NHA CBCS EXAM
Expected Questions and Verified Answers
100% Guarantee Pass
1. When a billing and coding specialist is completing the CMS-1500
claim form, which of the following information is required to process a
medical claim
Ans>> CPT, ICD
2. he allowed amount for a patient's office visit is $175. The copayment is
$15 and the amount the insurance paid is $85. Which of the following is the
amount of the adjustment
Ans>> $75
1/9
,3. Which of the following suffixes refers to an abnormal condition
Ans>> -osis
4. Which of the following entities contracts with Medicare to recoup
money form inappropriately paid claims
Ans>> Recovery Audit
Contractor
5. Which of the following abbreviations is used to describe the reason a
patient presents for an encounter at the office visit
Ans>> CC
6. A patient comes in the office with an injury form work. Which box on line
1 of the CMS-1500 claim from should the billing and coding specialist check
2/9
, off to transmit the calm for payment
Ans>> FECA
7. Which of the following physical status modifiers should the billing and
coding specialist use to indicate a healthy patient who has no evidence of
disease at the time of anesthesia administration
Ans>> P1
8. Which of the following practices does HIPPA Title II define as fraud
Ans>> Altering codes to increase payment
9. A provider charges $30 for a treatment that has an allowed of $25. Which of
the following statements regarding this $5 difference between
the two amounts is correct
Ans>> The insurance payer pays the $5 if the provider is a
3/9
Expected Questions and Verified Answers
100% Guarantee Pass
1. When a billing and coding specialist is completing the CMS-1500
claim form, which of the following information is required to process a
medical claim
Ans>> CPT, ICD
2. he allowed amount for a patient's office visit is $175. The copayment is
$15 and the amount the insurance paid is $85. Which of the following is the
amount of the adjustment
Ans>> $75
1/9
,3. Which of the following suffixes refers to an abnormal condition
Ans>> -osis
4. Which of the following entities contracts with Medicare to recoup
money form inappropriately paid claims
Ans>> Recovery Audit
Contractor
5. Which of the following abbreviations is used to describe the reason a
patient presents for an encounter at the office visit
Ans>> CC
6. A patient comes in the office with an injury form work. Which box on line
1 of the CMS-1500 claim from should the billing and coding specialist check
2/9
, off to transmit the calm for payment
Ans>> FECA
7. Which of the following physical status modifiers should the billing and
coding specialist use to indicate a healthy patient who has no evidence of
disease at the time of anesthesia administration
Ans>> P1
8. Which of the following practices does HIPPA Title II define as fraud
Ans>> Altering codes to increase payment
9. A provider charges $30 for a treatment that has an allowed of $25. Which of
the following statements regarding this $5 difference between
the two amounts is correct
Ans>> The insurance payer pays the $5 if the provider is a
3/9
