8/23/24, 6:49 PM
NHA CBCS 3.0 PRACTICE TEST
Jeremiah
Practice questions for this set
Learn 1 /7 Study with Learn
The father is the primary policy holder because his birthday falls first in the calendar year.
Choose matching term
A child is brought into a facility by their mother. The child is covered under both parents' insurance
1 policies. The child's father was born on 10/1/1980 and their mother was born on 10/2/1981. Which of
the following statements is true regarding the primary policy holder for the child?
A billing and coding specialist is submitting a claim for a school-age child who was brought to the
clinic by their maternal grandmother. The child's parents are divorced and remarried, and the child's
2 mother has legal custody of the child. The specialist should recognize that the child's primary
insurance coverage is provided through which of the following insured individuals?
Which of the following documents should a billing and coding specialist use to ensure that all payers
3 are sending reimbursement within 45 days of claim submission?
A billing and coding specialist is evaluating code assignments for a batch of claims. Which of the
4 following should the specialist consult as a resource to check for proper code assignment based on
procedure-to-procedure (PTP) code pair edits and medically unlikely edits (MUEs)?
Don't know?
NHA CBCS 3.0 PRACTICE TEST
1/11
, 8/23/24, 6:49 PM
Terms in this set (200)
A child is brought into a facility by their The father is the primary policy holder because his birthday falls first in the calendar
mother. The child is covered under both year.
parents' insurance policies. The child's father
was born on 10/1/1980 and their mother was
born on 10/2/1981. Which of the following
statements is true regarding the primary
policy holder for the child?
A billing and coding specialist is submitting a Biologic mother
claim for a school-age child who was
brought to the clinic by their maternal
grandmother. The child's parents are
divorced and remarried, and the child's
mother has legal custody of the child. The
specialist should recognize that the child's
primary insurance coverage is provided
through which of the following insured
individuals?
Which of the following is the purpose of To determine which claims are outstanding from third-party payers
running an insurance aging report each
month?
A billing and coding specialist observes a Report the incident to a supervisor
colleague perform an unethical act. Which of
the following actions should the specialist
take?
Which of the following statements is true Patient access to psychotherapy notes is restricted
regarding the release of patients records?
A billing and coding specialist is preparing a -F1
claim for a patient who had a procedure
performed on their left index finger. Which -FA: used for left thumb
of the following modifiers indicates the -F6: used for right index finger
correct digit? -F4: used for the left pinky
A billing and coding specialist is processing Temporary disability
a claim for a patient who broke their arm
while repairing cars at their workplace. There
is no nerve damage, the arm is placed in a
cast for 6 weeks, and the patient is cleared
to return to work in 6 weeks. Which of the
following types of workers' compensation
applies to this patient?
Based on the CPT integumentary coding Both the surgeon and pathologist
guidelines, Mohs micrographic surgery
involves the provider filling which of the
following roles?
A billing and coding specialist is preparing a Coronary Artery Bypass Graft
claim for a provider. The operative note
indicates the surgeon performed a CABG.
The specialist should identify that CABG
stands for which of the following?
2/11
NHA CBCS 3.0 PRACTICE TEST
Jeremiah
Practice questions for this set
Learn 1 /7 Study with Learn
The father is the primary policy holder because his birthday falls first in the calendar year.
Choose matching term
A child is brought into a facility by their mother. The child is covered under both parents' insurance
1 policies. The child's father was born on 10/1/1980 and their mother was born on 10/2/1981. Which of
the following statements is true regarding the primary policy holder for the child?
A billing and coding specialist is submitting a claim for a school-age child who was brought to the
clinic by their maternal grandmother. The child's parents are divorced and remarried, and the child's
2 mother has legal custody of the child. The specialist should recognize that the child's primary
insurance coverage is provided through which of the following insured individuals?
Which of the following documents should a billing and coding specialist use to ensure that all payers
3 are sending reimbursement within 45 days of claim submission?
A billing and coding specialist is evaluating code assignments for a batch of claims. Which of the
4 following should the specialist consult as a resource to check for proper code assignment based on
procedure-to-procedure (PTP) code pair edits and medically unlikely edits (MUEs)?
Don't know?
NHA CBCS 3.0 PRACTICE TEST
1/11
, 8/23/24, 6:49 PM
Terms in this set (200)
A child is brought into a facility by their The father is the primary policy holder because his birthday falls first in the calendar
mother. The child is covered under both year.
parents' insurance policies. The child's father
was born on 10/1/1980 and their mother was
born on 10/2/1981. Which of the following
statements is true regarding the primary
policy holder for the child?
A billing and coding specialist is submitting a Biologic mother
claim for a school-age child who was
brought to the clinic by their maternal
grandmother. The child's parents are
divorced and remarried, and the child's
mother has legal custody of the child. The
specialist should recognize that the child's
primary insurance coverage is provided
through which of the following insured
individuals?
Which of the following is the purpose of To determine which claims are outstanding from third-party payers
running an insurance aging report each
month?
A billing and coding specialist observes a Report the incident to a supervisor
colleague perform an unethical act. Which of
the following actions should the specialist
take?
Which of the following statements is true Patient access to psychotherapy notes is restricted
regarding the release of patients records?
A billing and coding specialist is preparing a -F1
claim for a patient who had a procedure
performed on their left index finger. Which -FA: used for left thumb
of the following modifiers indicates the -F6: used for right index finger
correct digit? -F4: used for the left pinky
A billing and coding specialist is processing Temporary disability
a claim for a patient who broke their arm
while repairing cars at their workplace. There
is no nerve damage, the arm is placed in a
cast for 6 weeks, and the patient is cleared
to return to work in 6 weeks. Which of the
following types of workers' compensation
applies to this patient?
Based on the CPT integumentary coding Both the surgeon and pathologist
guidelines, Mohs micrographic surgery
involves the provider filling which of the
following roles?
A billing and coding specialist is preparing a Coronary Artery Bypass Graft
claim for a provider. The operative note
indicates the surgeon performed a CABG.
The specialist should identify that CABG
stands for which of the following?
2/11
