NEWEST NHA CBCS EXAM 2024 COMPLETE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |
ALREADY GRADED A+ (FULL REVISED EXAM)
E Codes - ANSWER: For durable medical equipment for use in home
Chief Complaint (CC) - ANSWER: The reason the patient came to see the physician.
Past, Family and Social History (PFSH) - ANSWER: Consists of patients personal
experiences with illnesses, surgeries, and injuries; Information of illnesses
predominant in family; Patients educational background, occupation, marital status
and other factors
Add on Codes - ANSWER: Used for procedures that are always performed during the
same operative session, as another surgery in addition to the primary
service/procedure and is never performed separately.
What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWER: The
Medicare Catastrophic Coverage Act of 1988
Electronic Data interchange (EDI) - ANSWER: Transmitting electronic medical
insurance claims from providers to payers using the necessary information systems is
called
Medical Ethics are - ANSWER: Standards of conduct based on moral principals. Acting
within ethical behavior boundries means carrying out one's responsibilities with
integrity, decency, respect, honesty, competence, fairness and trust.
Three Components for E*M Codes - ANSWER: 1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - ANSWER: At the beginning of each section and used to
provide specific coding rules for that section.
Co-payment - ANSWER: A fixed fee collected at the time of the patients visit.
Review Linkage Protocol - ANSWER: Appropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - ANSWER: Involves restricting patient information access to
those with proper authorization and maintaining the security of patient information.
, What are the names of the three tables that appear in the Index to Diseases? -
ANSWER: Hypertension Neoplasm Table of Drugs and Chemicals
Level 2 codes - ANSWER: National codes for physician and non-physician service not
found in the CPT Level 1
HIPAA is an acronym for - ANSWER: Health Insurance Portability and Accountability
Act of 1996.
Life Cycle of a Claim - ANSWER: Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - ANSWER: Codes found in the CPT manual
Coinsurance - ANSWER: A fixed percentage of covered charges applied to the
patients bill after the deductible has been met.
Liability Insurance - ANSWER: Covers injuries caused by insured that occurred on the
insured's property.
Unspecified - ANSWER: "No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
Parentheses - ANSWER: Used to enclose supplementary words; non essential
modifiers
Indemnity insurance - ANSWER: Health indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans, and will
cover some (but not all) expenses
Rejected Claim - ANSWER: A rejected claim is an electronically submitted claim that
is unprocessable due to missing or invalid information required by the payer.
Medicaid Medically Needy - ANSWER: provide Medicaid to certain groups not
otherwise eligible for Medicaid.must cover:
•Pregnant women:
•Children under 18:
•States have option to cover:
•Children up to 21:
•Parents and other caretaker
relatives:
•Elderly:
•Individuals with disabilities:
Brackets - ANSWER: Used to enclose synonyms, alternative wording or and
explanatory phrase
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |
ALREADY GRADED A+ (FULL REVISED EXAM)
E Codes - ANSWER: For durable medical equipment for use in home
Chief Complaint (CC) - ANSWER: The reason the patient came to see the physician.
Past, Family and Social History (PFSH) - ANSWER: Consists of patients personal
experiences with illnesses, surgeries, and injuries; Information of illnesses
predominant in family; Patients educational background, occupation, marital status
and other factors
Add on Codes - ANSWER: Used for procedures that are always performed during the
same operative session, as another surgery in addition to the primary
service/procedure and is never performed separately.
What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWER: The
Medicare Catastrophic Coverage Act of 1988
Electronic Data interchange (EDI) - ANSWER: Transmitting electronic medical
insurance claims from providers to payers using the necessary information systems is
called
Medical Ethics are - ANSWER: Standards of conduct based on moral principals. Acting
within ethical behavior boundries means carrying out one's responsibilities with
integrity, decency, respect, honesty, competence, fairness and trust.
Three Components for E*M Codes - ANSWER: 1.History
2.Physical Exam
3.Medical Decision-Making
Guidelines are Found? - ANSWER: At the beginning of each section and used to
provide specific coding rules for that section.
Co-payment - ANSWER: A fixed fee collected at the time of the patients visit.
Review Linkage Protocol - ANSWER: Appropriateness of Codes, Payers rules about
linkage, Documentation to support codes, Compliance with regulation and guidelines
What is confidentiality? - ANSWER: Involves restricting patient information access to
those with proper authorization and maintaining the security of patient information.
, What are the names of the three tables that appear in the Index to Diseases? -
ANSWER: Hypertension Neoplasm Table of Drugs and Chemicals
Level 2 codes - ANSWER: National codes for physician and non-physician service not
found in the CPT Level 1
HIPAA is an acronym for - ANSWER: Health Insurance Portability and Accountability
Act of 1996.
Life Cycle of a Claim - ANSWER: Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
Level 1 codes - ANSWER: Codes found in the CPT manual
Coinsurance - ANSWER: A fixed percentage of covered charges applied to the
patients bill after the deductible has been met.
Liability Insurance - ANSWER: Covers injuries caused by insured that occurred on the
insured's property.
Unspecified - ANSWER: "No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
Parentheses - ANSWER: Used to enclose supplementary words; non essential
modifiers
Indemnity insurance - ANSWER: Health indemnity insurance is a fee for service
insurance that is sometimes used when a person is in between health plans, and will
cover some (but not all) expenses
Rejected Claim - ANSWER: A rejected claim is an electronically submitted claim that
is unprocessable due to missing or invalid information required by the payer.
Medicaid Medically Needy - ANSWER: provide Medicaid to certain groups not
otherwise eligible for Medicaid.must cover:
•Pregnant women:
•Children under 18:
•States have option to cover:
•Children up to 21:
•Parents and other caretaker
relatives:
•Elderly:
•Individuals with disabilities:
Brackets - ANSWER: Used to enclose synonyms, alternative wording or and
explanatory phrase
