NHA - Certified Billing and Coding
Specialist (CBCS) Study Guide With
100% Correct Answers
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - correct
answers ✔✔Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - correct
answers ✔✔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? - correct answers ✔✔12
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures? - correct answers ✔✔Operative report
What action should be taken first when reviewing a delinquent claim? - correct answers ✔✔Verify the
age of the account
A claim can be denied or rejected for which of the following reasons? - correct answers ✔✔Block 24D
contains the diagnosis code
A coroner's autopsy is comprised of what examinations? - correct answers ✔✔Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - correct answers ✔✔Private third-
party payers
What part of Medicare covers prescriptions? - correct answers ✔✔Part C
What plane divides the body into left and right? - correct answers ✔✔Sagittal
, Where can unlisted codes be found in the CPT manual? - correct answers ✔✔Guidelines prior to each
section
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit
claims? - correct answers ✔✔UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - correct answers ✔✔Red
Who is responsible to pay the deductible? - correct answers ✔✔Patient
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
correct answers ✔✔Medicaid
Informed Consent - correct answers ✔✔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 - correct answers ✔✔A patient presents for treatment, such as extending an arm to
allow a venipuncture to be performed.
Clearinghouse - correct answers ✔✔Agency that converts claims into standardized electronic format,
looks for errors, and formats them according to HIPAA and insurance standards.
Individually Identifiable - correct answers ✔✔Documents that identify the person or provide enough
information so that the person can be identified.
De-identified Information - correct answers ✔✔Information that does not identify an individual because
unique and personal characteristics have been removed.
Consent - correct answers ✔✔A patient's permission evidenced by signature.
Specialist (CBCS) Study Guide With
100% Correct Answers
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - correct
answers ✔✔Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - correct
answers ✔✔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? - correct answers ✔✔12
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures? - correct answers ✔✔Operative report
What action should be taken first when reviewing a delinquent claim? - correct answers ✔✔Verify the
age of the account
A claim can be denied or rejected for which of the following reasons? - correct answers ✔✔Block 24D
contains the diagnosis code
A coroner's autopsy is comprised of what examinations? - correct answers ✔✔Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - correct answers ✔✔Private third-
party payers
What part of Medicare covers prescriptions? - correct answers ✔✔Part C
What plane divides the body into left and right? - correct answers ✔✔Sagittal
, Where can unlisted codes be found in the CPT manual? - correct answers ✔✔Guidelines prior to each
section
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit
claims? - correct answers ✔✔UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - correct answers ✔✔Red
Who is responsible to pay the deductible? - correct answers ✔✔Patient
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
correct answers ✔✔Medicaid
Informed Consent - correct answers ✔✔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 - correct answers ✔✔A patient presents for treatment, such as extending an arm to
allow a venipuncture to be performed.
Clearinghouse - correct answers ✔✔Agency that converts claims into standardized electronic format,
looks for errors, and formats them according to HIPAA and insurance standards.
Individually Identifiable - correct answers ✔✔Documents that identify the person or provide enough
information so that the person can be identified.
De-identified Information - correct answers ✔✔Information that does not identify an individual because
unique and personal characteristics have been removed.
Consent - correct answers ✔✔A patient's permission evidenced by signature.
