NHA CBCS Exam Review Questions & Answers Latest update 2024

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? -Answer - National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? -Answer - Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? -Answer - Aging reportWhich of the following should a billing and coding specialist use to submit a claim with supporting documents? -Answer - Claims attachment Which of the following terms is used to communicate why a claim line item was denied or paid differently than it was billing? -Answer - Claim adjustment codes On a CMS-1500 claim form, which of the following information should the billing and coding specialist enter into Block 32? -Answer - Service facility location information A provider's office receives a subpoena requesting medical documentation from a patient's medical record. After confirming the correct authorization, which of the following actions should the billing and coding specialist take? -Answer - Send the medical information pertaining to the dates of service requested Which of the following is the deadline for Medicare claim submission? -Answer - 12 months from the date of service