NHA CBCS Study guides, Class notes & Summaries

All of the following are correct regarding add-on codes except: A. They can be reported as stand-alone codes B. They are exempted from modifier -51 C. They are preformed in addition to a primary procedure D. The add-on procedures must be performed by the same provider. - correct answer A What is a preexisting condition? A. An illness or condition present before coverage begins B. A hereditary illness or condition C. A illness that presents after coverage begins D. A recurring conditio...

E Codes - correct answer For durable medical equipment for use in home Chief Complaint (CC) - correct answer The reason the patient came to see the physician. Past, Family and Social History (PFSH) - correct answer Consists of patients personal experiences with illnesses, surgeries, and injuries; Information of illnesses predominant in family; Patients educational background, occupation, marital status and other factors Add on Codes - correct answer Used for procedures that are always p...

Which of the following electronic forms is used to post payments? - correct answer Electronic remittance advice (ERA) If a clean claim is received March 1 of this year, which of the following is the allowable last day of payment in order to meet Medicare compliance requirements? - correct answer March 30 Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures? - correct answer Angioplasty The authorization ...

NHA CBCS Certification Practice Exam A Questions with Complete Solutions Which of the following is considered the final determination of the issues involving the settlement of an insurance claim? - ANS: Adjudication - is the process of putting an insurance claim through a series of edits for final determination. Chapter 4 A form that contains charges, DOS, CPT codes, fees, and copayment information is called which of the following? - ANS: Encounter form is a form that contains charges, D...

CBCS practice test Questions with Correct Rationales A patient's health plan is referred to as the payer of last resort. The patient is covered by which of the following health plans? Medicaid CHAMPA Medicare TRICARE - ANS: Medicaid A provider charged $500 to a claim that had an allowable amount of $400. In which of the following columns should the CBCS apply the non allowed charge? -Reference column (For notations) -Description column -Payment column -Adjustment column of the cre...

CBCS Exam Study Guide Questions with Complete Rationales Medical Billing & Coding as a Career - ANS: *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - ANS: Standards of conduct based on moral principle. They are generally accepted a...

NHA CBCS CERTIFICATION Questions and Complete Rationales Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - ANS: Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? - ANS: Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interv...

NHA Billing and Coding practice test (CBCS) Questions with Complete Rationales The attending physician - ANS: A nurse is reviewing a patients 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 patients condition and the providers information - ANS: On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? P...

CBCS practice test Questions with Correct Rationales A patient's health plan is referred to as the payer of last resort. The patient is covered by which of the following health plans? Medicaid CHAMPA Medicare TRICARE - ANS: Medicaid A provider charged $500 to a claim that had an allowable amount of $400. In which of the following columns should the CBCS apply the non allowed charge? -Reference column (For notations) -Description column -Payment column -Adjustment column of the cre...