - ANS-the Coder discovered a code for the removal of 10 pores and skin
tags, however the patient has 12 eliminated, the Coder needed to use another code to
cover the ultimate 2 pores and skin tags, is code is known as
56. Appeals Process - ANS-the method of asking the coverage organisation to review a
denied declare
57. arteries - ANS-takes blood away from the coronary heart
58. ask the affected person to observe up with the insurance corporation - ANS-the Biller
calls and finds the declare is in pending reputation, looking forward to affected person
statistics, the Biller must
59. Assessment - ANS-the doctor diagnosed the patient with CHF, this facts is located
wherein segment of the Progress notes
60. task of advantages - ANS-the authorization from the patient for charge for services to be
despatched immediately to the issuer
61. attending physician - ANS-staff physician in a health center
62. audit - ANS-formal exam of patient medical records and money owed
63. beneficiary - ANS-Medicare and Medicaid use this term to explain the insured
64. benificiary will pay - ANS-deductible, premiums, 20% coinsurance, non-covered offerings
65. bilaterally - ANS-the physician eliminated each ovaries, therefore the surgical operation
done a __________ surgical operation
66. bill the patient - ANS-the patient's EOB indicated that the offerings had been not
blanketed, what might the Biller do subsequent
67. birthday rule - ANS-the parent whose birthday is first in the calendar year, determines
which insurance is number one
68. birthday rule - ANS-what determines which insurance is primary for a affected person
who's blanketed on both discern's coverage?
69. Backside element - ANS-what place of the CMS 1500 consists of the provider's records
70. box 24 J - ANS-the locator container that imply which medical doctor saw the affected
person is
71. bullet - ANS-a new technique or provider code added because the preceding version of
the guide
72. BUN - ANS-blood, urea and nitrogren a blood check for kidney characteristic
73. package deal code - ANS-a set of related processes covered via one single code
74. call the coverage company - ANS-the Biller needed to know why the claim changed into
now not paid, and couldn't find the RA, what would be her next step
75. capillaries - ANS-the blood vessels with the thinnest partitions are known as
76. capitated fees - ANS-the medical doctor provides a full range of reduced in size sevice to
included patients for a FIXED amount on a periodic foundation/monthly
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