NHA - Certified Billing and Coding Specialist (CBCS) Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder/NHA%20-%20Certified%
NHA - Certified Billing and Coding Specialist
(CBCS) Study Guide Questions & Answers
1. The symbol "O" in the Current Procedural Terminology reference is used to
indicate what?
Answer Reinstated or recycled code
2. In the anesthesia section of the CPT manual, what are considered qualifying
circumstances?
Answer Add-on codes
3. 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?
Answer 12
4. What is considered proper supportive documentation for reporting CPT and
ICD codes for surgical procedures?
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,NHA - Certified Billing and Coding Specialist (CBCS) Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder/NHA%20-%20Certified%
Answer Operative report
5. What action should be taken first when reviewing a delinquent claim?
Answer Verify the age of the account
6. A claim can be denied or rejected for which of the following reasons?
Answer Block 24D contains the diagnosis code
7. A coroner's autopsy is comprised of what examinations?
Answer Gross Examination
8. Medigap coverage is offered to Medicare beneficiaries by whom?
Answer Private third-party payers
9. What part of Medicare covers prescriptions?
Answer Part C
10. What plane divides the body into left and right?
Answer Sagittal
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2 of 25 11/28/2024, 8:17
,NHA - Certified Billing and Coding Specialist (CBCS) Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder/NHA%20-%20Certified%
11. Where can unlisted codes be found in the CPT manual?
Answer Guidelines prior to each section
12. Ambulatory surgery centers, home health care, and hospice organizations
use which form to submit claims?
Answer UB-04 Claim Form
13. What color format is acceptable on the CMS-1500 claim form?
Answer Red
14. Who is responsible to pay the deductible?
Answer Patient
15. A patient's health plan is referred to as the "payer of last resort." What is
the name of that health plan?
Answer Medicaid
16. Informed Consent
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3 of 25 11/28/2024, 8:17
NHA - Certified Billing and Coding Specialist
(CBCS) Study Guide Questions & Answers
1. The symbol "O" in the Current Procedural Terminology reference is used to
indicate what?
Answer Reinstated or recycled code
2. In the anesthesia section of the CPT manual, what are considered qualifying
circumstances?
Answer Add-on codes
3. 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?
Answer 12
4. What is considered proper supportive documentation for reporting CPT and
ICD codes for surgical procedures?
1/
1 of 25 11/28/2024, 8:17
,NHA - Certified Billing and Coding Specialist (CBCS) Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder/NHA%20-%20Certified%
Answer Operative report
5. What action should be taken first when reviewing a delinquent claim?
Answer Verify the age of the account
6. A claim can be denied or rejected for which of the following reasons?
Answer Block 24D contains the diagnosis code
7. A coroner's autopsy is comprised of what examinations?
Answer Gross Examination
8. Medigap coverage is offered to Medicare beneficiaries by whom?
Answer Private third-party payers
9. What part of Medicare covers prescriptions?
Answer Part C
10. What plane divides the body into left and right?
Answer Sagittal
2/
2 of 25 11/28/2024, 8:17
,NHA - Certified Billing and Coding Specialist (CBCS) Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder/NHA%20-%20Certified%
11. Where can unlisted codes be found in the CPT manual?
Answer Guidelines prior to each section
12. Ambulatory surgery centers, home health care, and hospice organizations
use which form to submit claims?
Answer UB-04 Claim Form
13. What color format is acceptable on the CMS-1500 claim form?
Answer Red
14. Who is responsible to pay the deductible?
Answer Patient
15. A patient's health plan is referred to as the "payer of last resort." What is
the name of that health plan?
Answer Medicaid
16. Informed Consent
3/
3 of 25 11/28/2024, 8:17
