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NHA CBCS CERTIFICATION EXAM AND PRACTICE EXAM NEWEST QUESTIONS AND CORRECT DETAILED ANSWERS
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NHA CBCS CERTIFICATION EXAM AND PRACTICE EXAM NEWEST QUESTIONS AND CORRECT DETAILED ANSWERS
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NHA CBCS CERTIFICATION EXAM ANDPRACTICE EXAM NEWEST 2024-2025
QUESTIONS AND CORRECT DETAILED
ANSWERS
WhichHofHtheHfollowingHisHconsideredHtheHfinalHdeterminationHofHtheHissuesHinvolvingHsettlementHofHanHin
suranceHclaim?H-HcorrectHanswer-Adjudication
AHformHthatHcontainsHcharges,HDOS,HCPTHcodes,HICDHcodes,HfeesHandHcopaymentHinformationHisHcalledHwh
ichHofHtheHfollowing?H-HcorrectHanswer-EncounterHform
AHpatientHcomesHtoHtheHhospitalHforHanHinpatientHprocedure.HWhichHofHtheHfollowingHhospitalHstaffHmemb
ersHisHresponsibleHforHtheHinitialHpatientHinterview,HobtainingHdemographicHandHinsuranceHinformation,Han
dHdocumentingHtheHchiefHcomplaint?H-HcorrectHanswer-AdmittingHclerk
WhichHofHtheHfollowingHprivacyHmeasuresHensuresHprotectedHhealthHinformationH(phi)?H-HcorrectHanswer-
UsingHdataHencryptionHsoftwareHonHofficeHworkstations
WhichHofHtheHfollowingHplanesHdividesHtheHbodyHintoHleftHandHright?H-HcorrectHanswer-Sagittal
WhichHofHtheHfollowingHprovisionsHensuresHthatHanHinsured'sHbenefitsHfromHallHinsuranceHcompaniesHdoHn
otHexceedH100%HofHallowableHmedicalHexpenses?H-HcorrectHanswer-CoordinationHofHbenefits
WhichHofHtheHfollowingHactionsHshouldHbeHtakenHfirstHwhenHreviewingHaHdelinquentHclaim?H-
HcorrectHanswer-VerifyHtheHageHofHtheHaccount
WhichHofHtheHfollowingHisHtheHadvantageHofHelectronicHclaimHsubmission?H-HcorrectHanswer-
ClaimsHareHexpedited
WhichHofHtheHfollowingHcomponentsHofHanHexplanationHofHbenefitsHexpeditesHtheHprocessHofHaHphoneHap
peal?H-HcorrectHanswer-ClaimHcontrolHnumber
,TheHstandardHmedicalHabbreviationHECGHrefersHtoHaHtestHusedHtoHassessHwhichHofHtheHfollowingHbodyHsyst
ems?H-HcorrectHanswer-CardiovascularHsystem
WhichHofHtheHfollowingHactionsHbyHaHbillingHandHcodingHspecialistHwouldHbeHconsideredHfraud?H-
HcorrectHanswer-BillingHforHservicesHnotHprovided
TheH><HsymbolHisHusedHtoHindicateHaHnewHandHrevisedHtestHotherHthanHwhichHofHtheHfollowing?H-
HcorrectHanswer-ProcedureHdescriptors
OnHtheHCMS-
1500HclaimHform,HblocksH14HthroughH33HcontainHinformationHaboutHwhichHofHtheHfollowing?H-
HcorrectHanswer-TheHpatient'sHconditionHandHtheHprovider'sHinformation
WhichHofHtheHfollowingHincludesHproceduresHandHbestHpracticesHforHcorrectHcoding?H-HcorrectHanswer-
CodingHComplianceHPlan
WhenHcompletingHaHCMS-
1500HpaperHclaimHform,HwhichHofHtheHfollowingHisHanHacceptableHactionHforHtheHbillingHandHcodingHspecial
istHtoHtake?H-HcorrectHanswer-UseHarialHsizeH10Hfont
AHparticipatingHblueHcross/blueHshieldH(BC/BS)HproviderHreceivesHanHexplanationHofHbenefitsHforHaHpatient
Haccount.HTheHchargedHamountHwasH$100.HBC/BSHallowedH$80HandHappliedH$40HtoHtheHpatient'sHannualHd
eductible.HBC/BSHpaidHtheHbalanceHatH80%.HHowHmuchHshouldHtheHpatientHexpectHtoHpay?H-
HcorrectHanswer-$48
WhichHofHtheHfollowingHindicatesHaHclaimHshouldHbeHsubmittedHonHpaperHinsteadHofHelectronically?H-
HcorrectHanswer-TheHclaimHrequiresHanHattachment
AccordingHtoHHIPAAHstandards,HwhichHofHtheHfollowingHidentifiesHtheHrenderingHproviderHonHtheHCMS-
1500HclaimHformHinHblockH24j?H-HcorrectHanswer-NPI
WhichHofHtheHfollowingHblocksHshouldHtheHbillingHandHcodingHspecialistHcompleteHonHtheHCMS-
1500HclaimHformHformHforHprocedures,HservicesHorHsuppliesH(CPT/HCPCS)?H-HcorrectHanswer-BlockH24D
, WhichHofHtheHfollowingHtermsHdescribesHwhenHaHplanHpaysH70%HofHtheHallowedHamountHandHtheHpatientH
paysH30%?H-HcorrectHanswer-Coinsurance
AHproviderHchargedH$500HtoHclaimHthatHhadHanHallowableHamountHofH$400.HInHwhichHofHtheHfollowingHcol
umnsHshouldHtheHbillingHandHcodingHspecialistHapplyHtheHnon-allowedHcharge?H-HcorrectHanswer-
AdjustmentHcolumnHofHtheHcredits
WhichHofHtheHfollowingHisHaHHIPAAHcomplianceHguidelineHaffectingHelectronicHhealthHrecords?H-
HcorrectHanswer-
TheHelectronicHtransmissionHandHcodeHsetHstandardsHrequireHeveryHproviderHtoHuseHtheHhealthcareHtransa
ctionsH,codeHsetsHandHidentifiers
Patient:HJaneHAustin;HSocialHSecurityH#H555-22-1111;HMedicareHID:H555-33-
2222A;HDOB:H05/22/1945.HClaimHinformationHentered:HAustin,HJane;HSocialHSecurityH#.:H555-22-
1111;HMedicareHIDHNo.:H555-33-
2222A;HDOB:H052245.HWhichHofHtheHfollowingHisHaHreasonHthisHclaimHwasHrejected?H-HcorrectHanswer-
TheHDOBHisHenteredHincorrectly
WhyHdoesHcorrectHclaimHprocessingHrelyHonHaccuratelyHcompletedHencounterHforms?H-HcorrectHanswer-
TheyHstreamlineHpatientHbillingHbyHsummarizingHtheHservicesHrenderedHforHaHgivenHdateHofHservice
AHpatient'sHhealthHplanHisHreferredHtoHasHtheH"payerHofHlastHresort."HTheHpatientHisHcoveredHbyHwhichHofHth
eHfollowingHhealthHplans?H-HcorrectHanswer-Medicaid
WhichHofHtheHfollowingHcolorHformatsHisHacceptableHonHtheHCMS-1500HclaimHform?H-HcorrectHanswer-Red
WhichHofHtheHfollowingHisHanHexampleHofHaHviolationHofHanHadultHpatient'sHconfidentiality?H-
HcorrectHanswer-PatientHinformationHwasHdisclosedHtoHtheHpatient'sHparentsHwithoutHconsent.
InHtheHanesthesiaHsectionHofHtheHCPTHmanual,HwhichHofHtheHfollowingHareHconsideredHqualifyingHcircumst
ances?H-HcorrectHanswer-Add-onHcodes
AmbulatoryHsurgeryHcenters,HhomeHhealthHcare,HandHhospiceHorganizationsHuseHtheH-HcorrectHanswer-UB-
04HclaimHform
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