Nhacbcs - Study guides, Class notes & Summaries

NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The...

NHA CBCS Guide (2024/ 2025 Update) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: What is the location method in reference to the CPT book? Answer: Procedure or service Just anatomic site Condition or disease Synonym, eponym, or abbreviation Q: What is the Stark Law? Answer: Prohibits a physician from referring patients for certain designated health services (Medicare & Medicaid) to entities with whom the physician has a financial relationship Q...

NHA CBCS Exam Pep (Latest 2024/ 2025) | Questions and Verified Answers| 100% Correct| Grade A Q: A physician ordered a comprehensive metabolic panel for a 70-year-old patient who has Medicare as her primary insurance. Which form is required so the patient knows she may be responsible for payment? Answer: Advanced Beneficiary Notice is a form that is required for Medicare recipients Q: Which of the following should the BCS complete to be reimbursed for the provider's services? ...

NHA,CBCS Exam (Latest 2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following would most likely result in a denial on a Medicare claim? Answer: An experimental chemotherapy medication for a patient who has stage III renal cancer Q: Which of the following pieces of guarantor information is required when establishing a patient's financial record? Answer: Phone number Q: A provider surgically punctures through the space betw...

NHA,CBCS Exam (2024/ 2025) | Questions and Verified Answers| 100% Correct| A Grade QUESTION The physician bills $500 to a patient. After submitting the claim to the insurance company, the claim is sent back with no payment. The patient still owes $500 for this year. This amount is called Answer: Deductible QUESTION A patient who is an active member of the military recently returned from overseas and is in need of specialty care. The patient does not have anyone desi...

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

NHA,CBCS Study Guide (2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| A Grade Explain the difference between fraud and abuse? Answer: Fraud - intentionally misrepresenting services rendered for the purpose of receiving a higher payment Abuse - refers to practices that are often done unknowingly as a result of poor business practices, directly, or indirectly resulting in unnecessary costs to the program through improper payments QUESTION What is the di...

NHA CBCS | Questions and Verified Answers| 100% Correct| A Grade (2024/ QUESTION 2025) A claim is denied because the service was not covered by the insurance company. Upon confirmation of no errors on the claim, which of the following describes the process that will follow the denial? Answer: the claim will not be re-submitted and the patient will be sent a bill QUESTION Which of the following statements is true when determining patient financial responsibility by r...

NHA,CBCS Exam (New 2024/ 2025 Update) |Questions and Verified Answers| 100% Correct| A Grade QUESTION Which of the following formats are used to submit electronic claims to a third-party payer? Answer: 837 QUESTION Urine moved from the kidneys to the bladder through which of the following parts of the body? Answer: Ureters QUESTION 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...

NHA CBCS EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION RATED A.