NHA - Certified Billing and Coding Specialist (CBCS) Study
Guide
1. Symbol "O" in CPT Reference
The symbol "O" in the Current Procedural Terminology reference is used to indicate what?
✅ Reinstated or recycled code.
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2. Qualifying Circumstances in Anesthesia Section
In the anesthesia section of the CPT manual, what are considered qualifying circumstances?
✅ Add-on codes.
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3. Maximum Diagnoses on CMS-1500 Form
,As of April 1, 2014, what is the maximum number of diagnoses that can be reported on the CMS-1500
claim form before a further claim is required?
✅ 12.
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4. Supportive Documentation for Reporting Codes
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures?
✅ Operative report.
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5. First Action for Delinquent Claims
What action should be taken first when reviewing a delinquent claim?
✅ Verify the age of the account.
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6. Reasons for Claim Denial or Rejection
A claim can be denied or rejected for which of the following reasons?
✅ Block 24D contains the diagnosis code.
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7. Components of a Coroner's Autopsy
A coroner's autopsy is comprised of what examinations?
✅ Gross Examination.
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8. Medigap Coverage Provider
, Medigap coverage is offered to Medicare beneficiaries by whom?
✅ Private third-party payers.
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9. Medicare Part Covering Prescriptions
What part of Medicare covers prescriptions?
✅ Part C.
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10. Plane Dividing Body Left and Right
What plane divides the body into left and right?
✅ Sagittal.
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Guide
1. Symbol "O" in CPT Reference
The symbol "O" in the Current Procedural Terminology reference is used to indicate what?
✅ Reinstated or recycled code.
---
2. Qualifying Circumstances in Anesthesia Section
In the anesthesia section of the CPT manual, what are considered qualifying circumstances?
✅ Add-on codes.
---
3. Maximum Diagnoses on CMS-1500 Form
,As of April 1, 2014, what is the maximum number of diagnoses that can be reported on the CMS-1500
claim form before a further claim is required?
✅ 12.
---
4. Supportive Documentation for Reporting Codes
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures?
✅ Operative report.
---
5. First Action for Delinquent Claims
What action should be taken first when reviewing a delinquent claim?
✅ Verify the age of the account.
,---
6. Reasons for Claim Denial or Rejection
A claim can be denied or rejected for which of the following reasons?
✅ Block 24D contains the diagnosis code.
---
7. Components of a Coroner's Autopsy
A coroner's autopsy is comprised of what examinations?
✅ Gross Examination.
---
8. Medigap Coverage Provider
, Medigap coverage is offered to Medicare beneficiaries by whom?
✅ Private third-party payers.
---
9. Medicare Part Covering Prescriptions
What part of Medicare covers prescriptions?
✅ Part C.
---
10. Plane Dividing Body Left and Right
What plane divides the body into left and right?
✅ Sagittal.
---
