NHA BILLING AND CODING PRACTICE
TEST (CBCS) EXAM. (CORRECT
ANSWERS)
The attending physician - correct answer A nurse is reviewing a patients lab results prior to discharge and
q q q q q q q q q q q q q q q q q q
discovers an elevated glucose level. Which of the following health care providers should be altered before the
q q q q q q q q q q q q q q q q q
nurse can proceed with discharge planning?
q q q q q
The patients condition and the providers information - correct answer On the CMS-1500 Claims for, blocks 14
q q q q q q q q q q q q q q q q q
through 33 contain information about which of the following?
q q q q q q q q
Problem focused examination - correct answer A provider performs an examination of a patient's throat
q q q q q q q q q q q q q q q
during an office visit. Which of the following describes the level of the examination?
q q q q q q q q q q q q q
Reinstated or recycled code - correct answer The symbol "O" in the Current Procedural Terminology
q q q q q q q q q q q q q q q
reference is used to indicate which of the following?
q q q q q q q q
Coinsurance - correct answer Which of the following is the portion of the account balance the patient must
q q q q q q q q q q q q q q q q q q
pay after services are rendered and the annual deductible is met?
q q q q q q q q q q
Place of service - correct answer The billing and coding specialist should divide the evaluation and
q q q q q q q q q q q q q q q q
management code by which of the following? q q q q q q
Cardiovascular system - correct answer The standard medical abbreviation "ECG" refers to a test used to
q q q q q q q q q q q q q q q q
access which of the following body systems?
q q q q q q
,add on codes - correct answer In the anesthesia section of the CPT manual, which of the following are
q q q q q q q q q q q q q q q q q q q
considered qualifying circumstances? q q
12 - correct answer As of April 1st 2014, what is the maximum number of diagnosis that can be reported on the
q q q q q q q q q q q q q q q q q q q q q q
CMS-1500 claim form before a further claim is required? q q q q q q q q
Nephrolithiasis - correct answer When submitting a clean claim with a diagnosis of kidney stones, which of the
q q q q q q q q q q q q q q q q q q
following procedure names is correct? q q q q
Verifying that the medical records and the billing record match - correct answer Which of the following is one
q q q q q q q q q q q q q q q q q q q
of the purposes of an internal auditing program in a physician's office?
q q q q q q q q q q q
The DOB is entered incorrectly - correct answer Patient: Jane Austin; Social Security # 555-22-1111; Medicare
q q q q q q q q q q q q q q q q
ID: 555-33-2222A; DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security #.: 555-22-
q q q q q q q q q q q q
1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the following is a reason this claim was
q q q q q q q q q q q q q q q q q
rejected?
Operative report - correct answer Which of the following options is considered proper supportive
q q q q q q q q q q q q q q
documentation for reporting CPT and ICD codes for surgical procedures? q q q q q q q q q
Verify the age of the account - correct answer Which of the following actions should be taken first when
q q q q q q q q q q q q q q q q q q q
reviewing delinquent claims? q q
Claim control number - correct answer Which of the following components of an explanation of benefits
q q q q q q q q q q q q q q q q
expedites the process of a phone appeal? q q q q q q
Bloc 24D contains the diagnosis code - correct answer A claim can be denied or rejected for which of the
q q q q q q q q q q q q q q q q q q q q
following reasons? q
Privacy officer - correct answer To be compliant with HIPAA, which of the following positions should be
q q q q q q q q q q q q q q q q q
assigned in each office? q q q
, encrypted - correct answer All e-mail correspondence to a third party payer containing patients' protected
q q q q q q q q q q q q q q q
health information (PHI) should be
q q q q
patient ledger account - correct answer A billing and coding specialist should understand that the financial
q q q q q q q q q q q q q q q q
record source that is generated by a provider's office is called a
q q q q q q q q q q q
Coding compliance plan - correct answer Which of the following includes procedures and best practices for
q q q q q q q q q q q q q q q q
correct coding? q
Health care clearinghouses - correct answer HIPAA transaction standards apply to which of the following
q q q q q q q q q q q q q q q
entities?
Appeal the decision with a provider's report - correct answer Which of the following actions should be taken if
q q q q q q q q q q q q q q q q q q q
an insurance company denies a service as not medically necessary?
q q q q q q q q q
Accommodate the request and send the records - correct answer A patient with a past due balance requests q q q q q q q q q q q q q q q q q q
that his records be sent to another provider. Which of the following actions should be taken?
q q q q q q q q q q q q q q q
$48 - correct answer A participating BlueCross/ BlueShield (BC/BS) provider receives an explanation of
q q q q q q q q q q q q q q
benefits for a patient account. The charged amount was $100. BC/BS allowed $40 to the patients annual
q q q q q q q q q q q q q q q q q
deductible. BC/BS paid the balance at 80%. How much should the patient expect to pay?
q q q q q q q q q q q q q q
Deductible - correct answer The physician bills $500 to a patient. After submitting the claim to the insurance
q q q q q q q q q q q q q q q q q q
company, the claim is sent back with no payment. The patient still owes $500 for this year.
q q q q q q q q q q q q q q q q
International Classification of Disease (ICD) - correct answer Which of the following is used to code diseases,
q q q q q q q q q q q q q q q q q
injuries, impairments, and other health related problems?
q q q q q q
Ureters - correct answer Urine moves from the kidneys to the bladder through which of the following parts of
q q q q q q q q q q q q q q q q q q q
the body?
q
Angioplasty - correct answer Threading a catheter with a balloon into a coronary artery and expanding it to
q q q q q q q q q q q q q q q q q q
repair arteries describes which of the following procedures?
q q q q q q q
TEST (CBCS) EXAM. (CORRECT
ANSWERS)
The attending physician - correct answer A nurse is reviewing a patients lab results prior to discharge and
q q q q q q q q q q q q q q q q q q
discovers an elevated glucose level. Which of the following health care providers should be altered before the
q q q q q q q q q q q q q q q q q
nurse can proceed with discharge planning?
q q q q q
The patients condition and the providers information - correct answer On the CMS-1500 Claims for, blocks 14
q q q q q q q q q q q q q q q q q
through 33 contain information about which of the following?
q q q q q q q q
Problem focused examination - correct answer A provider performs an examination of a patient's throat
q q q q q q q q q q q q q q q
during an office visit. Which of the following describes the level of the examination?
q q q q q q q q q q q q q
Reinstated or recycled code - correct answer The symbol "O" in the Current Procedural Terminology
q q q q q q q q q q q q q q q
reference is used to indicate which of the following?
q q q q q q q q
Coinsurance - correct answer Which of the following is the portion of the account balance the patient must
q q q q q q q q q q q q q q q q q q
pay after services are rendered and the annual deductible is met?
q q q q q q q q q q
Place of service - correct answer The billing and coding specialist should divide the evaluation and
q q q q q q q q q q q q q q q q
management code by which of the following? q q q q q q
Cardiovascular system - correct answer The standard medical abbreviation "ECG" refers to a test used to
q q q q q q q q q q q q q q q q
access which of the following body systems?
q q q q q q
,add on codes - correct answer In the anesthesia section of the CPT manual, which of the following are
q q q q q q q q q q q q q q q q q q q
considered qualifying circumstances? q q
12 - correct answer As of April 1st 2014, what is the maximum number of diagnosis that can be reported on the
q q q q q q q q q q q q q q q q q q q q q q
CMS-1500 claim form before a further claim is required? q q q q q q q q
Nephrolithiasis - correct answer When submitting a clean claim with a diagnosis of kidney stones, which of the
q q q q q q q q q q q q q q q q q q
following procedure names is correct? q q q q
Verifying that the medical records and the billing record match - correct answer Which of the following is one
q q q q q q q q q q q q q q q q q q q
of the purposes of an internal auditing program in a physician's office?
q q q q q q q q q q q
The DOB is entered incorrectly - correct answer Patient: Jane Austin; Social Security # 555-22-1111; Medicare
q q q q q q q q q q q q q q q q
ID: 555-33-2222A; DOB: 05/22/1945. Claim information entered: Austin, Jane; Social Security #.: 555-22-
q q q q q q q q q q q q
1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the following is a reason this claim was
q q q q q q q q q q q q q q q q q
rejected?
Operative report - correct answer Which of the following options is considered proper supportive
q q q q q q q q q q q q q q
documentation for reporting CPT and ICD codes for surgical procedures? q q q q q q q q q
Verify the age of the account - correct answer Which of the following actions should be taken first when
q q q q q q q q q q q q q q q q q q q
reviewing delinquent claims? q q
Claim control number - correct answer Which of the following components of an explanation of benefits
q q q q q q q q q q q q q q q q
expedites the process of a phone appeal? q q q q q q
Bloc 24D contains the diagnosis code - correct answer A claim can be denied or rejected for which of the
q q q q q q q q q q q q q q q q q q q q
following reasons? q
Privacy officer - correct answer To be compliant with HIPAA, which of the following positions should be
q q q q q q q q q q q q q q q q q
assigned in each office? q q q
, encrypted - correct answer All e-mail correspondence to a third party payer containing patients' protected
q q q q q q q q q q q q q q q
health information (PHI) should be
q q q q
patient ledger account - correct answer A billing and coding specialist should understand that the financial
q q q q q q q q q q q q q q q q
record source that is generated by a provider's office is called a
q q q q q q q q q q q
Coding compliance plan - correct answer Which of the following includes procedures and best practices for
q q q q q q q q q q q q q q q q
correct coding? q
Health care clearinghouses - correct answer HIPAA transaction standards apply to which of the following
q q q q q q q q q q q q q q q
entities?
Appeal the decision with a provider's report - correct answer Which of the following actions should be taken if
q q q q q q q q q q q q q q q q q q q
an insurance company denies a service as not medically necessary?
q q q q q q q q q
Accommodate the request and send the records - correct answer A patient with a past due balance requests q q q q q q q q q q q q q q q q q q
that his records be sent to another provider. Which of the following actions should be taken?
q q q q q q q q q q q q q q q
$48 - correct answer A participating BlueCross/ BlueShield (BC/BS) provider receives an explanation of
q q q q q q q q q q q q q q
benefits for a patient account. The charged amount was $100. BC/BS allowed $40 to the patients annual
q q q q q q q q q q q q q q q q q
deductible. BC/BS paid the balance at 80%. How much should the patient expect to pay?
q q q q q q q q q q q q q q
Deductible - correct answer The physician bills $500 to a patient. After submitting the claim to the insurance
q q q q q q q q q q q q q q q q q q
company, the claim is sent back with no payment. The patient still owes $500 for this year.
q q q q q q q q q q q q q q q q
International Classification of Disease (ICD) - correct answer Which of the following is used to code diseases,
q q q q q q q q q q q q q q q q q
injuries, impairments, and other health related problems?
q q q q q q
Ureters - correct answer Urine moves from the kidneys to the bladder through which of the following parts of
q q q q q q q q q q q q q q q q q q q
the body?
q
Angioplasty - correct answer Threading a catheter with a balloon into a coronary artery and expanding it to
q q q q q q q q q q q q q q q q q q
repair arteries describes which of the following procedures?
q q q q q q q
