NHA - CERTIFIED BILLING AND
CODING SPECIALIST (CBCS) EXAM
QUESTIONS AND 100% CORRECT
ANSWERS
The symbol "O" in the Current Procedural Terminology reference is used to indicate
what?
Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying
circumstances?
Add-on codes
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
What is considered proper supportive documentation for reporting CPT and ICD codes for
surgical procedures?
Operative report
What action should be taken first when reviewing a delinquent claim?
,Verify the age of the account
A claim can be denied or rejected for which of the following reasons?
Block 24D contains the diagnosis code
A coroner's autopsy is comprised of what examinations?
Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom?
Private third-party payers
What part of Medicare covers prescriptions?
Part C
What plane divides the body into left and right?
Sagittal
Where can unlisted codes be found in the CPT manual?
Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form
to submit claims?
UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form?
, Red
Who is responsible to pay the deductible?
Patient
A patient's health plan is referred to as the "payer of last resort." What is the name of that
health plan?
Medicaid
Informed Consent
Providers explain medical or diagnostic procedures, surgical interventions, and the benefits and
risks involved, giving patients an opportunity to ask questions before medical intervention is
provided.
Implied Consent
A patient presents for treatment, such as extending an arm to allow a venipuncture to be
performed.
Clearinghouse
Agency that converts claims into standardized electronic format, looks for errors, and formats
them according to HIPAA and insurance standards.
Individually Identifiable
Documents that identify the person or provide enough information so that the person can be
identified.
De-identified Information
CODING SPECIALIST (CBCS) EXAM
QUESTIONS AND 100% CORRECT
ANSWERS
The symbol "O" in the Current Procedural Terminology reference is used to indicate
what?
Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying
circumstances?
Add-on codes
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
What is considered proper supportive documentation for reporting CPT and ICD codes for
surgical procedures?
Operative report
What action should be taken first when reviewing a delinquent claim?
,Verify the age of the account
A claim can be denied or rejected for which of the following reasons?
Block 24D contains the diagnosis code
A coroner's autopsy is comprised of what examinations?
Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom?
Private third-party payers
What part of Medicare covers prescriptions?
Part C
What plane divides the body into left and right?
Sagittal
Where can unlisted codes be found in the CPT manual?
Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form
to submit claims?
UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form?
, Red
Who is responsible to pay the deductible?
Patient
A patient's health plan is referred to as the "payer of last resort." What is the name of that
health plan?
Medicaid
Informed Consent
Providers explain medical or diagnostic procedures, surgical interventions, and the benefits and
risks involved, giving patients an opportunity to ask questions before medical intervention is
provided.
Implied Consent
A patient presents for treatment, such as extending an arm to allow a venipuncture to be
performed.
Clearinghouse
Agency that converts claims into standardized electronic format, looks for errors, and formats
them according to HIPAA and insurance standards.
Individually Identifiable
Documents that identify the person or provide enough information so that the person can be
identified.
De-identified Information
