NHA CBCS CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Pathology and Laboratory - ✔✔80048-89356
✔✔Plus sign indicates - ✔✔add on codes
✔✔Radiology - ✔✔77010-79999
✔✔Review of Symptoms (ROS) - ✔✔Inventory of the constitutional symptoms regarding
the various body systems
✔✔Stand Alone Codes - ✔✔Contain full description to the procedure for a code.
✔✔Sideways triangle means - ✔✔change in wording between triangles
✔✔Bullet means - ✔✔new procedure code
✔✔Circle with a line through it means - ✔✔modifier 51 exempt code
✔✔Six sections of CPT - ✔✔E&M, Anatomical Site, Condition or Disease, Synonym or
Eponym, Abbreviation.
✔✔Three Components for E*M Codes - ✔✔1.History 2.Physical Exam 3.Medical
Decision-Making
✔✔Three Catagories for E*M Codes - ✔✔Category I: Procedures that are consistent
with contemporary medical practice and are widely performed.Category II:
Supplementary tracking used for performance measures.Category III: Temporary codes
for emerging technology, services & procedures.
✔✔4 contributing factors for E&M Codes - ✔✔New or existing patient, History, Physical
Exam, Medical Decision making, Time spent can be a 5th factor
, ✔✔Medicare part A - ✔✔Part A is hospital insurance provided by Medicare. Most
people do not pay a premium for this coverage.
✔✔Medicare part B - ✔✔Part B is medical insurance to pay for medically necessary
services and supplies provided by Medicare. (Doctors, outpatient care, Phys. and Occ.
Therapists etc.)
✔✔Medicare part C - ✔✔Part C is the combination of Part A and Part B. The main
difference in Part C is that it is provided through private insurance companies approved
by Medicare.
✔✔Medicare part D - ✔✔Part D is stand-alone prescription drug coverage insurance.
✔✔Medicaid - ✔✔free or low-cost health insurance coverage through the state
✔✔Medicaid catagorically needy - ✔✔A distinction for individuals who fall into a specific
category (or criteria)of mandatory Medicaid eligibility established by the federal
government. These categories apply to every state Medicaid program.
✔✔Medicaid Medically Needy - ✔✔provide Medicaid to certain groups not otherwise
eligible for Medicaid.must cover: •Pregnant women •Children under 18.: States have
option to cover:•Children up to 21•Parents and other caretaker
relatives•Elderly•Individuals with disabilities
✔✔Who is the Payer of Last Resort? - ✔✔Medicaid is always the payor of last resort.
✔✔TRICARE - ✔✔health care program for Uniformed Service members, retirees and
their families
✔✔TRICARE STANDARD - ✔✔option that provides the most flexibility to TRICARE-
eligible beneficiaries. It is the fee-for-service option that gives beneficiaries the
opportunities to see any TRICARE-authorized provider.
✔✔TRICARE EXTRA (PP0) - ✔✔A preferred provider option, rather than an annual fee,
a yearly deductible is charged. Health care is delivered through a network of civilian
health care providers who accept payments from CHAMPUS and provide services at
negotiated, discounted rates
✔✔TRICARE PRIME (HMO) - ✔✔An HMO type plan in which enrollees receive health
care through a Military Treatment Facilities PCM or a supporting network of civilian
providers
✔✔CHAMPVA - ✔✔comprehensive health care program in which the VA shares the
cost of covered health care services and supplies with eligible beneficiaries.
QUESTIONS SET A+
✔✔Pathology and Laboratory - ✔✔80048-89356
✔✔Plus sign indicates - ✔✔add on codes
✔✔Radiology - ✔✔77010-79999
✔✔Review of Symptoms (ROS) - ✔✔Inventory of the constitutional symptoms regarding
the various body systems
✔✔Stand Alone Codes - ✔✔Contain full description to the procedure for a code.
✔✔Sideways triangle means - ✔✔change in wording between triangles
✔✔Bullet means - ✔✔new procedure code
✔✔Circle with a line through it means - ✔✔modifier 51 exempt code
✔✔Six sections of CPT - ✔✔E&M, Anatomical Site, Condition or Disease, Synonym or
Eponym, Abbreviation.
✔✔Three Components for E*M Codes - ✔✔1.History 2.Physical Exam 3.Medical
Decision-Making
✔✔Three Catagories for E*M Codes - ✔✔Category I: Procedures that are consistent
with contemporary medical practice and are widely performed.Category II:
Supplementary tracking used for performance measures.Category III: Temporary codes
for emerging technology, services & procedures.
✔✔4 contributing factors for E&M Codes - ✔✔New or existing patient, History, Physical
Exam, Medical Decision making, Time spent can be a 5th factor
, ✔✔Medicare part A - ✔✔Part A is hospital insurance provided by Medicare. Most
people do not pay a premium for this coverage.
✔✔Medicare part B - ✔✔Part B is medical insurance to pay for medically necessary
services and supplies provided by Medicare. (Doctors, outpatient care, Phys. and Occ.
Therapists etc.)
✔✔Medicare part C - ✔✔Part C is the combination of Part A and Part B. The main
difference in Part C is that it is provided through private insurance companies approved
by Medicare.
✔✔Medicare part D - ✔✔Part D is stand-alone prescription drug coverage insurance.
✔✔Medicaid - ✔✔free or low-cost health insurance coverage through the state
✔✔Medicaid catagorically needy - ✔✔A distinction for individuals who fall into a specific
category (or criteria)of mandatory Medicaid eligibility established by the federal
government. These categories apply to every state Medicaid program.
✔✔Medicaid Medically Needy - ✔✔provide Medicaid to certain groups not otherwise
eligible for Medicaid.must cover: •Pregnant women •Children under 18.: States have
option to cover:•Children up to 21•Parents and other caretaker
relatives•Elderly•Individuals with disabilities
✔✔Who is the Payer of Last Resort? - ✔✔Medicaid is always the payor of last resort.
✔✔TRICARE - ✔✔health care program for Uniformed Service members, retirees and
their families
✔✔TRICARE STANDARD - ✔✔option that provides the most flexibility to TRICARE-
eligible beneficiaries. It is the fee-for-service option that gives beneficiaries the
opportunities to see any TRICARE-authorized provider.
✔✔TRICARE EXTRA (PP0) - ✔✔A preferred provider option, rather than an annual fee,
a yearly deductible is charged. Health care is delivered through a network of civilian
health care providers who accept payments from CHAMPUS and provide services at
negotiated, discounted rates
✔✔TRICARE PRIME (HMO) - ✔✔An HMO type plan in which enrollees receive health
care through a Military Treatment Facilities PCM or a supporting network of civilian
providers
✔✔CHAMPVA - ✔✔comprehensive health care program in which the VA shares the
cost of covered health care services and supplies with eligible beneficiaries.
