NHA CBCS EXAM REVIEW
Expected Questions and Verified Answers
100% Guarantee Pass
1. Which of the following Medicare policies determines if a particular ite
g g g g g g g g g g
m or service is covered by Medicare?
g g g g g g
Ans>> National Coverage Determination (NCD)
g g g g
2. A patient's employer has not submitted a premium payment. Which of t
g g g g g g g g g g g
he following claim statuses should the provider receive from the third-
g g g g g g g g g g
party payer? g
Ans>> Denied g
1g/g14
,3. A billing and coding specialist should routinely analyze which of the follow-
g g g g g g g g g g g
ing to determine the number of outstanding claims?
g g g g g g g g
Ans>> Aging report g g
4. Which of the following should a billing and coding specialist use to submit a cl
g g g g g g g g g g g g g g
aim with supporting documents?
g g g
Ans>> Claims attachment g g
5. Which of the following terms is used to communicate why a claim line item
g g g g g g g g g g g g g g
was denied or paid differently than it was billing?
g g g g g g g g
Ans>> Claim adjustment codes
g g g
6. On a CMS- g g
1500 claim form, which of the following information should the billing and codi
g g g g g g g g g g g g
ng specialist enter into Block 32?
g g g g g
Ans>> Service facility location infor- mation
g g g g g
2g/g14
,7. A provider's office receives a subpoena requesting medical documentation fr
g g g g g g g g g
om a patient's medical record. After confirming the correct authorization, whi
g g g g g g g g g g
ch of the following actions should the billing and coding specialist take?-
g g g g g g g g g g g
Ans>> Send the medical information pertaining to the dates of service requested
g g g g g g g g g g g
8. Which of the following is the deadline for Medicare claim submission?
g g g g g g g g g g
Ans>> 12 months from the date of service
g g g g g g g
9. Which of the following forms does a third-
g g g g g g g
party payer require for physician services?
g g g g g
Ans>> CMS-1500 g
10. A patient who is an active member of the military recently returned from over
g g g g g g g g g g g g g
seas and is in need of specialty care.The patient does not have anyone designed
g g g g g g g g g g g g g g g
3g/g14
, with
4g/g14
Expected Questions and Verified Answers
100% Guarantee Pass
1. Which of the following Medicare policies determines if a particular ite
g g g g g g g g g g
m or service is covered by Medicare?
g g g g g g
Ans>> National Coverage Determination (NCD)
g g g g
2. A patient's employer has not submitted a premium payment. Which of t
g g g g g g g g g g g
he following claim statuses should the provider receive from the third-
g g g g g g g g g g
party payer? g
Ans>> Denied g
1g/g14
,3. A billing and coding specialist should routinely analyze which of the follow-
g g g g g g g g g g g
ing to determine the number of outstanding claims?
g g g g g g g g
Ans>> Aging report g g
4. Which of the following should a billing and coding specialist use to submit a cl
g g g g g g g g g g g g g g
aim with supporting documents?
g g g
Ans>> Claims attachment g g
5. Which of the following terms is used to communicate why a claim line item
g g g g g g g g g g g g g g
was denied or paid differently than it was billing?
g g g g g g g g
Ans>> Claim adjustment codes
g g g
6. On a CMS- g g
1500 claim form, which of the following information should the billing and codi
g g g g g g g g g g g g
ng specialist enter into Block 32?
g g g g g
Ans>> Service facility location infor- mation
g g g g g
2g/g14
,7. A provider's office receives a subpoena requesting medical documentation fr
g g g g g g g g g
om a patient's medical record. After confirming the correct authorization, whi
g g g g g g g g g g
ch of the following actions should the billing and coding specialist take?-
g g g g g g g g g g g
Ans>> Send the medical information pertaining to the dates of service requested
g g g g g g g g g g g
8. Which of the following is the deadline for Medicare claim submission?
g g g g g g g g g g
Ans>> 12 months from the date of service
g g g g g g g
9. Which of the following forms does a third-
g g g g g g g
party payer require for physician services?
g g g g g
Ans>> CMS-1500 g
10. A patient who is an active member of the military recently returned from over
g g g g g g g g g g g g g
seas and is in need of specialty care.The patient does not have anyone designed
g g g g g g g g g g g g g g g
3g/g14
, with
4g/g14
