NHA CBCS Certification 2025 Study Guide Latest 2025/2026 COMPLETE FREQUENTLY MOST TESTED QUESTIONS WITH COMPLETE SOLUTION /GET IT 100% ACCURATE!(Graded A+)

NHA CBCS CERTIFICATION
EXAM STUDY GUIDE



1. abstracting: the extraction of specific data from a medical record, often for
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use in an external database, such as a cancer registry
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2. abuse: practices that directly or indirectly result in unnecessary costs to the Medi
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care program
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3. account number: number that identifies specific episode of care, date of service, or patien
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,4. accounts receivable department: Department that keeps track of what third-
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party payers the provider is waiting to hear from and what patients are due to make a
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payment.
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5. activity/status date: Indicates the most recent activity of an item.
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6. actual charge: the amount the provider charges for the health care service
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7. Administration Simplification Compliance Act (ASCA): specifically prohibits a
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ny payment by Medicare for services or medically necessary supplies that are not sub
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mitted electronically
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8. administrative services only (ASO) contract: Contract between employers and pri
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vate insurers under which employers fund the plans themselves, and the private insure
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rs administer the plans for the employers.
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, 9. Advance Beneficiary Notice of Noncoverage (ABN): Form provided if a provi
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der believes that a service may be declined because Medicare might consider it unnec
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essary.




10. aging report: Measures the outstanding balances in each account.
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11. allowable charge: The amount an insurer will accept as full payment, mi
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nus applicable cost sharing.
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12. APC grouper: Helps coders determine the appropriate ambulatory pay
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ment classification (APC) for an outpatient encounter.
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13. assignment of benefits: Contract in which the provider directly bills the payer
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and accepts the allowable charge.
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