NHA CBCS Practice Exam 1 Questions And
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
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What does CBCS stand for?
A. Clinical Billing Claims Specialist
B. Certified Billing and Coding Specialist
C. Certified Benefits Coding Standard
D. Coding Business Certification System
Rationale: CBCS is the National Healthcareer Association
certification for billing and coding professionals.
Which code set is primarily used for diagnosis coding?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM classifies diagnoses and medical
conditions.
Which code set is used for reporting physician procedures and
services?
A. ICD-10-CM
, B. CPT
C. UB-04
D. DRG
Rationale: CPT codes describe medical procedures and
services.
Which code set is commonly used for supplies and durable
medical equipment?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II includes many supplies and
equipment codes.
Which claim form is commonly used for provider/professional
billing?
A. UB-04
B. CMS-1500
C. W-4
D. OSHA-300
Rationale: CMS-1500 is widely used for professional claims.
Which claim form is commonly used for hospital/facility
billing?
, A. CMS-1500
B. UB-04
C. I-9
D. 1099
Rationale: UB-04 is commonly used for institutional billing.
What does PHI stand for?
A. Personal Health Invoice
B. Protected Health Information
C. Public Health Index
D. Provider Hospital Insurance
Rationale: PHI refers to identifiable patient health
information.
HIPAA primarily addresses:
A. Parking regulations
B. Privacy and security of patient information
C. Building maintenance
D. Employee vacations
Rationale: HIPAA sets standards for protecting health
information.
What is a deductible?
A. Fixed office fee
B. Amount patient pays before insurance begins cost-
, sharing
C. Insurance refund
D. Claim adjustment only
Rationale: Deductibles are patient out-of-pocket thresholds.
What is a copayment?
A. Percentage owed
B. Fixed amount patient pays for covered care
C. Provider penalty
D. Monthly premium
Rationale: Copays are flat fees for covered services.
What is coinsurance?
A. Free coverage
B. Percentage of covered cost paid by patient
C. Monthly insurance bill
D. Coding modifier
Rationale: Coinsurance is shared cost by percentage.
Which Medicare part commonly covers inpatient hospital
services?
A. Part B
B. Part A
C. Part D
D. Part C only
Answers [Verified Answers] Plus Rationales
Latest 2026/27 | Qs & Ans Instant Pdf
Download
What does CBCS stand for?
A. Clinical Billing Claims Specialist
B. Certified Billing and Coding Specialist
C. Certified Benefits Coding Standard
D. Coding Business Certification System
Rationale: CBCS is the National Healthcareer Association
certification for billing and coding professionals.
Which code set is primarily used for diagnosis coding?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. CDT
Rationale: ICD-10-CM classifies diagnoses and medical
conditions.
Which code set is used for reporting physician procedures and
services?
A. ICD-10-CM
, B. CPT
C. UB-04
D. DRG
Rationale: CPT codes describe medical procedures and
services.
Which code set is commonly used for supplies and durable
medical equipment?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: HCPCS Level II includes many supplies and
equipment codes.
Which claim form is commonly used for provider/professional
billing?
A. UB-04
B. CMS-1500
C. W-4
D. OSHA-300
Rationale: CMS-1500 is widely used for professional claims.
Which claim form is commonly used for hospital/facility
billing?
, A. CMS-1500
B. UB-04
C. I-9
D. 1099
Rationale: UB-04 is commonly used for institutional billing.
What does PHI stand for?
A. Personal Health Invoice
B. Protected Health Information
C. Public Health Index
D. Provider Hospital Insurance
Rationale: PHI refers to identifiable patient health
information.
HIPAA primarily addresses:
A. Parking regulations
B. Privacy and security of patient information
C. Building maintenance
D. Employee vacations
Rationale: HIPAA sets standards for protecting health
information.
What is a deductible?
A. Fixed office fee
B. Amount patient pays before insurance begins cost-
, sharing
C. Insurance refund
D. Claim adjustment only
Rationale: Deductibles are patient out-of-pocket thresholds.
What is a copayment?
A. Percentage owed
B. Fixed amount patient pays for covered care
C. Provider penalty
D. Monthly premium
Rationale: Copays are flat fees for covered services.
What is coinsurance?
A. Free coverage
B. Percentage of covered cost paid by patient
C. Monthly insurance bill
D. Coding modifier
Rationale: Coinsurance is shared cost by percentage.
Which Medicare part commonly covers inpatient hospital
services?
A. Part B
B. Part A
C. Part D
D. Part C only
