NHA CBCS EXAM Tested Questions with Verified Answers Grade A+ Guarantee

NHA CBCS EXAM
Tested Questions with Verified Answers
Grade A+ Guarantee




1. Which of the following is used to communicate why a claim line item was de
g g g g g g g g g g g g g g




nied or paid differently than it was billed?
g g g g g g g




Ans>> Claim adjustment reason codes
g g g g




2. A billing and coding specialist is reviewing a claim edit report and iden-
g g g g g g g g g g g g




tifies a rejection for missing patient demographic information.Which of the following
g g g g g g g g g g g g g




missing pieces of patient demographic information would cause a rejection from the cle
g g g g g g g g g g g g




aringhouse?

Ans>> DOB g




1g/g9

,3. A billing and coding specialist is reviewing paperwork that indicates over-
g g g g g g g g g g




g payment by Medicare for six patients over the past year. Which of the following describes
g g g g g g g g g g g g g g




this process ?
g g g




Ans>> Audit g




4. Which of the following describes an insurance company that offers plans that pay heal
g g g g g g g g g g g g g




th care providers who render services to patients?
g g g g g g g




Ans>> Third party payer g g g




5. Which of the following sections of the CPT manual lists the code forWBC with diff
g g g g g g g g g g g g g g g




erential, automated? g




Ans>> Pathology and laboratory
g g g




6. A billing and coding specialist is reviewing provider notes to complete a claim.
g g g g g g g g g g g g




They need clarification on whether the procedure performed was on the left side, right sid
g g g g g g g g g g g g g g




e, or bilaterally.The specialist queries the provider and the provider
g g g g g g g g g g




confirms it was a bilateral procedure.Which of the following modifiers should be
g g g g g g g g g g g g




2g/g9

, billed?

Ans>> 50 g




7. A provider orders a comprehensive metabolic panel for a 70-year-
g g g g g g g g g




old patient who has Medicare as their primary insurance.Which of the following is re-
g g g g g g g g g g g g g g




g quired to inform the patient they may be responsible for payment?
g g g g g g g g g g




Ans>> Advanced beneficiary notice
g g g




8. A billing and coding specialist is appealing a Medicare denial.Which of the foll
g g g g g g g g g g g g g




owing is the first step in the appeals process?
g g g g g g g g




Ans>> Redetermination g




9. Which of the following are used to code provider and outpatient services?-
g g g g g g g g g g g




Ans>> CPT codes g g




3g/g9