NHA CBCS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS 2025

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NHA CBCS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS 2025

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NHA CBCS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS 2025

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NHA CBCS EXAM REVIEW
QUESTIONS WITH CORRECT
ANSWERS 2025/2026
WhichAofAtheAfollowingAMedicareApoliciesAdeterminesAifAaAparticularAitemAorAserviceAisAcovere
dAbyAMedicare?A-AcorrectAanswersNationalACoverageADeterminationA(NCD)

AApatient'sAemployerAhasAnotAsubmittedAaApremiumApayment.AWhichAofAtheAfollowingAclaimAs
tatusesAshouldAtheAproviderAreceiveAfromAtheAthird-partyApayer?A-AcorrectAanswersDenied

AAbillingAandAcodingAspecialistAshouldAroutinelyAanalyzeAwhichAofAtheAfollowingAtoAdetermineAt
heAnumberAofAoutstandingAclaims?A-AcorrectAanswersAgingAreport

WhichAofAtheAfollowingAshouldAaAbillingAandAcodingAspecialistAuseAtoAsubmitAaAclaimAwithAsupp
ortingAdocuments?A-AcorrectAanswersClaimsAattachment

WhichAofAtheAfollowingAtermsAisAusedAtoAcommunicateAwhyAaAclaimAlineAitemAwasAdeniedAorAp
aidAdifferentlyAthanAitAwasAbilling?A-AcorrectAanswersClaimAadjustmentAcodes

OnAaACMS-
1500AclaimAform,AwhichAofAtheAfollowingAinformationAshouldAtheAbillingAandAcodingAspecialistA
enterAintoABlockA32?A-AcorrectAanswersServiceAfacilityAlocationAinformation

AAprovider'sAofficeAreceivesAaAsubpoenaArequestingAmedicalAdocumentationAfromAaApatient'sA
medicalArecord.AAfterAconfirmingAtheAcorrectAauthorization,AwhichAofAtheAfollowingAactionsAsh
ouldAtheAbillingAandAcodingAspecialistAtake?A-
AcorrectAanswersSendAtheAmedicalAinformationApertainingAtoAtheAdatesAofAserviceArequested

WhichAofAtheAfollowingAisAtheAdeadlineAforAMedicareAclaimAsubmission?A-
AcorrectAanswers12AmonthsAfromAtheAdateAofAservice

WhichAofAtheAfollowingAformsAdoesAaAthird-partyApayerArequireAforAphysicianAservices?A-
AcorrectAanswersCMS-1500

AApatientAwhoAisAanAactiveAmemberAofAtheAmilitaryArecentlyAreturnedAfromAoverseasAandAisAinA
needAofAspecialtyAcare.ATheApatientAdoesAnotAhaveAanyoneAdesignedAwithApowerAofAattorney.A
WhichAofAtheAfollowingAisAconsideredAaAHIPAAAviolation?A-
AcorrectAanswersTheAbillingAandAcodingAspecialistAsendsAtheApatient'sArecordsAtoAtheApatient'sA

partner.

WhichAofAtheAfollowingAtermsArefersAtoAtheAdifferenceAbetweenAtheAbillingAandAallowedAamou
nts?A-AcorrectAanswersAdjustment

WhichAofAtheAfollowingAHMOAmanagedAcareAservicesArequiresAaAreferral?A-
AcorrectAanswersDurableAmedicalAequipment

,WhichAofAtheAfollowingAexplainsAwhyAMedicareAwillAdenyAaAparticularAserviceAorAprocedure?A-
AcorrectAanswersAdvanceABeneficiaryANoticeA(ABN)

WhichAofAtheAfollowingAtypesAofAclaimsAisA120AdaysAold?A-AcorrectAanswersDelinquent

WhenAreviewingAanAestablishedApatient'sAinsuranceAcard,AtheAbillingAandAcodingAspecialistAnot
icesAaAminorAchangeAfromAtheAexistingAcardAonAfile.AWhichAofAtheAfollowingAactionsAshouldAthe
AbillingAandAcodingAspecialistAtake?A-AcorrectAanswersPhotocopyAbothAsidesAofAtheAnewAcard

AAhusbandAandAwifeAeachAhaveAgroupAinsuranceAthroughAtheirAemployers.ATheAwifeAhasAanAap
pointmentAwithAherAprovider.AWhichAinsuranceAshouldAbeAusedAasAprimaryAforAtheAappointme
nt?A-AcorrectAanswersTheAwife'sAinsurance

WhichAofAtheAfollowingAwouldAmostAlikelyAresultAinAaAdenialAonAaAMedicareAclaim?A-
AcorrectAanswersAnAexperimentalAchemotherapyAmedicationAforAaApatientAwhoAhasAstageAIIIAr

enalAcancer

WhichAofAtheAfollowingApiecesAofAguarantorAinformationAisArequiredAwhenAestablishingAaApatie
nt'sAfinancialArecord?A-AcorrectAanswersPhoneAnumber

AAproviderAsurgicallyApuncturesAthroughAtheAspaceAbetweenAtheApatient'sAribsAusingAanAaspira
tingAneedleAtoAwithdrawAfluidAfromAtheAchestAcavity.AWhichAofAtheAfollowingAisAtheAnameAofAth
isAprocedure?A-AcorrectAanswersPleurocentesis

AApatientAhasAAARPAasAsecondaryAinsurance.AInAwhichAofAtheAfollowingAblocksAonAtheACMS-
1500AclaimAformAshouldAtheAinformationAbeAentered?A-AcorrectAanswersBlockA9

AAMedicareAnon-participatingA(non-
PAR)Aprovider'sAapprovedApaymentAamountAisA$200AforAaAlobectomyAandAtheAdeductibleAhasAb
eenAmet.AWhichAofAtheAfollowingAamountsAisAtheAlimitingAchargeAforAthisAprocedure?A-
AcorrectAanswers$230

**AAnon-
PARAwhoAdoesAnotAacceptAassignment,AcanAcollectAaAmaximumAofA15%A(theAlimitingAcharge)Ao
verAtheAnon-PARAMedicareAfeeAscheduleAamount.

InAtheAanesthesiaAsectionAofAtheACPTAmanual,AwhichAofAtheAfollowingAareAconsideredAqualifyin
gAcircumstances?A-AcorrectAanswersAdd-onAcodes

ThreadingAaAcatheterAwithAaAballoonAintoAaAcoronaryAarteryAandAexpandingAitAtoArepairAarterie
sAdescribesAwhichAofAtheAfollowingAprocedures?A-AcorrectAanswersAngioplasty

WhichAofAtheAfollowingAactionsAbyAaAbillingAandAcodingAspecialistAwouldAbeAconsideredAfraud?A
-AcorrectAanswersBillingAforAservicesAnotAprovided

WhichAofAtheAfollowingAstatementsAisAaccurateAregardingAtheAdiagnosticAcodesAinABlockA21?A-
AcorrectAanswersTheseAcodesAmustAcorrespondAtoAtheAdiagnosisApointerAinABlockA24E

, WhichAofAtheAfollowingApartsAofAtheAMedicareAinsuranceAprogramAisAmanagedAbyAprivate,Athir
d-partyAinsuranceAprovidersAthatAhaveAbeenAapprovedAbyAMedicare?A-
AcorrectAanswersMedicareAPartAC

AAbillingAandAcodingAspecialistAcanAensureAappropriateAinsuranceAcoverageAforAanAoutpatientA
procedureAbyAfirstAusingAwhichAofAtheAfollowingAprocesses?A-AcorrectAanswersPrecertification

**PrecertificationAisAtheAfirstAstep.APreauthorizationAisAaAdecisionAfromAtheApayerAtoAapproveAt
heAservice.AItAisAnotAtheAfirstAstepAtoAdetermineAinsuranceAreimbursement.

WhichAofAtheAfollowingAisAconsideredAfraud?A-
AcorrectAanswersTheAbillingAandAcodingAspecialistAunbundlesAaAcodeAtoAreceiveAhigherAreimbur

sement

TheAauthorizationAnumberAforAaAserviceAthatAwasAapprovedAbeforeAtheAserviceAwasArenderedAi
sAindicatedAinAwhichAofAtheAfollowingAblocksAonAtheACMS-1500AclaimAform?A-
AcorrectAanswersBlockA23

AApatientAisApreauthorizedAtoAreceiveAvitaminAB12AinjectionsAfromAJanA1AtoAMayA31.AOnAJuneA2
,AtheAproviderAordersAanAadditionalA6AmonthsAofAinjections.AInAorderAforAtheApatientAtoAcontinu
eAwithAcoverageAofAcare,AwhichAofAtheAfollowingAshouldAoccur?A-
AcorrectAanswersTheAproviderAshouldAcontactAtheApatient'sAinsuranceAcarrierAtoAobtainAaAnewA

authorization

WhichAofAtheAfollowingAsymbolsAindicatesAaArevisedAcode?A-AcorrectAanswersTriangle

IfAbothAparentsAhaveAfullAcoverageAforAaAdependentAchild,AwhichAofAtheAfollowingAisAconsidere
dAtoAbeAtheAprimaryAinsuranceAholder?A-
AcorrectAanswersTheAparentAwhoseAbirthdateAcomesAfirstAinAtheAcalendarAyearAisAtheAprimaryAi

nsuranceAholder

WhichAofAtheAfollowingAentitiesAdefinesAtheAessentialAelementsAofAaAcomprehensiveAcomplian
ceAprogram?A-AcorrectAanswersOfficeAofAInspectorAGeneralA(OIG)

TheA><AsymbolAisAusedAtoAindicateAnewAandArevisedAtextAotherAthanAwhichAofAtheAfollowing?A-
AcorrectAanswersProcedureAdescriptors

WhichAofAtheAfollowingAdescribesAtheAorganizationAofAanAagingAreport?A-
AcorrectAanswersByAdate

WhichAofAtheAfollowingAisAtheApurposeAofAcoordinationAofAbenefits?A-
AcorrectAanswersPreventAmultipleAinsurersAfromApayingAbenefitsAcoveredAbyAotherApolicies

AAbillingAandAcodingAspecialistAsubmittedAaAclaimAtoAMedicareAelectronically.ANoAerrorsAwereAf
oundAbyAtheAbillingAsoftwareAorAclearinghouse.AWhichAofAtheAfollowingAdescribesAthisAclaim?A-
AcorrectAanswersCleanAclaim

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