NHA CBCS ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Chief Complaint (CC). Answer: The reason the patient came to see
the physician.
◉ Past, Family and Social History (PFSH). 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. Answer: Used for procedures that are always
performed during the same operative session, as another surgery in
addition to the primary service/procedure and is never performed
separately.
◉ What act mandated the reporting of ICD-9-CM diagnosis codes?.
Answer: The Medicare Catastrophic Coverage Act of 1988
◉ Electronic Data interchange (EDI). Answer: Transmitting electronic
medical insurance claims from providers to payers using the necessary
information systems is called
,◉ Medical Ethics are. Answer: Standards of conduct based on moral
principals. Acting within ethical behavior boundries means carrying out
one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
◉ Three Components for E*M Codes. Answer: 1.History
2.Physical Exam
3.Medical Decision-Making
◉ Guidelines are Found?. Answer: At the beginning of each section and
used to provide specific coding rules for that section.
◉ Co-payment. Answer: A fixed fee collected at the time of the patients
visit.
◉ Review Linkage Protocol. Answer: Appropriateness of Codes, Payers
rules about linkage, Documentation to support codes, Compliance with
regulation and guidelines
◉ What is confidentiality?. Answer: Involves restricting patient
information access to those with proper authorization and maintaining
the security of patient information.
, ◉ What are the names of the three tables that appear in the Index to
Diseases?. Answer: Hypertension Neoplasm Table of Drugs and
Chemicals
◉ Level 2 codes. Answer: National codes for physician and non-
physician service not found in the CPT Level 1
◉ Inpatient. Answer: A/An ___________ is a person admitted to a
hospital or long-term care facility(LTCF) for treatment with the
expectation that the patient will remain in the hospital for a period of 24
hours or more.
◉ HIPAA is an acronym for. Answer: Health Insurance Portability and
Accountability Act of 1996.
◉ Life Cycle of a Claim. Answer: Submission, Processing,
Adjudication, Non-covered, Unauthorized, Medical Necessity Checks,
Payment / RA / ERA
◉ Level 1 codes. Answer: Codes found in the CPT manual
◉ Deductible. Answer: The out-of-pocket payment amount that a
policyholder must meet before insurance covers the service(s) is called?
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Chief Complaint (CC). Answer: The reason the patient came to see
the physician.
◉ Past, Family and Social History (PFSH). 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. Answer: Used for procedures that are always
performed during the same operative session, as another surgery in
addition to the primary service/procedure and is never performed
separately.
◉ What act mandated the reporting of ICD-9-CM diagnosis codes?.
Answer: The Medicare Catastrophic Coverage Act of 1988
◉ Electronic Data interchange (EDI). Answer: Transmitting electronic
medical insurance claims from providers to payers using the necessary
information systems is called
,◉ Medical Ethics are. Answer: Standards of conduct based on moral
principals. Acting within ethical behavior boundries means carrying out
one's responsibilities with integrity, decency, respect, honesty,
competence, fairness and trust.
◉ Three Components for E*M Codes. Answer: 1.History
2.Physical Exam
3.Medical Decision-Making
◉ Guidelines are Found?. Answer: At the beginning of each section and
used to provide specific coding rules for that section.
◉ Co-payment. Answer: A fixed fee collected at the time of the patients
visit.
◉ Review Linkage Protocol. Answer: Appropriateness of Codes, Payers
rules about linkage, Documentation to support codes, Compliance with
regulation and guidelines
◉ What is confidentiality?. Answer: Involves restricting patient
information access to those with proper authorization and maintaining
the security of patient information.
, ◉ What are the names of the three tables that appear in the Index to
Diseases?. Answer: Hypertension Neoplasm Table of Drugs and
Chemicals
◉ Level 2 codes. Answer: National codes for physician and non-
physician service not found in the CPT Level 1
◉ Inpatient. Answer: A/An ___________ is a person admitted to a
hospital or long-term care facility(LTCF) for treatment with the
expectation that the patient will remain in the hospital for a period of 24
hours or more.
◉ HIPAA is an acronym for. Answer: Health Insurance Portability and
Accountability Act of 1996.
◉ Life Cycle of a Claim. Answer: Submission, Processing,
Adjudication, Non-covered, Unauthorized, Medical Necessity Checks,
Payment / RA / ERA
◉ Level 1 codes. Answer: Codes found in the CPT manual
◉ Deductible. Answer: The out-of-pocket payment amount that a
policyholder must meet before insurance covers the service(s) is called?
