NHA CBCS practice test #1- 2023/2024

Which of the following electronic forms is used to post payments? - ANSWER-Electronic remittance advice (ERA) If a clean claim is received March 1 of this year, which of the following is the allowable last day of payment in order to meet Medicare compliance requirements? - ANSWER-March 30 Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures? - ANSWER-Angioplasty The authorization number for a service that was approved before the service was rendered is indicated in which of the following blocks on the CMS-1500 claim form? - ANSWER-Block 23 Which of the following blocks of the CMS-1500 claim form indicates an ICD diagnosis code? - ANSWER-Block 21 A patient who has an HMO insurance plan needs to see a specialist for a specific problem. From which of the following should the patient obtain an referral? - ANSWER-Primary Care Provider A provider surgically punctures through the space between the patient's ribs using an aspirating needle to withdraw fluid from the chest cavity. Which of the following is the name of this procedure? - ANSWER-Pleurocentesis Which of the following standardized formats are used in the electronic filing of claims? - ANSWER-HIPAA standard transactions Which of the following blocks on the CMS-1500 claim form is used to accept assignment of benefit? - ANSWER-Block 27 On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? - ANSWER-The patient's condition and the provider's information The explanation of benefits states the amount billed was $80. The allowed amount is $60, and the patient is required to pay a $20 copayment. Which of the following describes the insurance check amount to be posted? - ANSWER-$40 Which of the following should a billing coding specialist use to submit a claim with supporting documents? - ANSWER-Claims Attachment When reviewing an established patient's insurance card, the billing and coding specialist notices a minor change from the existing card on file. Which of the following actions should the billing and coding specialist take? - ANSWER-Photo copy both sides of the card