NHA CBCS CERTIFICATION Questions
and Answers 100% Solved
Which of the following describes the reason for a claim rejection because of Medicare NCCI
edits? Improper code combinations
Which of the following is the purpose of running an aging report each month? It indicates
which claims are outstanding
Which of the following do physicians use to electronically submit claims? Clearinghouses
Which of the following should the billing and coding specialist include in an authorization to
release information? The entity to whom the information is to be released
Which of the following information is required on a patient account record? Name and
address of guarantor
Which of the following forms should the billing and coding specialist transmit to the insurance
carrier for reimbursement of inpatient hospital services? UB-04
An insurance claims register (aged insurance report) facilitates which of the following?
Follow up of insurance claims by date
,When posting payment accurately, which of the following items should the billing and coding
specialist include? Patient's responsibility
Which of the following should the billing and coding specialist complete to be reimbursed for
the provider's services? CMS-1500 claim form
As of April 1st 2014, what is the maximum number of diagnosis that can be reported on the
CMS-1500 claim form before a further claim is required? 12
Which of the following describes an obstruction of the urethra? Urethratresia
Which of the following options is considered proper supportive documentation for reporting CPT
and ICD codes for surgical procedures? Operative report
Which of the following describes a delinquent claim? The claim is overdue for payment
All dependents 10 year of age or older are required to have which of the following for
TRICARE? Military identification
Which of the following types of claims is 120 days old? Delinquent
HIPAA transaction standards apply to which of the following entities? Health care
clearinghouse
, Which of the following actions should be taken when a claim is billed for a level four office visit
and paid at a level three? Submit an appeal to the carrier with supporting documentation
When submitting a clean claim with a diagnosis of kidney stones, which of the following
procedure names is correct? Nephrolithiasis
All e-mail correspondence to a third party payer containing patients' protected health information
(PHI) should be Encrypted
The billing and coding specialist should divide the evaluation and management code by which of
the following? Place of service
In which of the following departments should a patient be seen for psoriasis? Dermatology
A nurse is reviewing a patient's lab results prior to discharge and discovers an elevated glucose
level. Which of the following health care providers should be altered before the nurse can
proceed with discharge planning? The attending physician
Which of the following actions should be taken if an insurance company denies a service as not
medically necessary? Appeal the decision with a provider's report
A billing and coding specialist should understand that the financial record source that is
generated by a provider's office is called a patient ledger account
and Answers 100% Solved
Which of the following describes the reason for a claim rejection because of Medicare NCCI
edits? Improper code combinations
Which of the following is the purpose of running an aging report each month? It indicates
which claims are outstanding
Which of the following do physicians use to electronically submit claims? Clearinghouses
Which of the following should the billing and coding specialist include in an authorization to
release information? The entity to whom the information is to be released
Which of the following information is required on a patient account record? Name and
address of guarantor
Which of the following forms should the billing and coding specialist transmit to the insurance
carrier for reimbursement of inpatient hospital services? UB-04
An insurance claims register (aged insurance report) facilitates which of the following?
Follow up of insurance claims by date
,When posting payment accurately, which of the following items should the billing and coding
specialist include? Patient's responsibility
Which of the following should the billing and coding specialist complete to be reimbursed for
the provider's services? CMS-1500 claim form
As of April 1st 2014, what is the maximum number of diagnosis that can be reported on the
CMS-1500 claim form before a further claim is required? 12
Which of the following describes an obstruction of the urethra? Urethratresia
Which of the following options is considered proper supportive documentation for reporting CPT
and ICD codes for surgical procedures? Operative report
Which of the following describes a delinquent claim? The claim is overdue for payment
All dependents 10 year of age or older are required to have which of the following for
TRICARE? Military identification
Which of the following types of claims is 120 days old? Delinquent
HIPAA transaction standards apply to which of the following entities? Health care
clearinghouse
, Which of the following actions should be taken when a claim is billed for a level four office visit
and paid at a level three? Submit an appeal to the carrier with supporting documentation
When submitting a clean claim with a diagnosis of kidney stones, which of the following
procedure names is correct? Nephrolithiasis
All e-mail correspondence to a third party payer containing patients' protected health information
(PHI) should be Encrypted
The billing and coding specialist should divide the evaluation and management code by which of
the following? Place of service
In which of the following departments should a patient be seen for psoriasis? Dermatology
A nurse is reviewing a patient's lab results prior to discharge and discovers an elevated glucose
level. Which of the following health care providers should be altered before the nurse can
proceed with discharge planning? The attending physician
Which of the following actions should be taken if an insurance company denies a service as not
medically necessary? Appeal the decision with a provider's report
A billing and coding specialist should understand that the financial record source that is
generated by a provider's office is called a patient ledger account
