NHA CBCS EXAM REVIEW QUESTIONS WITH
ANSWERS 2026 EXAMINATION TEST
COMPLETE SOLUTIONS
◉ EVALUATION AND MANAGEMENT CODES. Answer: The first
section of the CPT manual is the
_____________________________________________.
◉ ALLOWED AMOUNT. Answer: ____________________________ means the
amount of reimbursement an insurance payer and patient agrees to
pay a provider.
◉ PLACE OF SERVICE. Answer: A billing and coding specialist should
determine first, the _____________________ to determine an appropriate
e/m code.
◉ LOWER RIGHT QUADRANT. Answer: The appendix is located in
the _____________________________________ of the abdomen.
◉ POLICY NUMBER. Answer: For a patient whose insurance
coverage is from her partner, the ____________________________________ is
required to bill her claim.
,◉ V CODE. Answer: An exposure to tuberculosis requires a
______________________________________.
◉ GUARANTOR INFORMATION. Answer: A billing and coding
specialist should use _______________________________________________ when
transmitting a claim for a minor without health insurance.
◉ OFFICE OF THE INSPECTOR GENERAL. Answer: The
____________________________________ investigates cases of fraud and
prepares a referral for prosecution.
◉ CLEAN CLAIM. Answer: An insurance claim is considered a
______________________________ when further reviewed by the insurance
company, is not necessary before submitting the claim.
◉ PERFORM INTERNAL AUDITS TO MONITOR THE BILLING
PROCESS. Answer: A billing and coding specialist should
____________________________________________to identify areas of risk
associated with billing compliance.
◉ THE BODY MAINTAINS NORMAL BALANCE AND FUNCTION.
Answer: When ___________________________________________, then it is said
to be in a state of homeostasis.
, ◉ ANSI ASC X12 837. Answer: The ___________________________________ is
an example of an electronic claim format.
◉ PATIENT'S DEDUCTIBLE. Answer: The
___________________________________information is included in an
electronic remittance advice.
◉ EXCISION. Answer: The provider performed an _____________________
if a lesion needed to be removed with no pathology report and the
billing and coding specialist is coding from the integumentary
system.
◉ SHOULD EMAIL AN ELECTRONIC FILE FORMAT OF THE
SUPPORTING DOCUMENT. Answer: If a supporting document is to be
submitted to the payer for a particular electronic claim the coding
and billing specialist _________________________.
◉ OFFICE OF THE INSPECTOR GENERAL (OIG). Answer: The
________________________________is tasked to conduct investigations and
audits regarding patient privacy violations.
◉ SERVICE FACILITY LOCATION. Answer: On the CMS 1500 form the
provider's name and address should be placed in the block for
_______________________________________by the billing and coding specialist
filling out the form for a satellite office.
ANSWERS 2026 EXAMINATION TEST
COMPLETE SOLUTIONS
◉ EVALUATION AND MANAGEMENT CODES. Answer: The first
section of the CPT manual is the
_____________________________________________.
◉ ALLOWED AMOUNT. Answer: ____________________________ means the
amount of reimbursement an insurance payer and patient agrees to
pay a provider.
◉ PLACE OF SERVICE. Answer: A billing and coding specialist should
determine first, the _____________________ to determine an appropriate
e/m code.
◉ LOWER RIGHT QUADRANT. Answer: The appendix is located in
the _____________________________________ of the abdomen.
◉ POLICY NUMBER. Answer: For a patient whose insurance
coverage is from her partner, the ____________________________________ is
required to bill her claim.
,◉ V CODE. Answer: An exposure to tuberculosis requires a
______________________________________.
◉ GUARANTOR INFORMATION. Answer: A billing and coding
specialist should use _______________________________________________ when
transmitting a claim for a minor without health insurance.
◉ OFFICE OF THE INSPECTOR GENERAL. Answer: The
____________________________________ investigates cases of fraud and
prepares a referral for prosecution.
◉ CLEAN CLAIM. Answer: An insurance claim is considered a
______________________________ when further reviewed by the insurance
company, is not necessary before submitting the claim.
◉ PERFORM INTERNAL AUDITS TO MONITOR THE BILLING
PROCESS. Answer: A billing and coding specialist should
____________________________________________to identify areas of risk
associated with billing compliance.
◉ THE BODY MAINTAINS NORMAL BALANCE AND FUNCTION.
Answer: When ___________________________________________, then it is said
to be in a state of homeostasis.
, ◉ ANSI ASC X12 837. Answer: The ___________________________________ is
an example of an electronic claim format.
◉ PATIENT'S DEDUCTIBLE. Answer: The
___________________________________information is included in an
electronic remittance advice.
◉ EXCISION. Answer: The provider performed an _____________________
if a lesion needed to be removed with no pathology report and the
billing and coding specialist is coding from the integumentary
system.
◉ SHOULD EMAIL AN ELECTRONIC FILE FORMAT OF THE
SUPPORTING DOCUMENT. Answer: If a supporting document is to be
submitted to the payer for a particular electronic claim the coding
and billing specialist _________________________.
◉ OFFICE OF THE INSPECTOR GENERAL (OIG). Answer: The
________________________________is tasked to conduct investigations and
audits regarding patient privacy violations.
◉ SERVICE FACILITY LOCATION. Answer: On the CMS 1500 form the
provider's name and address should be placed in the block for
_______________________________________by the billing and coding specialist
filling out the form for a satellite office.
