CBCS practice test for NHA l Fully solved 2023

A patient's health plan is referred to as the payer of last resort. The patient is covered by which of the following health plans? Medicaid CHAMPA Medicare TRICARE - CORRECT ANS Medicaid A provider charged $500 to a claim that had an allowable amount of $400. In which of the following columns should the CBCS apply the non allowed charge? -Reference column (For notations) -Description column -Payment column -Adjustment column of the credits - CORRECT ANS Adjustment column of the credits Which of the following statements is correct regarding a deductible? -Coinsurance is a type of deductible -The physician should write off the deductible -The insurance company pays for the deductible -The deductible is the patient's responsibility - CORRECT ANS The deductible is the patient's responsibility Which of the following color formats allows optical scanning of the CMS-1500 claim form? -Red -Blue -Green -black - CORRECT ANS red Ambulatory surgery centers, home health and hospice organizations use the ______. -CMS-1500 claim form -UB-04 claim form -Advance Beneficiary notice -First report of injury form - CORRECT ANS UB-04 Claims that are submitted without an NPI number will delay payment to the provider because ______. -The number is the patient' id number -The number is needed to identify the provider -Is is used as a claim number -It is used as a pre authorization number - CORRECT ANS The number is needed to identify the provider Which of the following terms describes when a plan pays 70% of the allowed amount and the patient pays 30%? -Coinsurance -Deductible -Premium -copayment - CORRECT ANS coinsurance Which of the following indicates a claim should be submitted on paper instead of electronically? -The software claims review process indicates the claim is not complete -The claim needs authorization -The claim requires an attachment