NHA questions with correct answers

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NHA questions with correct answers

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2024/2025

Institution CO NHA

Course CO NHA

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Exam of 10 pages for the course CO NHA at CO NHA (NHA)

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NHA - CERTIFIED BILLING AND
CODING SPECIALIST (CBCS) STUDY
GUIDE QUESTIONS WITH CORRECT
ANSWERS 2025/2026
WhatAdoesAtheAsymbolA'O'AinAtheACurrentAProceduralATerminologyAreferenceAindicate?A-
AcorrectAanswersReinstatedAorArecycledAcode

WhatAareAconsideredAqualifyingAcircumstancesAinAtheAanesthesiaAsectionAofAtheACPTAmanual?A
-AcorrectAanswersAdd-onAcodes

AsAofAAprilA1,A2014,AwhatAisAtheAmaximumAnumberAofAdiagnosesAthatAcanAbeAreportedAonAtheA
CMS-1500AclaimAformAbeforeAaAfurtherAclaimAisArequired?A-AcorrectAanswers12

WhatAisAconsideredAproperAsupportiveAdocumentationAforAreportingACPTAandAICDAcodesAforAsu
rgicalAprocedures?A-AcorrectAanswersOperativeAreport

WhatAisAtheAfirstAactionAtoAtakeAwhenAreviewingAaAdelinquentAclaim?A-
AcorrectAanswersVerifyAtheAageAofAtheAaccount

ForAwhichAofAtheAfollowingAreasonsAcanAaAclaimAbeAdeniedAorArejected?A-
AcorrectAanswersBlockA24DAcontainsAtheAdiagnosisAcode

WhatAexaminationsAareAcomprisedAinAaAcoroner'sAautopsy?A-
AcorrectAanswersGrossAExamination

WhoAoffersAMedigapAcoverageAtoAMedicareAbeneficiaries?A-AcorrectAanswersPrivateAthird-
partyApayers

WhichApartAofAMedicareAcoversAprescriptions?A-AcorrectAanswersPartAD

WhichAplaneAdividesAtheAbodyAintoAleftAandAright?A-AcorrectAanswersSagittal

WhereAareAunlistedAcodesAlocatedAinAtheACPTAmanual?A-
AcorrectAanswersGuidelinesApriorAtoAeachAsection

WhatAformAdoAambulatoryAsurgeryAcenters,AhomeAhealthAcare,AandAhospiceAorganizationsAuse
AtoAsubmitAclaims?A-AcorrectAanswersUB-04AClaimAForm

WhatAcolorAformatAisAacceptedAonAtheACMS-1500AclaimAform?A-AcorrectAanswersRed

WhoAisAresponsibleAforApayingAtheAdeductible?A-AcorrectAanswersPatient

WhatAisAtheApatient'sAhealthAplanAreferredAtoAasAtheA'payerAofAlastAresort'?A-
AcorrectAanswersMedicaid

, Definition:AInformedAConsentA-
AcorrectAanswersProvidersAexplainAmedicalAprocedures,AsurgicalAinterventions,Abenefits,AandAr

isksAtoApatientsAbeforeAintervention.

Definition:AImpliedAConsentA-
AcorrectAanswersPatient'sAactionsAimplyAconsentAforAtreatment,Ae.g.,AextendingAanAarmAforAve

nipuncture.

WhatAisAtheAroleAofAaAClearinghouseAinAmedicalAbilling?A-
AcorrectAanswersConvertsAclaimsAtoAelectronicAformat,AchecksAforAerrors,AandAensuresAcomplia

nceAwithAHIPAAAandAinsuranceAstandards.

WhatAdoesA'IndividuallyAIdentifiable'AmeanAinAhealthcareAdocumentation?A-
AcorrectAanswersInformation AthatAcanAidentifyAaApersonAorAprovideAenoughAdetailsAforAidentifi

cation.

WhatAisA'De-identifiedAInformation'AinAhealthcare?A-
AcorrectAanswersInformation AwithApersonalAcharacteristicsAremoved,AmakingAitAunableAtoAiden

tifyAanAindividual.

ConsentA-AcorrectAanswersAApatient'sApermissionAevidencedAbyAsignature.

AuthorizationsA-
AcorrectAanswersPermissionAgrantedAbyAtheApatientAorAtheApatient'sArepresentativeAforApurpos

esAotherAthanAtreatment,Apayment,AorAhealthAcareAoperations.

ReimbursementA-AcorrectAanswersPaymentAforAservicesAprovidedAbyAaAthird-partyApayer.

AuditingA-AcorrectAanswersReviewingAclaimsAforAaccuracyAandAcompleteness.

FraudA-AcorrectAanswersMakingAfalseAstatementsAtoAobtainAundeservedAbenefitsAorApayments.

UpcodingA-AcorrectAanswersAssigningAaAhigher-
levelAcodeAthanAsupportedAbyAdocumentation,AlikeAcodingAbronchitisAasApneumonia.

UnbundlingA-
AcorrectAanswersUsingAmultipleAcodesAforAseparateAtreatmentAcomponentsAinsteadAofAaAsingle

AcomprehensiveAcode.

AbuseA-AcorrectAanswersPracticesAleadingAtoAunnecessaryAcostsAforAMedicare.

BusinessAAssociateA(BA)A-
AcorrectAanswersIndividualsAorAorganizationsAoutsideAaAcoveredAentity'sAworkforceAperformin

gAfunctionsAforAtheAentity.

MainARoleAofAtheAOfficeAofAtheAInspectorAGeneralA(OIG)A-
AcorrectAanswersProtectingAMedicareAandAHHSAprogramsAfromAfraudAandAabuseAthroughAaudit

s,Ainvestigations,AandAinspections.

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Uploaded on: March 15, 2025
Number of pages: 10
Written in: 2024/2025
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